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OUR TEAM

Medical billing is a complex process that requires careful attention to detail and adherence to industry best practices to guarantee accurate and timely payment for healthcare services.  At Adelfi Medical Billing Solutions, we take immense pride in our exceptional team of dedicated professionals who are the backbone of our successful medical billing company. Our team is here to ensure seamless revenue cycle management, helping healthcare practices optimize their financial processes and maximize their revenue potential.

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Here’s Why Our Team Stands Out:

 

Our team comprises seasoned experts in the medical billing industry. Each member brings a wealth of knowledge and experience, honed through years of handling complex billing scenarios and navigating various medical specialties. We stay up-to-date with the latest coding and billing regulations, ensuring compliance with all relevant healthcare guidelines.

 

We are passionate about what we do, and our commitment to excellence drives us to go above and beyond for our clients. Our team is driven by the belief that efficient billing processes are essential to support healthcare providers in delivering top-notch patient care.

 

Embracing the latest technological advancements is integral to our approach. Our team is well-versed in industry-leading medical billing software, streamlining processes and reducing manual errors. By leveraging automation, we ensure faster claims processing and prompt reimbursements.

 

Effective communication is the bedrock of any successful partnership. Our team maintains open and transparent communication channels with our clients, providing regular updates, addressing queries promptly, and collaborating seamlessly to achieve mutual goals.

LEADERS OF OUR TEAM

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Jessica Seglem

President

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Melissa Nieli

President

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Melissa Lopez

Director of Revenue Operations

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Jennifer Mills

Director of Business Operations

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Gina Wagner

Director of Finance & Development

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Helaina Latorre

Director of Credentialing & Enrollment

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Maria Andino

Billing Manager

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Leah Donatoni

Lead Account Manager

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Nicole Cahall

Authorization Operations Manager

What To Expect From Your Team At Adelfi Medical Billing Solutions

 

Verify Patient Eligibility: Before claims are submitted, our team verifies patient eligibility to ensure that coverage is active.

 

Verify Accurate Documentation: Accurate documentation is critical to confirm that billing codes are assigned correctly and that claims are processed efficiently. Providers should document all patient encounters accurately and completely, including the services provided, any diagnoses or procedures performed, and any complications or special circumstances.

 

Assign Appropriate Billing Codes: Our team of Certified Professional Coders support our providers to assign appropriate coding using current industry standards and guidelines.

 

Submit Claims Timely: Claims are submitted as soon as possible after the services are provided to ensure timely payment. Most insurance companies have specific deadlines for submitting claims, and submitting claims too late can result in denials or delayed payment.

 

Revenue Cycle Management: Our team follows up on any unpaid or denied claims to identify and resolve any issues or errors. This includes tracking claims and following up with insurance companies to achieve timely payment.

 

Accurate Patient Billing: Our team confirms patient billing is accurate and reflects any payments made by insurance companies. This includes verifying patient insurance coverage, calculating patient responsibility accurately, and sending clear and accurate bills and statements to patients.

 

Maintain Compliance: Adelfi Billing Professionals strictly adhere to all relevant laws, regulations, and industry standards related to medical billing. This includes HIPAA regulations, coding standards, and payer-specific billing rules.

CONTACT ADELFI FOR ALL YOUR MEDICAL BILLING SOLUTIONS