Serina Leon
Greenfield,IN
Summary
Proven to excel in high-volume billing environments, I leveraged my HIPAA compliance knowledge and multitasking proficiency at SymbriaRx to enhance revenue and reduce claim denials significantly. With a knack for analytical thinking and a commitment to teamwork, I consistently improve processes and resolve complex billing issues, contributing to superior customer service and efficient claims processing. I have proven that I am dedicated to helping the team, consistently stepping in when coworkers are out, and going above and beyond on a daily basis. The success of our department means a great deal to me and I am honored to help lead us there.
Overview
11
11
years of professional experience
Work History
Senior Medical Biller
SymbriaRx
05.2023 - Current
- Maintain accurate resident profiles based upon facility census.
- Manage high-volume workloads while maintaining attention to detail, resulting in increased accuracy and reduced errors.
- Provide exceptional customer service to patients, addressing billing inquiries and resolving discrepancies professionally and efficiently.
- Run multiple reports to ensure claims are billed accurately.
- Resolve complex billing issues through meticulous research, collaboration with colleagues, and effective communication with insurance carriers.
- Reduce claim denials by diligently reviewing patient information and verifying insurance coverage.
- Communicate with insurance providers to resolve denied claims and resubmitted.
- Help develop new and existing procedures.
- Enhance revenue by efficiently processing medical billing claims and ensuring accuracy..
- Adhere to established standards to safeguard patients' health information.
- Assist in training junior medical billers, sharing expertise and best practices to improve overall team performance.
A/R Specialist
Zotec Partners
01.2021 - 03.2023
- Researched insurance denials, related to provider credentialing.
- Contacted insurance providers to obtain information on credentialing providers.
- Created alerts for the credentialing department, providing information on how to begin the credentialing process through specific plans.
- Appealed claim denials.
- Adapted quickly to changing business needs or priorities, demonstrating flexibility and a commitment to continuous improvement in A/R operations.
- Managed a high volume of invoices while maintaining strict attention to detail and adherence to established deadlines.
- Researched and resolved billing discrepancies to enable accurate billing.
- Worked with multiple departments to check proper billing information.
- Managed and responded to correspondence and inquiries from customers and vendors.
Billing Specialist
Rehab Medical
08.2018 - 02.2020
- Reconciled claim denials.
- Processed claim refunds.
- Reviewed accounts receivable for outstanding balances.
- Researched unidentified payments.
- Assisted the accounting department with EOBs and offsets.
- Assisted with training new hires.
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check proper billing information.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
- Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
- Contributed to improved financial reporting by reconciling discrepancies between invoiced amounts and actual payments received.
- Optimized workflow processes for increased productivity within the Billing Department, enabling staff members to focus on more strategic tasks.
- Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
Homemaker / Full Time Student
Self
11.2016 - 08.2018
- Obtained Associate's Degree in Medical Billing & Coding
- Ensured household duties were completed in a timely manner.
- Developed, managed, and maintained a budget.
- Coordinated medical care, meals, and social activities.
Pharmacy Technician
Skilled Care Pharmacy
06.2016 - 11.2016
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Entered medication orders from facilities.
- Collaborated with pharmacists to address discrepancies or issues related to prescriptions, demonstrating strong problem-solving skills.
- Played an essential role in achieving daily operational goals within the pharmacy team through consistent execution of assigned tasks.
- Maintained up-to-date knowledge about pharmaceutical products, enabling accurate identification of medications during data entry tasks.
- Reduced data entry errors through meticulous attention to detail and thorough review of entered information.
- Increased pharmacy productivity by effectively prioritizing tasks and maintaining focus on time-sensitive assignments.
- Enhanced pharmacy efficiency by accurately inputting prescription data into the system.
Data Entry Pharmacy Technician
Wellfount Pharmacy
11.2015 - 04.2016
- Entered medication order from facilities.
- Collaborated with pharmacists to address discrepancies or issues related to prescriptions, demonstrating strong problem-solving skills.
- Played an essential role in achieving daily operational goals within the pharmacy team through consistent execution of assigned tasks.
- Maintained up-to-date knowledge about pharmaceutical products, enabling accurate identification of medications during data entry tasks.
- Facilitated timely order processing by promptly entering customer information and medication details into the database.
- Reduced data entry errors through meticulous attention to detail and thorough review of entered information.
- Increased pharmacy productivity by effectively prioritizing tasks and maintaining focus on time-sensitive assignments.
Exception Handler
AlixaRx
12.2013 - 11.2015
- Submitted claims to insurance.
- Adjudicated claim rejections.
- Initiated and followed up on prior authorizations.
- Assisted data entry.
- Assisted pharmacy in filling prescriptions.
- Processed medication shortages.
- Assisted with ordering out of stock medications.
- Handled sensitive materials responsibly in compliance with regulatory guidelines and client requirements.
- Demonstrated professionalism under pressure during high-volume periods while maintaining attention to detail.
Education
Associate of Applied Science - Medical Billing And Coding
Ultimate Medical Academy
Tampa, FL05.2018
Skills
- HIPAA Compliance Knowledge
- Multitasking proficiency
- Claims Processing Proficiency
- Data Entry
- Insurance Verification
- Worker's Compensation Knowledge
- Commercial and Private Insurance
- Proficiency in Docutrack and Framework
- Electronic Health Records Experience
- Medical terminology understanding
- Analytical thinking abilities
- Claims review
- Insurance claims processing
- Critical Thinking
- HIPAA Compliance
- Medical claims submission
- Data Entry Efficiency
- Accounts receivable management
- Denial Resolution Strategies
- Claim Submission Procedures
- Teamwork and Collaboration
- Medicaid and Medicare Knowledge
- Customer Service
- Multitasking and Organization
Timeline
Senior Medical Biller
SymbriaRx
05.2023 - Current
A/R Specialist
Zotec Partners
01.2021 - 03.2023
Billing Specialist
Rehab Medical
08.2018 - 02.2020
Homemaker / Full Time Student
Self
11.2016 - 08.2018
Pharmacy Technician
Skilled Care Pharmacy
06.2016 - 11.2016
Data Entry Pharmacy Technician
Wellfount Pharmacy
11.2015 - 04.2016
Exception Handler
AlixaRx
12.2013 - 11.2015
Associate of Applied Science - Medical Billing And Coding
Ultimate Medical Academy
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