Summary
Overview
Work History
Education
Skills
Timeline
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Lea P. Luque

Round Lake

Summary

Dynamic professional with extensive experience at R1RCM in workers' compensation and collections. Bilingual in Spanish, I excel in claims negotiation and account reconciliation, achieving significant recovery of overdue accounts. My strategic thinking and compliance with HIPAA regulations ensure exceptional service and confidentiality in all interactions.

Overview

12
12
years of professional experience

Work History

Work Comp & Third-Party Collector & Follow up

R1RCM
REMOTE
07.2016 - Current
  • Handle confidential information, and deliver exceptional service to stakeholders.
  • Review and monitor workers' compensation claims and account balances.
  • Track claim statuses, and ensure timely follow-up with insurance carriers.
  • Negotiate payment plans and settlements with debtors, resulting in significant recovery of overdue accounts.
  • Reconcile accounts, post payments, and maintain detailed records.
  • Re-bill or appeal denied underpaid claims.
  • Work with adjusters, case managers, and insurance representatives to resolve issues.
  • Stay up to date with state workers' compensation law and billing regulations.
  • Assist with lien preparation and settlement negotiations

Physical therapy coordinator & patient accounts billing & Collections

Adult & Pediatric Orthopedics
Vernon Hills
09.2013 - 06.2016
  • Provided administrative support and served as a key contact for patients and staff
  • Customer service
  • Maintained and updated records in electronic systems (EHR)
  • Initiated collection efforts and responded to billing inquiries professionally
  • Monitored overdue accounts coordinated payment plans and initiated collection actions to recover outstanding balances.
  • Verified insurance coverage, managed patient claims, and ensured complete documentation

Education

Associate of Arts -

Bakersfield College
1801 Panorama Dr. Bakersfield Ca, 93305
07-2007

High School Diploma -

North Bakersfield High School
300 Galaxy Ave, Bakersfield Ca 93308
06-2004

Skills

  • Bilingual – Spanish
  • Microsoft Office Suite (Word, Excel, Outlook)
  • Confidential records management
  • analytics
  • Strategic thinking
  • Problem solving
  • Compliance with privacy laws and regulations (HIPAA)
  • Claims negotiation
  • Account reconciliation
  • Payment processing

Timeline

Work Comp & Third-Party Collector & Follow up

R1RCM
07.2016 - Current

Physical therapy coordinator & patient accounts billing & Collections

Adult & Pediatric Orthopedics
09.2013 - 06.2016

Associate of Arts -

Bakersfield College

High School Diploma -

North Bakersfield High School

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Lea P. Luque