Tracy Leis
Rapid City,SD
Overview
10
10
years of professional experience
Work History
Medical Biller II/ Provider Enrollment/Insurance Credentialing
Oyate Health Center
Rapid City, SD
10.2020 - 11.2025
- Processed and submitted medical and dental claims, ensuring accuracy and adherence to billing guidelines and insurance benefit knowledge
- Verified patient information, including demographics and insurance coverage, to ensure proper billing and appointment scheduling
- Reviewed medical documentation and coding, including dental terminology, to identify discrepancies impacting reimbursement
- Responded promptly to patient inquiries and provided assistance regarding billing, insurance, and scheduling matters
- Utilized electronic health record (EHR) systems and dental/medical software for accurate data entry and claim processing
- Maintained confidentiality of patient information in accordance with HIPAA regulations and office policies
- Developed strong relationships with patients, insurance representatives, and healthcare providers for efficient communication
- Assisted in developing standardized front office procedures for improved efficiency and patient experience
- Provided guidance to colleagues regarding complex billing scenarios and insurance verification questions
- Managed provider credentialing and maintained accurate records, supporting compliance and organized office operations
- Participated in training programs related to billing, insurance, and front office best practices
- Assisted with maintaining an organized and welcoming reception area for patients and visitors
Denial Analyst
Regional Health
Rapid City, SD
10.2016 - 01.2020
- Provided timely status updates on claims by communicating with insurance companies and patients
- Handled patient and insurance correspondence, ensuring prompt responses to inquiries and concerns
- Prepared and sent written appeals with appropriate documentation, supporting patient billing and insurance processes
- Reviewed explanation of benefits (EOBs) and processed refunds, ensuring accurate patient account management
- Documented all account activities and communications in the system for organized record keeping
- Developed and maintained professional relationships with insurance companies, patients, and medical care providers
- Assisted Patient Financial Services and Revenue Cycle staff with insurance account questions and patient inquiries
Health Care Reimbursement Advocate/Financial Assistance Specialist
Regional Health
Rapid City, SD
02.2016 - 10.2016
- Implemented collection policies and procedures, ensuring clear communication with patients regarding outstanding balances
- Interviewed and counseled patients on payment arrangements, demonstrating strong interpersonal and customer service skills
- Applied adjustments and communicated updates to patients and staff, supporting accurate record keeping
- Interacted with vendors and processed financial assistance applications, maintaining organized documentation
- Maintained knowledge of billing and insurance follow-up to effectively address patient questions and concerns
- Regularly audited financial assistance applications to ensure compliance with policy and operational standards
Timeline
Medical Biller II/ Provider Enrollment/Insurance Credentialing
Oyate Health Center
10.2020 - 11.2025
Denial Analyst
Regional Health
10.2016 - 01.2020
Health Care Reimbursement Advocate/Financial Assistance Specialist
Regional Health
02.2016 - 10.2016