VICKIE LUCAS

**** ********** *****, ********* *******, TN 371**-***-*** 6114 ad4i4y@r.postjobfree.com

. Highly motivated and committed Medical Billing Specialist with proven history of superior performance at individual, team and organizational levels. Strong ability to multitask and prioritize workloads with little or no supervision. Detail oriented professional looking to bring medical background and team building skills to deadline-driven environment.

Customer Service Representative

Exceptional communication skills

Creative problem solver.

Medical terminology knowledge

Data Entry

Medical Billing Insurance

Microsoft Office

COBRA Billing

Insurance Coverage Verification

Electronic Patient Medical Record

Analytical and Critical Thinking

Accounts Payable and Accounts Receivable

Scheduling

Enrollment Assistance

Human Resources Specialist/Medical Scheduler/Accounts Receivable and Billing Clerk, 09/2022 - 12/2022 Enhabit Healthcare

Prepared and mailed invoices to customers, processed payments and documented account updates. Reconciled accounts receivable ledger to verify payments and resolve variances. Managed and responded to correspondence and inquiries from customers and vendors. Completed bi-weekly payroll for company employees. Schedule RN Nurse's, Speech Therapist, Physical Therapist, Occupational Therapist Orientation for New Employees

Tracked business revenue and expenditures and reconciled accounts to maintain high accuracy. Investigated daily variances and corrected errors to resolve discrepancies. Processed bill reminders and consulted with third-party collection agency to resolve past-due customer accounts.

Enrollment Representative, 09/2021 - 09/2022

Aetna/CVS US Tech Solutions

Reviewed statistic enrollment data and prepared reports. Communicated effectively via telephone, email and in person with prospective customers. Updated, entered and reviewed customer data.

Finalized and processed enrollment applications.

Reached out to applicants via calls, texts, emails and social media. Created and followed call scripts and flows to maximize effectiveness. Remained impartial in order to advise clients based on circumstances. Conducted annual reviews of existing policies to update information. Met with customers to provide information about available products and policies. Managed 50 customer calls per day

Insurance Verification Specialist, 11/2020 - 06/2021 AmeriBergen- Lash Group

Accurately inputted all patient and insurance information into company's computer system using Patient Plus.

Determined appropriateness of payers to protect organization and minimize risk. PROFESSIONAL SUMMARY

SKILLS

WORK HISTORY

Verified client information by analyzing existing evidence on file. Reviewed 40 patient cases per week and verified insurance coverage information. Made contact with insurance carriers to discuss policies and individual patient benefits. Assured timely verification of insurance benefits prior to patient procedures or appointments. Received, recorded and addressed incoming and outgoing communication via telephone and email. Successfully scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.

Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.

Billing Assistant, 09/2018 - 03/2020

Gallagher Bassett

Organized files, developed spreadsheets, faxed reports and scanned documents. Created and maintained detailed administrative processes and procedures to drive efficiency and accuracy Entered and sorted data accurately after establishing data entry priorities and procedures. Organized incoming and outgoing file movements in efficient and accurate manner Processed incoming payments and outgoing refunds each Screening Data for correct reason for payment on claim Utilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries and accruals.

Contacted clients with past due accounts to formulate payment plans and discuss restructuring options. Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.

Handled 150 cases per day

Claims Specialist, 07/2018 - 09/2018

Kemberton Records Management Llc

Conducted annual reviews of existing policies to update information Tracked progress of all outstanding insurance claims Evaluated accuracy and quality of data entered into agency management system Addressed average of 450 customer inquiries and complaints each week Medical Representative, 01/2016 - 01/2018

Syntel Inc (Valsaint Consulting)

Manage Charge reconciliation inventory for multiple specialties Provided data review and audits. Task manager daily reporting to assist team lead Utilized CPT codes to complete billing revenue projects Perform duties related to Charge Entry and EOB posting Participated in training workshops to include MUO, Radiology Duplicate, Cardiology Charge Entry, NPD, Labs, EKG Charge Entry, GZ Modifiers

Achieve and exceed departmental productivity and quality metrics. Searched for reason for denial of claims

Managed 150 cases per day

Worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately Case Manager-Triage, 07/2016 - 12/2016

Rose International / AETNA

Worked with applicant's Medicare applications written by Insurance Agents checking to see if application was filled out correctly

Insured no information was missing off of application. If information was missing then send it to appropriate department for corrections

Completed claims insuring information was correct, if claims were not corrected then extra research would have to be done for approval

Made outbound calls as well as taking inbound calls. Documented plans, findings and results and submitted to employers and insurance carriers Determined and coordinated appropriate level of care to meet individual patient needs Managed 50 cases per day

SSC Held Document Specialist, 06/2015 - 10/2015

American HomePatient Inc.

Assigned work in queues, Inbound, Outbound, Fax Failed Work accounts for patient's who used CPAP machines, Nebulizer, O2 Concentrators Insured accounts were Quality Audited appropriately for payment, if not calls to doctor about account for reasoning of no signed-paperwork were made

Left off date's, left off drug, put down wrong Drug, call to see when patient was last seen, if patient has follow up appointments

Called patient to let them know it was getting close for them to be re-certified for their machine, have seen doctor, is there any problems with equipment or need new supplies Had to make so many calls day for accounts. Main purpose that patient's were happy with there machine or supplies, keeping them happy. Answered average of 100 calls per day by addressing customer inquiries, solving problems and providing new product information. Associate of Science: Medical Office Adminstration, 05/2002 National College of Business And Technology - Nashville, TN I have been a House Manager for several companies working with the mentally challenge Progress

Volunteers of America

Friendship LLC

New Horizons

EDUCATION

ADDITIONAL INFORMATION

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