Twanice Leon
Henderson
Summary
Dynamic Medical Billing Specialist with proven success at Nevada Excel Billing, adept at resolving denied claims and enhancing revenue through effective communication and negotiation. Skilled in HIPAA compliance and customer service, I collected $7 million in unpaid claims, streamlining processes to boost productivity and ensure patient satisfaction. Fluent in Spanish.
Certified Medical Billing Specialist with 10 years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist Account Manager
Nevada Excel Billing
02.2023 - 08.2025
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly appealed claims.
- Collected copays and sent patient statements.
- Utilized online insurance companies portals for docs subbing and claims status.
- Worked zero pays 1st and older claims to avoid timely filings
- Worked correspondence COBs and EOBs issues.
- Worked a min of 60-70 accounts daily with proper account notes\followed up on my docs sent and my faxes sent
- Reached out to the surgeons office to obtain auth as the anesthesia falls under surgeons'
Front and Back Office Medical Assistant
Advanced Pain
12.2021 - 01.2023
- Check in and out for patients' with next appointment.
- Took patient vitals and history in the triage room, then room patient.
- Enhanced the overall patient experience with friendly service at reception while managing phones lines promptly to answer inquiries or book appointments efficiently.
- Called and faxed over RX refills
- Obtained authorization from provider services for procedures.
- Collected copays, sent patient statements, answered patient questions regarding out of pockets and premium coverages.
- Cleaned exam rooms and restocked.
- Answered heavy phone lines, multi phone system
Medical Biller, Accounts Receivable
Nevada Spine Clinic
04.2018 - 01.2021
- Ensured accurate coding and billing practices, resulting in reduced claim rejections and faster reimbursements.
- Sent appeals, correspondence and patient statements. Worked 52 various insurance entities. Online claims status checks via Availity to Noridian, UHC and SHL, etc.
- I collected 7 million in revenue myself on claims in which were not being paid.
- Provided exceptional customer service while addressing patient inquiries regarding billing issues or concerns.
- Resolved complex billing issues involving multiple parties by effectively coordinating communication among healthcare providers, insurers, and patients.
- Posted payments and adjustments accurately.
- Conducted rebills, reconsiderations and sent appeals for various claim issues including addtl payment or downcoding in payments.
Medical Billing Team Lead
Claims Servicing of America
08.2013 - 01.2018
- Maintained detailed patient account notes and scanned all correspondence into patient charts also hardcopy.
- Conducted regular new employee training on collection measures and procedures.
- Streamlined billing processes by implementing efficient procedures, resulting in reduced errors and increased productivity.
- Negotiated with insurance companies to settle liens at 80% on Workers' Comp claims. Signed lien acceptances for full and final.
- High dollar account team lead with heavy phone volume.
- Customer servicing to both patient and claims adjustors with great rapport.
Education
Associate Diploma Surgical Technology - Surgical Technology
Career Colleges of America
Los Angeles, CA08-2010
Certificate of Technical Studies - Medical Billing And Coding
ROP
Long Beach, CA03-2001
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- CPT knowledge
- Medicare and medicaid process
- Collections management
- Customer service
- CMS-1500 billing forms
- Electronic claims
- Patient collections
- Commercial and private insurance
- Speaks Spanish
Certification
Certified Medical Biller and Coder
Surgical Tech and Sterilization Tech
Timeline
Medical Billing Specialist Account Manager
Nevada Excel Billing
02.2023 - 08.2025
Front and Back Office Medical Assistant
Advanced Pain
12.2021 - 01.2023
Medical Biller, Accounts Receivable
Nevada Spine Clinic
04.2018 - 01.2021
Medical Billing Team Lead
Claims Servicing of America
08.2013 - 01.2018
Associate Diploma Surgical Technology - Surgical Technology
Career Colleges of America
Certificate of Technical Studies - Medical Billing And Coding
ROP
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