Heather Lalli Email & Phone Number

Detroit, MI, US

Southfield, Michigan, United States

Currently in training to work hospital accounts receivable for a large out of state health system.

Garden City, Michigan, United States

Worked hospital billing, (UB04 claims) submission, correction and follow up within EPIC. Managed workload with millions of dollars of outstanding accounts receivable, working specialized accounts $25K and up balances and Medicare Managed Care accounts, reviewing payments, denials and unpaid accounts over 30 days old, daily. Worked various payer work queues.

Detroit, Michigan, United States

Researched and applied critical thinking using plan documents and BCBSM policy to support final determination of appeal, grievance or inquiry. Conducted Managerial-Level Conferences with members when necessary. Managed workflow and incoming case load, including managing reports for workflowAssisted in monitoring the President’s Grievance hotline. Made.

Sterling Heights, Michigan, United States

Managed all current and aged A/R for physician multiple location practices. Balanced daily postings and incoming revenue for six office locations. Handle escalated patient phone calls regarding a variety of billing issues. Assigned and coordinated work for team of 10 Billing Specialists. Provided training to new and existing team members using Billing.

Rochester Hills, Michigan, United States

Maintained financial reports for payment posting and aged receivables for clinic and surgery center. Managed up to 6 million dollars in annual billing, for surgery center on UB04 claim forms and physician billing on 1500 claim forms. Created training documents for billing and follow up procedures and for report running. Posted payments, electronic and.

2700 S. Rochester Rd., Rochester, MI

Oversee day to day revenue cycle operations for PM&R clinic.

Rochester Hills, MI

Detroit, Michigan

Reviewed and worked denials for Blue Cross Blue shield and Blue Care Network accounts in work queue or excel reports, to completion for Detroit Medical Center, on UB04 hospital claim forms. Updated demographic errors on patient accounts when necessary. Transferred non-denial accounts with a balance to correct departments. Tracked various denial issues to.

Bingham Farms, MI

Managed accounts receivable up to four clients including a Laboratory, Pain Management office and a multiple Surgeons (previous client was Ophthalmologist) on professional 1500 claim form and in some instances on UB04 claim forms,. Pulled payment vouchers/remits from clearinghouse and payer web portals daily for posting and log into spreadsheet. Reviewed.

Southfield, MI

Managed up to 17 million dollars in AR, 10M for Nashville, 7M for Jacksonville for hospital accounts in large health system. Corrected adjustments on accounts to bring account balances to the correct value according to remits and payments made. Worked with insurance companies to resolve billing/payment discrepancies when necessary for hospital accounts.

Jackson, Michigan Area

Reviewed and release charges input by providers in designated specialty offices. Edited and release UB-04 and 1500 claim forms (primary, secondary and tertiary) in a timely manner. Reviewed and answer questions from patient financial services HCPCS, CPT and diagnosis codes. Ensured proper documentation is in patient records to validate charges being.

Jackson, Michigan Area

Facility and professional medical claim submission. Contact insurance companies regarding claim status and claim denials. Designated special projects. Make adjustments on patient accounts when necessary. Verify and update patient demographics when necessary.

Detroit, MI

Worked follow up on hospital (UB04) claim forms for Inpatient, Outpatient and Infusion billing. Verified status of unpaid Medicaid HMO claims. Verified patient insurance coverage and coordination of benefits when a billing discrepancy occursAssisted in data entry for testing new operating system. Worked patient accounts with credit and debit balances to.

Allen Park, MI

Maintain high energy positive attitude. Ensure patrons recieve a high quality casual dining experience. Meet daily sales goals set at the beginning of each shift. Cleaning duties assigned at the beginning of each shift.

Bachelor'S Degree, Health/Health Care Administration/Management

Certificate, Medical Insurance Specialist/Medical Biller

Associate'S Degree, Early Childhood Education And Teaching