Billing, Insurance Follow-up and Denials Supervisor
Resume:
Columbia, PA *****
Lindsay R. Rhoads
Work Experience
LG Health Physicians Lancaster, PA 03/12 – Present
Billing and Insurance Follow-up Supervisor
Attended Resolute Professional Billing Claims EPIC 2012 (RPB210) at the EPIC Training Center in Wisconsin.
Attended Leadership Development Series Manager of Others Program with Lancaster General Health (Talent Management and Organizational Development and received my certificate of completion May 29th, 2015.
Establishes and monitors productivity and quality measurements for Claim Edit (Billing), Follow Up and specialty payor resolution staff.
Ensures claims are submitted to payers within timely filing limits.
Requests new edits in Epic based on information from clearinghouse (new edits) or payer information. Maintains documentation from source of all edit requests (i.e. payer updates).
Ensures edits at clearinghouse are kept to a minimum and worked in a timely manner.
Responsible for achieving clean claim goals established by management.
Completes electronic enrollments.
Oversees the daily functions of the specialty payor resolution team to ensure staff are meeting established performance requirements.
Evaluates current processes and procedures and makes practical suggestions/recommendations for improvement or compliance.
Communicates all LG Health and policies, values, mission and vision with clarity and completeness. Communicates effectively with all staff, management and other customers in a professional manner.
Provides orientation, education, and training for new employees as needed. Provides and implements on-going continuing education and training for existing staff as needed. Plays an active role in the growth and development of staff.
Develops processes, procedures and learning tools for Claim Edit (Billing), Follow Up and specialty payor resolution staff.
Serves as a leader and role model for staff for all Every Time Behaviors and Values. Promotes teamwork and a positive work environment.
In collaboration with Manager, completes annual performance evaluations for assigned staff. Coordinates coaching and/or disciplinary action in accordance with LG Health and practice policies.
In collaboration with Manager, interviews and selects candidates for vacant positions.
Conducts routine staff meetings for assigned teams to communicate new information, procedures and trends.
Serves as an active member of the PBS leadership team to address revenue cycle issues.
Assists staff with duties as required.
Assist with other special projects as requested.
LG Health Physicians Lancaster, PA 10/07 – Present
Physician Account Resolution Specialist
Responsible for maximizing cash collection and resolution of aged accounts through informed and consistent follow up activities.
LG Health Lancaster, PA 08/06 – 10/07
Patient Registration Analyst
Responsible for educating new registrars in Patient Management SMS system.
Working patient accounts in Patient Accounting and Patient Management SMS to ensure proper and timely billing.
Creating Excel spreadsheets and compiling information to report monthly score cards for all of patient registration.
Analyzing daily RAS reports to be sent to team leaders for corrections.
Updating and maintaining Patient Registration Intranet website with the most current information.
Developing monthly Insurance of the Month Power Points.
Involved in Testing for new systems to be interfaced into SMS PA and PM, as well as testing for SUT upgrades.
Analyzing accounts that have issues in the billing cycle and insuring they are corrected and billed properly.
I am on the Customer Service Champion Team helping our department to provide excellence in customer Service for all of the Ambulatory areas.
LGHealth - Walter L. Aument Quarryville, PA 08/04 – 08/06
Patient Registration Representative
Performs all duties related to the registration, billing and validation of insurance information for all patient types.
Provides front office coverage, answers telephones, schedules patient appointments, process patient data and insurance information and collect payments for services.
LG Health - Lancaster General Lancaster, PA 02/03 – 8/04
Unit Clerk
Assumes responsibility for the organization of the nurse’s station and monitors all related activity.
Performs multiple clerical duties necessary for maintaining complete and correct kardex, clinical charts, records, charges, and reports. Performs a variety of receptionist duties within assigned areas.
LG Health - LGH-SD Columbia, PA 08/00 – 2/03
Patient Registration Representative
Performs all duties related to the registration, billing and validation of insurance information for all patient types.
Provides front office coverage, answers telephones, schedules patient appointments, process patient data and insurance information and collect payments for services.
Education
HACC – Lancaster Campus Lancaster, PA 10/11-Present
Medical Coding Certificate
Columbia Jr-Sr High School Columbia, PA 2001
Diploma
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