Customer Service Medical
Resume:
LA'SHANDRA E.
LYONS
**** ******* ** ****** **. #910 Houston, TX 77077
abqzhe@r.postjobfree.com
OBJECTIVE:
I am a highly motivated individual and always ready for a challenge. As a
candidate I have experience in Customer Service, Medical Billing& Coding,
and Medical Assisting. I am actively seeking a position that fits my career
goals, skills and experience within the healthcare industry and/or customer
service setting.
WORK EXPERIENCE:
Dates Attended:
3/19/12-present
Company Name:
Xerox, INC.
Position/Title:
Customer Service Rep- Medical
Primary Responsibilities:
Answer incoming calls from patients, clients, attorneys, and families in
regards to medical information, claims, or billing questions in regards to
services rendered at assorted facilities. Make also outbound calls to
patients, etc. in regards to payments, setting up payment plans or
servicing accounts.
Dates Attended:
6/16/11-12/11/11
Company Name:
CEX Financial Inc.
Position/Title:
Medical Biller/Collector
Primary Responsibilities:
Obtain UB92, submitted medical claims to commercial/private insurance
companies for payment for services rendered. Verified medical insurance
coverage, claim management and follow-ups. Collected payments, appeals,
Medicaid claims, Medicare claims.
Dates Attended:
11/5/10-02/16/11
Company Name:
Memorial Hermann Hospital System
Position/Title:
Hospital Liaison
Primary Responsibilities:
Obtain medical records for a third party company for patients belonging to
MHHS. Create spreadsheets for EOB's needed, gathered UB04's and UB92's. Was
the communicator between third party vendor and MHHS.
Dates Attended:
11/10/08-06/5/09
Company Name:
Castle Dental Center Inc.
Position/Title:
Benefits Admin/Records Clerk
Primary Responsibilities:
Verified all patients dental benefits, pre-determinations,Pre-Certs,
treatment plans, filling charts, purging charts, pulling for 3 days in
advance, greeted patients, check-in, check-out, applied-posting of
payments, and also charges.
Dates Attended:
09/17/07-03/1/08
Company Name:
United Health Care/Behavioral Health Group
Position/Title:
Behavioral Health Claims-CSR
Primary Responsibilities:
Answered in-bound calls from members, clients, brokers, families of
members, etc. at 100% quality calls to re-submit ALL denied or
incomplete claims. Gave reprocessing reference numbers to all callers.
Verified HIPPA, checked on pre-certs, explained benefits to clients,
assisted in claim processing.
Dates Attended:
06/20/04-09/15/07
Company Name:
Chasecom, LLP.
Position/Title:
Sales Order Analyst
Primary Responsibilities:
Received and verified all phone sales order made by sales employee
representatives in a sales batch. Checked each and every order for
accuracy and removed all errors before submitting to sales vendor AT&T.
Trained up to 60 employees on new and existing products and promotions.
Dates Attended:
10/1/03-6/1/04
Company Name:
Texas Oncology, PA
Position/Title:
Medical Assistant/File Clerk
Primary Responsibilities:
Scheduled new and follow-up appointments for patients. Roomized
patients, charting, pulled medical records, verified HIPPA Compliancy,
filled charts, assisted physician with in office procedures (i.e. Bone
Marrow biopsy), vital signs, verification of pre-certs, scheduled
procedures at outpatient facilities.
Dates Attended:
3/5/2002-2/21/03
Company Name:
Holmann Dental Group, Inc.
Position Title:
Front Desk/ Billing
Primary Responsibilities:
Scheduled new and established patients, Greeted all guests and patients as
they entered. Billed managed care insurance to correct insurance company,
Pre-Certifications, Assisted patients with benefits, treatment planning,
sent out invoices past 30-120 days. Organized office, filling, charting,
new forms, formatting.
EDUCATION
Sanford-Brown College- Medical Billing & Coding
PCI- Certified Medical Assistant
Southwest High School-Diploma
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