LaKisha Lucky

Phone: 704-***-****

E-mail: acxsku@r.postjobfree.com

Objectives

Efficient performance and quality-driven medical administrative professional with over 11 years of medical reimbursement and coding experience. Ability to train, lead and motivate employees with confidence and integrity. Management experience in the medical office and call center environment.

Education

Certified Professional Coding Certificate - (05/2015-Present)

UNIVERSITY of North Carolina at Charlotte, Charlotte, NC

Medical Office Administrative Specialist Certificate -(03/2006-10/2007)

UNIVERSITY of North Carolina at Charlotte, Charlotte, NC

Experience

APPEALS SPECIALIST II, 06/01/2016-08/2016

ENSEMBLE HEALTH PARTNERS, CHARLOTTE, NC

Conducted a comprehensive analytic review of clinical documentation to determine if an appeal is warranted.

Generated sound, compelling factual arguments to support appeals based on the patient’s policy and the providers/facilities contractual agreements.

Negotiated medical settlement offers based on state and federal regulations.

Ensure compliance with HIPAA regulations, to include confidentiality, as required.

Team LEAD, 05/2010-03/2016

AMERISOURCEBERGEN, CHARLOTTE, NC

Collaborated with several large molecular diagnostic laboratories to insurance verification, billing, and collections support for their Laboratory Developed test.

Participated in staff onboarding/training, mentoring, quality and performance audits, as well as team motivation.

Supervised over 20 employees onsite and in remote locations.

Card Services Representative, 06/2009-08/2009

General Electric (Contract), Charlotte, NC

Worked in a remote capacity with little direction from management.

Handled a high volume of customer request and complaints related to Belk stores credit card accounts.

Conducted credit verifications to approve customers for credit cards and credit line increases.

Educated customers on store polices and promotional savings and upgrades.

Reported outstanding revenue and successful collections to accounting management.

Office Manager, 04/2007-06/2009

Omni Wellness Center, Charlotte, NC

Patient registration, insurance verification.

Managed all billing and charge posting for two Chiropractors.

Increased collections at 85% within the first 3 months of employment.

Assisted in executing marketing plans and patient educational sessions.

Provided support with X-ray development and placing patients on required therapy.

Provided credentialing services to all qualified Chiropractors.

Skills

Medical Terminology

Medical Revenue Cycle Management

Medical Coding

Client Relationship Management

Process Writing and Improvement

Appeals Writing

Medical Settlement Negotiation

Risk Adjustment

ICD-9/10, HCPCS, CPT, DRGs, Guidelines, and Modifiers

Job Aid and Standard Operating Procedure Writing

3rd Party Billing

Aged Account Collections

Team Building Skills

Microsoft Office

HMS System

Patient Plus

Work Day

Share Point

The Box

EPRIMISE

Revenue Cycle Pro

Medicare/Medicaid/Tricare

Private Payers

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