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Leticia D. Perkins

Expertise In: Pediatrics

Name : Leticia D. Perkins
Experience : 12
Specialty : Pediatrics
Location : RichtonPark,IL
Description :

Leticia D. Perkins – McCondichie wishes to obtain a position that will enable her to use my strong organizational skills, educational background, and ability to work well with people.


Windows based programs, Excel, Power Point, Word, Publisher, Claims Adjustment, Financial Software, Documentation Skills, Data Entry Skills, Analyzing Information , Problem Solving, Verbal Communication, Customer Focus, FDA Health Regulations, General Math Skills, Statistical Analysis, IDX, QSI , NEBO, Ecare, Availity, EPIC (Cadence, Prelude, Resolute, and EPIC Care) Intergy, All-Scripts


  • Responsible for coding, applying physician fees, charge entry into Allscripts systems, Do aging account follow up with insurance companies, payment posting of deposits from both patient and insurance, and account registration set up. Assist both patients and insurance companies via telephone.
  • Responsible for managing the aging report, following up with patients for collections, conducting research for discrepancies, answering any inquiries from patients and preparing adjustments and refunds when necessary. Experience with Explanation of Benefits, 3rd Party Insurance, all Insurance carriers and Medicare.
  • Review specific trends that may affect account receivables, proficiency with Microsoft Excel and have the ability to pick up on new systems quickly in order to learn their proprietary system. Possess strong customer service skills, and is patient and solution oriented.
  • Coordinate the follow up care for hospitalized patients, which included consulting with primary care physician, consulting specialists, hospitalists, nursing staff, social service, and case management to establish continuity of care after patient discharge.
  • Medicare, Medicaid, and commercial insurance Collecting background. Responsible for collecting on claims in an accurate & timely manner to out of network, Medicare, Medicaid, HMO, Third party insurances and patients. Allocate appropriate discounts for physicians based on PPO contracts Evaluate & process Explanation of Benefits from all insurance carriers. Resubmitted denials & prepared appeals.
  • Follow-up both patients and insurance on finalizing a medical claims or billing issue to resolution. Follows up and reviews patient accounts for discrepancies, demands claims as necessary and conducts direct telephone communication to third party carriers according to policy and procedures until there is no balance or the account is turned over for collection.
  • Conducts and documents collection calls and follow up according to established policies and procedures. Reviews EOB Payment batches for denials in an efficient manner and acts on appropriate denials. Adds final notes to the system. Updates information in billing system as necessary.
  • Counsel patients with self-pay accounts and set up payment arrangements for patients. Resolve open aging balances.
  • Supported patients’ billing inquires as it relates to explanation of benefits, financial assistance, patient disputes, insurance verification, credit card payments and other billing inquiries.
  • Responsible for identifying and validating potential overpayments or incorrectly paid insurance claims; make inquiry calls to providers to determine status of claim payments; refer identified overpayments to overpayment department for recovery; assist in special projects and other departments as needed.
  • Responsible for overall coordination and processing of new patient medication orders and reorders. This includes verifying/reverifying insurance benefits; translating and entering new or refill prescriptions into the pharmacy information system; communicating and collecting co pay amounts; obtaining authorizations/reauthorizations; and screening, identifying, resolving or deferring orders that have accounts receivable or clinical problems. Worked with both internal and external customers to ensure that orders are processed in a timely manner and meet all financial and clinical requirements prior to fulfillment.
  • Service medical insurance customers by determining insurance coverage; examining and resolving medical claims; documenting actions; maintaining quality customer services; ensuring legal compliance.
  • Determined covered medical insurance losses by studying provisions of policy or certificate. Establish proof of loss by studying medical documentation, assembling additional information as required from outside sources, including claimant, physician, employer, hospital, and other insurance companies, initiating or conducting investigation of questionable claims. Documents medical claims actions by completing forms, reports, logs, and records.
  • Resolved medical claims by approving or denying documentation, calculating benefits due, initiating payments or composing denial letter.
  • Ensured legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations.
  • Maintained quality customer services by following customer service practices, responding to customer inquiries. Protect operations by keeping claims information confidential.
  • Prepared reports by collecting, analyzing, and summarizing information.


  • Certificate completing the Medical Terminology course
  • CPC training (currently enrolled 2012 – 2013)