Lisa Lara

Also help assist leads - CGI Federal

San Antonio, TX

acxpvp@r.postjobfree.com - 210-***-****

Administrative Assistant, Customer Service Associate, Insurance Claims Specialist WORK EXPERIENCE

Also help assist leads

CGI Federal - San Antonio, TX - September 2013 to Present San Antonio, Texas

09/2013 -February 2016

Incoming calls enter into remedy, resolve remedy tickets, resolve issues trouble shooting for Open Payments website for CMS. Reset passwords on EIDM website. Also help assist leads with temporaries when get into system and answer questions.

Help Desk EUS

Atterro/CGI - San Antonio, TX - November 2012 to September 2013 Take incoming calls from Providers to help access account online

• Through medicare websites NPPES, PECOS, EHR, IACS

• Help callers access through website to apply online for Medicare or to retrieve reports

• Needed for Medicare cost reports or PS&R

Claims Specialist II

KCI - San Antonio, TX - October 2006 to October 2012 Taking and making calls regarding rental and sales of wound vac and supplies.

• Following thru from beginning to end on VA accounts from rental sales to claims.

• Following up on Authorization that have expired and also verifying if patient is still using wound vac.

• Verifying credit card charges to invoices on claims that have dropped or mailed out, forwarding to lead for posting of transaction.

• Work ship pending logs, Unbilled call list, call list and invoicing.

• Also worked Medicaid orders and claims making sure all paperwork is in order to be submitted to states for authorization and following all state guidelines for Medicaid.

• Faxed all paperwork to all state for approval and reviewed clinical documentation sent in by hospitals and other facilities for patients to receive a wound vac for surgical/traumatic injuries.

• Transcribe Doctor's clinical notes to be submitted with claims to states.

• Understanding of CPT, ICD-9 codes and diagnosis's, scanning, checking and re verifying patients eligibility. Medical Receptionist

Temporary Work - San Antonio, TX - September 2006 to September 2006 09/2006

• Temp work as receptionist for lumbar company, medical receptionist for Radiology facility. Intake Specialist

Temporary Work - San Antonio, TX - June 2006 to June 2006 06/2006-07/22006

• Responsible for doing incoming referrals for Active Duty Members and their families, and MFT (Military Treatment Facility) or Civilian Providers.

• Also took calls regarding questions about there benefits and eligibility and claims. Provider Contractor

National Choice Care - San Antonio, TX - July 2000 to July 2000 07/2000-05/006

• Responsible for forwarding contract information to Doctor's, groups, clinics, hospitals to become providers on workman's compensation networks.

• Also credentialing, verifying, Documentation given, making calls to clients and answering any questions they may have regarding workman's compensation contract and fees.

• Also responsible for handling workman's compensation claims/disputes.

• Worked with third party payers.

Customer Service Representative

Pacificare - San Antonio, TX - December 1999 to May 2000 Responsible for taking calls from members regarding their insurance for either provider or personal changes( Address, Name, DOB, etc).

• Also took care of per-authorization and claim for members. Customer Service Representative

Page mart - San Antonio, TX - August 1999 to October 1999 Took care of billing question and activation and trouble shooting of pagers for customers nationwide. Customer Service Representative

Marriott Worldwide Reservation - San Antonio, TX - March 1999 to August 1999 Taking reservation for conventions, groups and businessmen nationwide and international.

• Offering customer assistants as to rate, charges and availability of flights. Telephone Assistant/Referral Coordinator

Macgregor Medical Association - San Antonio, TX - February 1998 to February 1999 Taking messages for doctors, book appointments, referrals, faxing, assisting in emergency calls.

• Brief disposition of patients illnesses to doctors.

• Used windows software, carepiont and tandem software. Pharmacy Technician

Caremark - San Antonio, TX - October 1992 to January 1998 Labeling, packaging, medications for mail order.

• Also made phone calls for pharmacist to doctors offices for therapeutic therapy of prescriptions. Sales Consultant

West Telemarketing - San Antonio, TX - February 1992 to August 1992 Responsible for project within Fortune 500 companies like AT&T, Universal Card, Finger hut. Vending Attendant

Veteran Hospital - San Antonio, TX - January 1991 to January 1992 Took care of stocking, receiving, inventory and deposits of machines as well as maintenance of the machines. Warehouse Worker

Army & Air Force Postal Exchange - San Antonio, TX - January 1986 to December 1990 Responsible for stocking, receiving, pricing merchandise, housekeeping and customer service. Clerk Typist

San Antonio, TX - June 1985 to September 1985

Responsibilities to include typing, filing, answering phones and taking messeges.

• Also updating US military manuals.

EDUCATION

Diploma

St Francis Academy High School - San Antonio, TX

1981 to 1985

ADDITIONAL INFORMATION

SKILLS:

• Excellent Knowledge of of various types of word processing.

• Adding Machines, Copiers, MSI Computers.

• Also Knowledgeable on visual terminals.

• Windows 95-present, power point, excel and various types of software.

• Type 40 wpm. Dictate 60 wpm.

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