Stefanny Landaeta
@stefannylandaeta
I process healthcare claims, payments, denials, and receivables to support timely reimbursement.
What I'm looking for
At Health Prime Inc., I process more than 500 insurance transactions monthly, supporting U.S. healthcare revenue cycle operations with accuracy and data integrity.
I review ERAs and EOBs, post and reconcile payments, analyze CARC codes, and follow up with Medicare, Medicaid, and commercial payers to resolve discrepancies and unpaid claims. I also verify demographics, eligibility, CPT/HCPCS codes, modifiers, diagnosis linkage, referrals, and physician orders before processing.
I've simplified data-entry procedures, reducing management and processing time by 30%, while identifying recurring billing errors and implementing corrective measures to prevent repeat denials.
I maintain HIPAA-compliant documentation and work closely with billing, scheduling, and operations teams to keep accounts clean, complete, and moving toward timely reimbursement.
Experience
Work history, roles, and key accomplishments
Medical Billing & Financial Operations Specialist
Health Prime Inc.
Sep 2024 - Jul 2026 (1 year 10 months)
Processed 500+ insurance transactions monthly, verified billing details, reviewed ERAs and EOBs, and resolved discrepancies. Improved data entry procedures, reducing processing time by 30%.
Education
Degrees, certifications, and relevant coursework
Stefanny hasn't added their education
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