Lea Mare Quiñones

LEA MARE QUIÑONES MEDICAL ASSISTANT/BILLER/AR/DENIAL MANAGEMENT SPECIALIST ABOUT ME TOOLS EMR/EHR(AthenaOne, MDSynergy, Office Ally, DrChono, Chiro Touch, Medisoft, IntakeQ, Eclipse, Claim MD, Jane) Clearing House(Way Star, Office Ally, Claim MD) Provider’s Portal(Availity, Cigna, Navinet, Echo, UHC, Tricare, Medicare) Doximity, Conquest for Lab and Med Order Canva Google Suite Sales Force Zendesk Microsoft Office Ring Central Bhive I help clients, doctors, and other medical professionals based in the USA in managing administrative task, revenue cycle management, account receivables, denials and patient collections. I am knowledgeable of Medicare, Medicaid, Medigap, and Supplemental plans. I am well-rounded in Revenue Cycle Management, including the insurance verification process, Claims submission, Payment Posting, and administrative duties that support clients, providers, and staff. EXPERIENCE Part-Time Medical Biller (Collections)/Medical Coder for Golder Point Accupuncture Jan 2025-August 2025 (10 hours/week) Charge Entry for Submitting Claims Billing Claims to Payer (OON) Create Superbills Oversee AR/Denied Claims and submitting corrected claims Oversee Overall payment for each payer Modifying Billing codes and Mofier to guarantee paid claims Medical Billing SKILLS Knowledgeable with EHR/EMR systems Payment Posting Insurance Verification for INN and OON provider Submitting Claims/Charge Entry Patient Scheduling/Collections Requesting Prior Authorization AR/Denial Management Patient Collections Part-Time Medical Biller (Collections)/Medical Coder for Internal Medicine and Hospitalist Southern Oregon Weight Healthy June 2024-Jan 2025 (5 hours/week) Data entry for SNF patient and Medical Coding for SNF patient claims(IntakeQ) Coding/Submitting Secondary claims( Office Ally) Send Invoice for oustanding balance Calling patient colecting past due and outstanding balances SOFT SKILLS Ability to work under pressure Time Management and Organization Management Ability to multitask Team Player Ability to handle questions and problems in an efficient manner CERTIFICATIONS HIPAA Certified EDUCATION Medical Biller/AR/Denial Chiropractic Services Unruh Spine Center April 2023 - January 2025 Specialist for Follow-up and call the insurance payer for the claim status of Aging Claims(AR) Processing of Prior Authorization(ASH) Analyzing and resolving denied claims and resubmitting the claims back to the insurance payer Insurance Verification Clearing House scrubbing and correcting rejected claims in Clearing House(Way Star) Checking billing discrepancy in the payment tab (Chiro Touch) Medical Biller Assistant for Pain Management Practice Girit Consulting Firm March 2021 - March 2023 University of Mindanao Bachelor of Science in Social Work(Clinical-(UnderGrad) J Course Computer Programing(Vocational- Schedule Patient Schedule with EMR and collect patient information for registration. Verify the patient's insurance policy and benefits and authorization requirement using PMS MDSynergy, the provider's portal, and calling the insurance hotline number Create a claim with the Superbill provided by the physician and Submit the claim using MDSynergy and Office Ally EHR Southern Christian College Payment posting of ERA and EOB to EHR MDSynergy Bachelor of Science in and Office Ally Accountancy Follow-up the aging claims, denied claims, unpaid - claims, and fax medical records to Aetna. Insurance Verification/Medical Biller for Behavioral Practice Happier Living August 2020 - April 2021 Schedule Patient Schedule with EMR and collect patient information for registration. Verify the patient's insurance policy and benefits and authorization requirement using PMS AthenaOne, the provider's portal, and calling the insurance hotline number Data Entry of Patient Demographics Communicate with the patient via phone/email about their coverage, billing inquiries, and concerns Follow-up with Account Receivables and denied claims Payment posting from ERA and EOB