Nicolas Lambeth

Lakeland, FL

acte0y@r.postjobfree.com - 971-***-****

WORK EXPERIENCE

Senior Patient Financial Services Representative

Watson Clinic LLC - October 2015 to Present

• Verify patients’ insurance information for upcoming appointments by using the individual insurance company’s online portal, Watson Clinic’s insurance clearinghouse, Emdeon, or by calling the insurance company directly to ensure proper filing of claims for the day’s services.

• Answer multiple telephone calls each day from receptionists, patients, and various healthcare professionals in a call-center setting to assist each individual with any questions, aiding in a complicated insurance situation, or updating a patient’s insurance information.

• Completing reports of multiple patients’ claims that were filed to the wrong insurance company and correcting the issue by either updating the insurance on file or changing incorrect information in the patient’s chart.

• Assist in registering new patients to the clinic by speaking with the patients via telephone and verifying demographic and insurance information before they arrive for their very first appointment, making it easier and more convenient for them in the check-in process.

• Perform special projects for the Patient Financial Services Supervisor as necessary, such as aiding in a project to move monies on patients’ accounts to help the collections department with their older reports, thus creating a more secure flow within the revenue cycle. Authorizations and Patient Access Insurance Specialist Lakeland Regional Health Systems - December 2014 to October 2015

• Greeted patients and checked them in quickly and efficiently with minimal to no mistakes in regards to collecting demographics, payments, and any necessary documentation in order to maintain a continuous flow within the clinic.

• Processed cash, check, or credit card payments, created receipts for patients’ co-pays, and informed them of any future payments or balances due.

• Balanced a cash bag, credit card system, and batched my money together at the end of the day ensuring all monies have been collected accurately and the correct change was given.

• Verified insurance information for all patients that I greeted and those receiving chemotherapy treatments for the week by using an online insurance verification portal to ensure all services will be paid for each individual patient.

• Confirmed Medicaid eligibility through DCF’s provider portal and updated information for patients’ share of cost for the medically needy or Medicare savings programs.

• Administered and received phone calls to and from patients, insurance companies, and outside Physicians to collect information regarding patients’ accounts for demographics.

• Initiated authorization requests to insurance companies for patients’ chemotherapy treatments to ensure that the revenue cycle of the Cancer Center maintained a steady flow and received fewer denials.

• Coordinated appeals between the Physician and insurance company for denied services and facilitated peer- to-peer reviews so that a mutual agreement of payment and change of service can take place between the two parties.

• Created single case agreements for patients receiving services who have an insurance plan that is not in network so that we have an established contract with the insurance company so that the treatments will be paid for.

• Performed special projects for the Central Business Office Director such as a system conversion project for our sister clinic, Lakeland Regional Health Family Health Center, and other miscellaneous projects as needed. Patient Services Representative

Lakeland Regional Health Systems - October 2013 to December 2014

• Scheduled appointments for patients upon checking out from their office visits including Physician visits within the Cancer Center and outside offices as well as outpatient procedures.

• Administered calls to patients and outside offices as well as received calls on a multi-line telephone and directed them as necessary.

• Utilized customer service in all aspects of my position including greeting patients as they entered the Physicians’ office area and walking them to the correct areas of the Cancer Center as needed.

• Worked directly with Physicians and nurses to ensure the correct scheduling of patients’ procedures and office visits as well as aiding them with any special requests.

• Filed and stored all paperwork for outpatient procedures that were scheduled to ensure accuracy and accountability in all parts of patients’ appointments.

• Completed special projects for my Supervisor and their superiors as necessary, including a complete system conversion project for the entire Cancer Center.

Central Registration Specialist

Bond Clinic, P.A. - February 2013 to October 2013

• Greeted and checked-in patients at the front desk of the clinic quickly and efficiently while implementing excellent customer service.

• Processed cash, check, and credit card payments and created receipts for patients’ co-pays, account balances or past due amounts with a sense of total account resolution so that all matters were resolved.

• Balanced a cash drawer, credit card machine, and batch at the end of the day ensuring all monies were collected and change was given accurately.

• Verified multiple patients’ insurance information two days before their appointment, by means of online insurance warehouse or explanation of benefits, in order to ease the check-in process.

• Administered phone calls to insurance companies to verify benefits and eligibility for the correct co-pay, deductible, out of pocket, and co-insurance amounts.

• Directed and guided patients to the correct offices or locations as needed as well as calling Patient Attendants to aid in the process.

• Performed special projects for the Supervisor or Director of Patient Accounting such as communicating with Medicaid to verify Medically Needy and Medicaid benefits, as well as other projects as needed. Accounts Receivable Customer Service Representative Bond Clinic, P.A. - September 2012 to February 2013

• Performed a customer service role at the Business Office front desk to aid patients with understanding their bills, account balances, past due balance as well as the explanation of benefits, ensuring total account resolution.

• Processed cash, check and credit card payments and created receipts for patients who paid on their bill, past due, or collections account.

• Balanced a cash drawer, credit card machine, and overall batch at the end of the day ensuring all monies were collected and change was given accurately.

• Received calls within the customer service room to process payments, help patients understand their bills or accounts, and transfer them to the appropriate representative if need be.

• Maintained a log of all accounts worked on as well as all of the voicemails received in the office in order to uphold excellent customer service in calling patients back.

• Mailed bills, itemized statements, letters, and certified mail to patients to establish and continue communication between Bond Clinic and it's patients.

• Collaborated with the Supervisor and Director of Patient Accounting on special projects as needed. Medical Records Clerk

Bond Clinic, P.A. - July 2011 to September 2012

• Administered and received phone calls to and from Physicians’ offices in order to guarantee the arrival of patient files as well as the request of patient documents.

• Collaborated with each Physician’s office in order to ensure each patient’s files were correctly filed into their Electronic Health Record.

• Communicated with the Medical Records Supervisor on the quality of patient files in the system as well as delivering release of information forms to the offices.

• Processed patient's files into the Electronic Health Record by sorting out each patient’s paperwork, scanning them into the system, and filing them into their respective categories.

• Created the Bond Clinic Medical Records Guide in collaboration with the Medical Records Supervisor to aid in the training process of future Medical Records personnel.

• Generated a daily report of each page scanned, amount of filing completed, and total patient files posted to the system to ensure the daily quota of records processed was being met.

• Expedited the process for scanning and filing documents and patient's records in order for the Physician’s office to view and use them the same day as well as completely urgent requests for hard copy deliveries. Federal Work-Study

Le Cordon Bleu College of Culinary Arts - January 2011 to June 2011

• Performed customer service in order to advise students, parents, or guests with a variety of questions or challenges in order to keep a constant flow throughout the office and college.

• Administered phone calls to students regarding confidential information on classes and transcripts, as well as answering phone calls received to the office’s main line.

• Processed paperwork for students, recorded the information onto a log, and communicated the information to the Associate Registrar.

• Ensured that all attendance sheets for each instructor was turned in by the end of the week and consulted with the Director of Education on the results found for each term.

• Recorded student files and information into the administrative database, as well as scanning them into the student file database and analyzing them to ensure the documents were visible.

• Generated audits on all of the active student population or students on leave of absence and recorded the results onto a log and evaluated the results with the Associate Registrar. EDUCATION

AA Communications

University of Phoenix

127 College Credits

Multiple Instituitons

SKILLS

Microsoft Office (8 years), Insurance Verification (4 years), Customer Service (5 years), Electronic Health Records (4 years), Call Center (3 years), Authorizations, Phone Etiquette (5 years), Electronic Practice Manager (4 years), Revenue Cycle (4 years), Typing 65 WPM (8 years), Reception (3 years), Referrals

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