Referral/Insurance Authorization, Data Entry, Athenahealth

Lacesha D. Owens

**** ******** **. **** *********, FL 33952

941-***-**** / ad5el6@r.postjobfree.com/

ad5el6@r.postjobfree.com

Skills:

Cooperative and efficient employee who works well with others to reach goals and meet deadlines.

Experienced and comfortable with computers including Microsoft Office software, Windows Operating System, and internet applications.

Thorough understanding of retail environments with a passion for fashion and creative ability to set up visuals that attract customers.

Trustworthy worker with exceptional work ethics with capability to work as a team or independently.

Verified patient’s Eligibility/ Benefit, and authorization requirements with insurance companies.

Insurance Verification

Athenahealth

Greenway Telehealth Software

Insurance Sales

4-40 Customer Service Representative Certificate

Human Resource Management Certificate

Data Entry

BLS Certification

Google IT Support Professional Certification

Employment History:

Graphic Designer

Self-Employed 2017- Present

Created fliers and business cards on PowerPoint and Publisher for Project Fit/Yoga Ladies & Gents and Project Fit for Life

Sketched Logos and created business cards on PowerPoint and Publisher for Wings & Dogs Patrol

Created fliers and business cards on Publisher and PowerPoint for Sugar and Spice Beauty Supply and Salon

Created T-shirts for Walmart Distribution Center in Arcadia, FL

Created T-shirts for NIB (New In Box)

Created Safety Squad fliers on PowerPoint for Goodwill Industries of SWFL

Created T-shirts for Sugar and Spice Beauty Supply and Salon

Created business cards for Soleil Kiosk

Sketched 12 Years of Hell: My Truth on Office Bullying image.

Sketched Cambree Parent Empowerment Network Inc.

Peace River Cardiovascular Center Port Charlotte, FL 2023- 2024

Referral/Insurance Authorization Specialist

Update Authorization approvals or denials.

Complete urgent care referral submissions to appropriate specialties, assist team with submissions of primary care provider referrals, obtaining and logged accurate patient insurance and demographic information.

Verified eligibility, payments, and compliance with authorization requirements for service providers.

Check in/check out patients through Greenway Health software.

Tracking referral submissions during facilitation of prior authorization issuance.

Pulmonary Sleep and Critical Care Specialists Port Charlotte, FL 2023-2023

Administrative Assistant/Insurance Authorization Specialist

Ensures accurate insurance benefit determinations through active investigation.

Consistently initiates pre-certification when required and notifies the Financial Counselor when coverage issues arise.

Positive, effective communications with interrelated areas assuring prompt follow-up and courteous reception.

Maintains quality performance and productivity standards.

Positive, well-organized and capable of motivating others to positive outcomes.

Verify accounts for accuracy to ensure that the correct codes are entered to avoid and reduce claim denials.

Patient Accounts Specialist IV Responsible for collecting co-pays, ensure claims are processed timely, register patients, verify insurance, investigate claims and problem solve, float from various departments, post charges, interact with internal and external customers.

Millennium Homecare Port Charlotte, FL 2021- 2023

Virtual Inbound Call Center Representative Remote

Taking ownership by identifying patient needs, resolves problems by clarifying issues, researching, and exploring answers and alternative resolutions and implementing best solutions.

Implements protocol to take appropriate steps in an urgent call situation.

Complete and process records to ensure all pertinent data is entered into the Athena (medical) system in an accurate and thorough manner.

Works closely with partner teams to keep up to date on process changes, partners for quick resolution of cross-functional issues, and consults to improve processes.

Office Support Staff Position- Insurance Authorization

Create Authorization for patients.

Contact Insurance companies on patients’ authorization requirements.

Keep track of patients’ files in folders

Get prior authorization approval from insurance firms and nurse managers.

Document accounting activity using correct medical and billing codes.

Follow up on missing or incorrect information so patients receive the right reimbursement.

Office Support Staff Position- Receptionist

Input patient information to the Patient Management System and reviews data

Sort, file, and photocopying records

Maintain confidentiality of patient medical information.

Track patients on Athena and hospitals.

Extended Stay America Port Charlotte, FL 2020- 2021

Night Guest Laundry

Stocking all housekeeping carts on all floors for rooms with laundry with appropriate products to ensure that PAR levels are maintained.

GSR-Process includes arrivals and departures, collections of payments and balance as night auditor in accordance with hotel requirements.

Prepping and maintaining the breakfast area with necessary food and drinks for guests.

Processing all laundry to include but not limited to, washing, drying, folding, and inspecting for damaged linens.

Assists with the cleaning of any areas of the hotel as needed.

Goodwill Industries of Southwest Florida Punta Gorda, FL 2013 - 2020

Processor

Sorting clothing donations, organizing clothes on racks for sale, pricing furniture, linens and arranging accessories, Inventory on price tags.

Assisting with window displays and thematic displays and dressing mannequins to draw in customers and best highlight store products.

Assisting in training new processors regarding store production goals and procedures

Receiving of new goods checking vendor invoices and pricing

Macys

Seasonal Recovery-Customer Service Port Charlotte, FL 2018-2019

Maintaining sales floor and fitting room recovery standards

Checkout customers purchases at cash register in all departments.

Assisting customers in locating merchandise when needed and fulfilling their needs.

Fat Point Brewery Punta Gorda, FL 2016

Intern

Inventory on food, beverages, t-shirts, and hats, hosted a Bingo Night event, sanitize the Beer Growlers.

Organized fliers and menus for events which I created these fliers for events using excel spreadsheets.

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Charlotte County Sheriff’s Office Punta Gorda, FL 2012

Intern

Performed downloading and installation of Microsoft programs and updates to ensure proper function of computers.

Utilized various applications including Adobe Reader, Adobe Flash Player, and Java

Charlotte County Justice Center Punta Gorda, FL 2011

Intern

Operated reception desk, answered and directed phone calls, answered inquiries, and provided information.

Organized central files in the court services division.

Goodwill Industries of Southwest Florida Punta Gorda, FL 2009

Intern

Sorted clothing donations and arranged purses and accessories.

Created window displays, thematic displays, composed /accessorized outfits, and dressed mannequins.

Education:

Florida SouthWestern State College Punta Gorda, FL August 2018- December- 2020 Bachelor of Applied Science Supervision and Management

Florida SouthWestern State College Punta Gorda, FL January-2013- December- 2017 Associate Science Business Administration in Management

Charlotte High School Punta Gorda, FL High School Diploma

Honors and Awards:

Student of the Month: Charlotte High MVP: Junior Varsity Girls Basketball Employee of the Month

Glo-Bus: Developing Winning Competitive Strategies 4-40 Customer Service Representative Certificate

Volunteer Service/Activities:

Student Government Association

Book Club/Business Club

United Way: Youth Works

Youth Leadership Forum Facilitator

High School/High Tech Attendee

Gulf Coast Humane Society

Youth Leadership Forum Support Staff

Charlotte High: Media/Library

J.V. Girls Basketball

Youth Leadership Forum Adult Staff Member

Habitat for Humanity Lee County

Celebrity Golf International

Guest speaker at Florida High School/High Tech Disability Employment Awareness Month Kickoff Celebration

Invited to be reflection speaker at Florida Youth Leadership Forum 2016

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