Marlena Milanes-Sigas

Reviewed Explanation of Benefits (EOBs) for payment errors, denials, and underpayments. Identified and corrected billing errors, then resubmitted claims to insurance carriers.

Processed incoming authorization requests for radiology procedures and medications. Referred authorization requests requiring clinical judgment to appropriate parties.

Managed medical billing, charge entry, and payment posting, including follow-up on denied claims. Reviewed EOBs for errors and submitted appeals for non-payments and discrepancies.

Performed medical billing, charge entry, and payment posting, ensuring proper financial reimbursement from insurance companies. Managed AR, collections, and follow-up adjustments.

Scheduled out-patient procedures, surgeries, and follow-up appointments, coordinating coverage for multiple facilities and surgeons. Handled emergency add-on cases and patient inquiries.

Completed a comprehensive program to become a Medical Assistant at Lyon's Institute. Gained essential skills and knowledge for supporting healthcare professionals.