Summary
Overview
Work History
Education
Skills
References
Timeline
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Leslie Seagraves

Antioch

Summary

Detail-oriented Medical Billing Specialist with comprehensive experience in medical billing, claims handling, and insurance verification. Skilled in managing denial strategies and optimizing revenue cycles to enhance billing accuracy and improve collections.

Overview

30
30
years of professional experience

Work History

Billing Specialist 3

BASS Medical Group
Walnut Creek
03.2024 - Current
  • Reviewed work denials and submitted corrected claims to insurers, facilitating prompt resolution of discrepancies.
  • Processed medical billing claims for accuracy and compliance with regulations.
  • Coordinated with insurance providers to verify coverage and payment details.

Medical Billing

Diablo Valley Pediatrics
Concord
01.2010 - 03.2024
  • Managed billing claims to insurances, confirmed patient eligibility, updated patient information, processed payments, investigated denied claims, filed appeals, and collected outstanding balances to ensure timely reimbursement.
  • Performed data entry of patient information into medical billing system.
  • Served as a mentor for junior staff members by providing guidance on technical issues related to medical billing and coding processes.
  • Processed incoming mail for medical billing claims and payments from insurance companies, ensuring accurate processing and timely updates to accounts.

Front Desk Administrator

San Ramon Endoscopy/Tri-valley Enterology
San Ramon
01.2010 - 12.2010
  • Answered multi-line phone and scheduled patients, prepared patient charts for procedures, scanned confidential documents, filed records, and entered 'Explanation of Benefits' forms into patient accounts.
  • Greeted patients and visitors warmly upon arrival.
  • Managed appointment scheduling and patient flow efficiently.
  • Coordinated with medical staff to ensure effective communication.

Customer Service Representative/Task Cash

Ulta Beauty
Dublin
01.2007 - 12.2010
  • Controlled inventory, provided stellar customer service, processed guest purchases, opened and closed registers, prepared deposits, tracked daily sales against goals in MS Excel, created product schematics, handled merchandising, applied make-up and skin care to clients, maintained store cleanliness, and collaborated with team members on various projects.
  • Assisted customers with product inquiries and recommendations.
  • Processed transactions accurately using point-of-sale systems.
  • Handled customer complaints with professionalism and empathy.

Store Manager/Customer Service Representative

Footsteps Children & Shoes
San Carlos
01.1996 - 12.2008
  • Managed vendor payments and inventory while providing outstanding customer service.
  • Managed daily store operations and staff scheduling.
  • Trained and developed team members on product knowledge and customer service.
  • Oversaw inventory management and ensured stock levels met customer demand.

Education

Medical Billing and Coding Diploma Program -

Heald College
Concord, Ca
01-2010

General Education Courses -

Canada College
Redwood City, Ca
01-2009

General Education Courses -

College of San Mateo
San Mateo, Ca
01-1988

High School Diploma -

Notre Dame High School
Belmont, Ca
01-1986

Skills

  • Claims processing
  • Denial management
  • Insurance verification and processing
  • Claims management
  • Patient account oversight
  • Revenue optimization
  • EHR systems

References

Full References Furnished Upon Request

Timeline

Billing Specialist 3

BASS Medical Group
03.2024 - Current

Medical Billing

Diablo Valley Pediatrics
01.2010 - 03.2024

Front Desk Administrator

San Ramon Endoscopy/Tri-valley Enterology
01.2010 - 12.2010

Customer Service Representative/Task Cash

Ulta Beauty
01.2007 - 12.2010

Store Manager/Customer Service Representative

Footsteps Children & Shoes
01.1996 - 12.2008

Medical Billing and Coding Diploma Program -

Heald College

General Education Courses -

Canada College

General Education Courses -

College of San Mateo

High School Diploma -

Notre Dame High School
Leslie Seagraves