Mary Leyva

ad47ds@r.postjobfree.com

+1-779-***-****

To secure a permanent challenging, strictly remote/work from home career in a reputable organization where I can fully utilize and expand my training, knowledge, skills, compassion and kindness.

Must be W-2 only - No 1099 Employment

Work Experience

Patient Solutions Medical Billing Specialist (Remote) MSM Acclara - Orange, CA

October 2021 to Present

Handling all incoming/outgoing calls, emails and faxes from Patients/Providers regarding inquiries and complaints with billing. Analyzes medical claims/Reviews billing. CMS-1500 and UB-04 Claim. Claim appeals, Audit reviews, Oversee collection in timely manner, Process/Post Payments, Financial charting, Understanding EOB's, Account updating, W-9 requests, knowledge of CPT, ICD-10 Codes and Documenting with detail. Imaging/ Radiology review/reading/transfer, Revenue Cycle Analyst, Navigating through multiple windows/tabs/screens. Training. Send records/billing. Liens/Legal dept. Front Office Medical Assistant/Patient Registrar (Hybrid) OSF Medical Groups/Surgical/Prompt Cares/Specialty Groups - Rockford, IL January 2020 to October 2021

Answer phones, Greet/communicate with patients and providers, Schedule/cancel/reschedule patient appointments, Checking in patients and properly documenting registration, Insurance verification, Verification of patient demographics, Filing and retrieving all medical records/files, Verify Rx Medications, Collecting co- pays, Entering charges, Coding/Billing, Workers Comp Claims, Payments, Balancing each day, Patient Registrar, Referrals. Trauma, Ortho, General Surgery, Urgent/Prompt Care, Hospital, Cancer, Womens Health, PCP, Endocrinolgy, Neurology, Cardiology. Revenue cycle analyst - document, test and analysis. Epic analyst to train others. Medical Practice Supervisor/IT Support Representative MercyHealth - Rockford, IL

August 2018 to January 2020

Revenue Analyst - internal/external, policies and procedures.Communicate with patients and providers, Order all medical/office supplies, Mail Distribution, Schedule/ Reschedule/Cancel patient appointments, Scheduling of Dr/Employees, Implement policies/procedures, Evaluations/Disciplinary, Verify insurance information including,Patient registrar, Patient demographics, Collect any/all co-pays, Balance end of day, Kpi's, Handling referrals/Pre- authorizations, Verify Insurance, Coding/Billing, Workers Comp Claims, Assist Physicians/Nursing/Assistants/Lab with any/all paperwork/ testing, Verify Rx Medications, Coding/ Billing, Epic, Athena, Allscripts, Prepares any/all letters, documents, reports, etc needed. Monitor all schedules to make any changes necessary. Provide support or hardware/software tickets submitted within office, Zendesk Ticketing Systems, Accountability for Service desk tickets for setups including PC hardware/telephone equipment. CompTIA training, Analyze/Troubleshoot IT. Tech support for meetings, etc.

Lead Front Office Medical Assistant/Patient Registrar Texas Health Orthopedics Medicine Specialists - Arlington, TX September 2016 to March 2018

Answer phones, Greet/Communicate with patients and providers, Send/Receive Medical Records, Schedule/Reschedule/Cancel patient appointments, Verify insurance, Patient Registrar, Patient demographics, Collect any/all co-pays, Balancing at end of day, Handling referrals/Pre-authorizations, Verify Insurance, Coding/Billing, Workers Comp Claims, Assist Physicians/Nursing/Assistants with any/all paperwork, Coding/Billing, Scribe, Epic, Flowcast, Allscripts, Prepares any/all letters, documents, reports, etc needed and Monitor all schedules to make any changes necessary. Ortho, Trauma. Epic application analyst in office to train & supervise others as needed. IT Tech Support to analyze and troubleshoot as needed. Front Office Medical Assistant/Patient Registrar

OSF Medical Groups/Prompt Cares/Specialty Groups - Rockford, IL August 2010 to August 2016

Answer phones, Greet/communicate with patients and providers, Schedule/cancel/reschedule patient appointments, Patient Registrar, Checking in patients and properly documenting registration, Insurance verification, Verification of patient demographics, Filing and retrieving all medical records/files, Verifying Rx Medicines, Collecting co- pays, Entering charges, Coding/Billing, Workers Comp Claims, Payments, and balancing the day in the computer. Trauma, Ortho, General Surgery, Urgent/Prompt Care, Hospital, Cancer, Womens Health, PCP, Endocrinolgy, Neurology, Cardiology. Epic application trained and became an Epic Analyst to train others.

Diet Clerk/Nutrition Communications Clerk

OSF St Anthony Hospital - Rockford, IL

August 2010 to May 2016

Process new diets & changes as required, Answer incoming & place outgoing phone calls to prepare dietary information for use by kitchen personnel, Order workplace supplies as needed. Work closely with Dieticians/Supervisors to provide excellent customer service and nutrition for patients. Process patient menus into production, Service orders for preparation of patient meals and nourishment in accordance with the diet prescription and patient preferences. Epic hospital training, trained others. HR Business Manager/IT Support Specialist

J & L - Whitewater, WI

October 2006 to 2014

Lead and fully execute key initiatives that support the company from home and the office. Respond to IT Issues in/out of office, Zendesk Ticketing System, CompTIA Training along w/ monitoring & maintenance of IT. Analyze & Diagnose software/hardware issues. Network setup, Software & program installation, etc. Respond to emails & phone calls to/from any clients ensuring client satisfaction, Schedule meetings, Broker & Dispatch of Commercial Trucks, Budgeting all reports/ Paperwork, Travel arrangements, Prepare any documents needed for company, Advise on all policies, programs and procedures. Conduct market research & help company make business decisions. Prepare any reports including financial data. Recruit, Screen/Interview & Hire new applicants. Business analyst - develop projects task plans, schedules and timelines. Record keeping, AP/AR, Finance, Accurately diagnose any issues, develop solutions and implement action plans, Manage multiple projects with overlapping tasks and work independently Recruitment process, Employee relations process in all aspects of human resource and any other duties assigned by company Owner.

** RCM, NextGen, Five9, InContact, Meditech, GPMS, Practice Vision, DrChronos, eClinicalWorks, Kronos, CareCloud, ChartLogic, Allscripts, Practice Fusion, Customer Service, Law, Wireless, Oracle, Cerner, AthenaHealth, Flowcast, Epic, SBO, Citrix, VPN, ZenDesk Ticketing System, Greenway EMR, Allscripts, C-Bord, M S Office; Word, Excel, Powerpoint, PeopleSoft, Internet and easily adapts to all programs. Troubleshooting, QA/Materials experience, Records Management.Advanced organization/communication skills (written and verbal).

*Excellent Leadership in Supervisory Experience & Human Resources Management with a strong ability to handle multi tasks. *CompTIA Training, IT - Technical & Customer Support. AR/AP. Excellent knowledge of insurances, EOB’s, Revenue Cycle Management, Medical claims - Submitting, Appeal, Denials. Insurances: PPO, HMO, POS, Workers Comp, Commercial, Generic, Liens, Tricare/VA, Medicare and Medicaid. Effective problem solver with excellent abilities to overcome obstacles & achieve results. Advanced ability to train others, meet deadlines, work effectively in a fast paced environment. *Advanced knowledge of Billing, Medical terminology, Anatomy and Physiology. *Advanced knowledge of CPT/ICD-10-CM, ICD-10-PCS and HCPCS coding guidelines. Advanced knowledge of HIM, DRG. HB & SB in billing/coding. Revenue Cycle Analyst, Advanced ability to identify coding quality concerns, issues and to provide recommendations for improvement. Ability to quickly diagnose, organize and prioritize competing deadlines. Proven leadership skills, characteristics and track record of achieving client service results. Business/healthcare analytics, in keeping track of records in medical and business. Hipaa, Compliance and Osha standards. Epic Analyst, Epic training. Self motivated with the ability to execute tasks and make decisions in high pressure environments.