Nicole LaLuna
Somers,NY
Summary
Detail-oriented billing specialist offering 10 years of experience in related roles. Exceptional ability in PPO and medicare insurance billing, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.
Overview
11
11
years of professional experience
Work History
Billing Specialist
Strouds Associates
02.2023 - Current
- Improved billing accuracy by implementing a streamlined invoicing process.
- Enhanced customer satisfaction with timely and accurate invoice generation.
- Reduced errors in financial records by conducting regular audits of billed accounts.
- Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
- Maximized revenue potential by identifying and resolving under-billed accounts.
- Increased efficiency within the department by automating routine processes using specialized software tools.
- Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Used data entry skills to accurately document and input statements.
Billing Manager
MBDC Consulting
06.2013 - 12.2022
- Streamlined billing processes by implementing efficient procedures to improve accuracy and reduce errors.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Acted as liaison between healthcare providers and insurance companies; resolved disputes quickly while maintaining positive relationships.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Processed vendor and supplier payments on weekly basis.
Education
Bachelor of Arts -
Marist College
Poughkeepsie, NY05.2007
Skills
- Claims Processing
- Fiscal reporting
- Payment posting
- Invoice Processing
- Data entry proficiency
- Claim submission
- Procedure Development
- Medical Billing Expertise
- Insurance Verification
- Customer Engagement
- HIPAA Compliance
- Billing systems and software
- Medical coding knowledge
Timeline
Billing Specialist
Strouds Associates
02.2023 - Current
Billing Manager
MBDC Consulting
06.2013 - 12.2022
Bachelor of Arts -
Marist College
Similar Profiles
Caleb ShortCaleb Short
Senior Associate at Maxson & Associates, A.C./Bharmal & AssociatesSenior Associate at Maxson & Associates, A.C./Bharmal & Associates
DANA L. HAKESDANA L. HAKES
Curative Specialist at Liepold Harrison & Associates, Harrison McLaughlin & AssociatesCurative Specialist at Liepold Harrison & Associates, Harrison McLaughlin & Associates
AR. AHSAN JAFRIAR. AHSAN JAFRI
Head Architect, Projects Manager at NAA, NA & Associates, NA & AssociatesHead Architect, Projects Manager at NAA, NA & Associates, NA & Associates
Alliyah GuerridoAlliyah Guerrido
Customer Service Associate at True Drip Medical SpaCustomer Service Associate at True Drip Medical Spa
Katherine KordysKatherine Kordys
Speech Language Pathologist at Isa Marrs Speech Language Pathology, P.C.Speech Language Pathologist at Isa Marrs Speech Language Pathology, P.C.