Kimberley "Leyla" Sanchez
San Francisco
Summary
Results-driven professional with experience in collections and account management. Skilled in collaboration, adaptability, and clear communication. Committed to protecting patient privacy while accurately handling documentation and information requests from insurance providers, legal teams, and other authorized parties.
Overview
7
7
years of professional experience
Work History
Medical Collections Account Manager
Nexsys Billing & Practice Management
10.2022 - 02.2024
- Researched billing errors and discrepancies to initiate corrective action.
- Prepared accounts receivable-related journal entries for accounting month-end close.
- Identified and discussed with management opportunities for improvements to procedures and internal controls.
- Reduced overdue accounts by implementing strategic collection techniques and maintaining consistent communication with clients.
- Utilized analytical skills to identify trends among delinquent accounts and develop targeted action plans.
- Maintained up-to-date knowledge of industry trends and developments, applying new approaches as needed to improve overall collections performance.
- Consistently met or exceeded monthly targets for successful collections, contributing to the overall financial health of the organization.
- Reviewed collection reports regularly with management to provide updates on progress and potential areas for improvement.
- Implemented automated reminder systems that contributed to a decrease in past due invoices.
- Collaborated with billing and collection teams to identify potential issues early on, preventing further escalation of delinquent accounts.
Medical Biller/Collector
Congress Orthopedic Associates
02.2017 - 02.2022
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Liaised between patients, insurance companies, and billing office.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Acted as liaison between four healthcare providers and insurance companies; resolved disputes quickly while maintaining positive relationships.
- Managed and reviewed credits on accounts for patient or interoffice refunds between physicians.
- Managed medical records request from insurance and/or law offices. Reviewed records for submission.
Education
Independence High School
Alhambra, CASkills
- Account management
- Aging reports analysis
- Process improvement
- Medical records management
- Data analysis
- Billing procedures
Timeline
Medical Collections Account Manager
Nexsys Billing & Practice Management
10.2022 - 02.2024
Medical Biller/Collector
Congress Orthopedic Associates
02.2017 - 02.2022
Independence High School
Similar Profiles
Leonarda IbarraLeonarda Ibarra
Medical Billing Services at Elite Practice Billing, LLCMedical Billing Services at Elite Practice Billing, LLC
Katrina DunlapKatrina Dunlap
New Accounts - Assistant Team Lead at Conservice Utility Management & BillingNew Accounts - Assistant Team Lead at Conservice Utility Management & Billing
Vladimir MatsyukVladimir Matsyuk
Support Engineer at S500 | Azure Rapid Response | Enterprise | Billing & Subscription ManagementSupport Engineer at S500 | Azure Rapid Response | Enterprise | Billing & Subscription Management
M. Sean SilverM. Sean Silver
Tour Guide at Dylan's ToursTour Guide at Dylan's Tours
Paris TaylorParis Taylor
Product Director at Plume ClinicProduct Director at Plume Clinic