Lhanie Silva
@lhaniesilva
Detail-oriented medical billing specialist optimizing revenue cycles and reducing denials.
What I'm looking for
I am a detail-oriented Medical Billing Specialist with over four years of hands-on experience in claims processing, insurance verification, payment posting, and denial management. I consistently leverage EMR/EHR systems and payer portals to ensure accurate, timely reimbursement and strong HIPAA-compliant practices.
In my most recent role as Lead Billing Specialist, I managed the end-to-end billing cycle, posted and reconciled payments, and collaborated with payers to resolve denials—improving claim acceptance rates by more than 15%. I tracked daily billing activity across Kareo, DrChrono, and Jane App to keep claim status current.
Previously, I processed and submitted claims to Medicare, Medicaid, and commercial insurers using Availity and Office Ally, performed charge entry and denial resolution, and maintained accurate coding with ICD-10, CPT, and HCPCS. I have a proven record of reducing rejections and meeting monthly reimbursement targets.
I hold an MBA from the University of Saint Anthony and certifications in medical billing, revenue cycle management, denial management, and HIPAA compliance. I work effectively in remote settings and bring disciplined documentation and problem-solving skills to revenue cycle teams.
Experience
Work history, roles, and key accomplishments
Lead Billing Specialist
Healthcare Coding Integrity
Jul 2024 - Aug 2025 (1 year 1 month)
Managed end-to-end billing cycle including claim creation, insurance verification, payment posting, and prior authorization; improved claim acceptance rate by 15%+ and ensured HIPAA-compliant documentation.
Medical Biller
Healthcare Coding Integrity
Mar 2021 - Apr 2024 (3 years 1 month)
Processed and submitted claims to Medicare, Medicaid, and commercial payers via Availity and Office Ally; performed charge entry, denial resolution, and coding accuracy using ICD-10, CPT, and HCPCS to meet monthly reimbursement targets.
Sales Account Representative
Archer's Baked Goodies
Jan 2022 - Jun 2023 (1 year 5 months)
Managed client accounts, inquiries, and feedback to strengthen customer relationships and improve communication and organizational processes.
Education
Degrees, certifications, and relevant coursework
University of Saint Anthony
Master of Business Administration, Business Administration
Completed a Master of Business Administration focusing on business administration and management principles.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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