Christine Jean A. De Leon, RN, CPC

Experience

• 

  The Medical City

  Aug 2014 - Sept 2015

  Nurse
• 

  Omega Healthcare Management Services Private Limited

  Nov 2015 - Feb 2018

  Medical Coder Specialist
• 

  Advanced Care Oncology Center

  Apr 2018 - now

  • Manage the end-to-end process of insurance verification, claims submission, and denial resolution to ensure accurate and timely payment.• Oversee payer contract management, ensuring compliance with billing rates, coding standards, and insurance policies.• Analyze revenue cycle data to identify trends and opportunities for improvement to optimize payment processes.• Collaborate with billing, coding, and finance teams to ensure seamless revenue cycle operations and reduce claim errors.• Lead denial management efforts, identifying root causes and working with insurance providers to resolve claim disputes and appeals.• Develop and conduct training for staff on insurance policies, claims procedures, and best practices to enhance team performance.• Foster strong relationships with insurance companies and third-party payers to ensure smooth communication and efficient claims resolution.• Stay updated on changes in healthcare regulations, payer policies, and industry trends to maintain compliance and avoid revenue cycle disruptions.• Implement and monitor process improvements to maximize revenue, minimize delays, and reduce revenue leakage.• Provide regular reports and analysis to senior leadership on key performance metrics, including claims processing and payment trends Show less

  • Insurance Manager

    Jul 2024 - now

  • Insurance Supervisor

    Aug 2020 - Jul 2024

  • Medical Coder/Insurance Officer

    Apr 2018 - Aug 2020