Leticia Montes

Billing / Office Manager - Integrity Medical Transportation LLC - Frisco, TX

(2024-04 - 2026-01)

Oversaw comprehensive medical billing and revenue cycle functions including insurance eligibility verification, claims submission, payment posting, accounts receivable follow-up, and denial resolutions across multiple payer systems.
Processed 50-100 claims daily while ensuring accuracy in compliance with payer-specific requirements and adherence to filing deadlines.
Enhanced payment processing efficiency by 30% through proactive denial prevention, rigorous payer follow-ups, and optimization of clean claims.
Successfully recovered 60% of at-risk revenue by actively managing accounts aged 30/60/90 days, ensuring timely claims submissions and collection procedures.
Analyzed Explanations of Benefits (EOBs) to identify denials, underpayments, and discrepancies; prepared necessary corrections and resubmitted claims.
Acted as the primary contact for patients and insurance representatives, delivering clear explanations regarding coverage, benefits, and financial obligations.
Maintained meticulous billing documentation and audit-ready records in accordance with HIPAA standards and payer regulations.
Trained and provided ongoing support for staff in billing processes, customer service excellence, compliance requirements, and process enhancements.

Small Business Owner / Operator - Chocolate Moonshine - Allen, TX

(2019-11 - 2024-03)

Delivered outstanding customer service while fostering strong relationships, addressing feedback, and ensuring high satisfaction during in-store and pop-up events.
Strategically increased annual revenue from $25K to $150K within the inaugural year by implementing customer-focused sales strategies and enhancing brand engagement.
Trained, mentored, and led staff to consistently deliver high-quality customer service experiences.
Boosted profit margins by 47% during pop-up events through effective customer engagement, upselling techniques, and operational efficiencies.
Managed all financial operations utilizing QuickBooks, overseeing invoicing, customer payments, and financial reporting.
Ensured adherence to local regulations while cultivating a positive public image and a loyal customer base.
Skillfully resolved customer complaints and service issues with professionalism, thereby strengthening brand trust and fostering repeat business.

Medical Billing Specialist (Part-Time) - Mountain Medical - McKinney, TX

(2019-01 - 2019-08)

Managed comprehensive medical billing and revenue cycle operations including insurance eligibility verification, claims submission, payment posting, accounts receivable follow-up, and denial resolution across various payers.
Reviewed Explanations of Benefits (EOBs) to pinpoint denials, underpayments, and errors; prepared corrected claims and documentation for resubmission.
Secured recovery of 40% of outstanding collections by meticulously managing 30/60/90-day accounts and maintaining proactive communication with payers and patients.

Medical Billing & Credentialing Specialist - The Warren Center ECI - Richardson, TX

(2018-03 - 2018-12)

Compiled and maintained comprehensive records of licenses, credentials, and insurance contracts and provided guidance to staff on renewal procedures.
Completed and submitted new provider enrollment applications required for Medicaid and commercial payers while conducting primary source verification of licenses, education, and certifications.
Managed re-credentialing and license renewal deadlines in alignment with regulatory standards, ensuring consistent communication with providers, payers, and internal departments.

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