Lisa Graham Clarkston, GA ***** Cell number 404-***-**** ad4jud@r.postjobfree.com

PROFESSIONAL PROFILE

Customer service oriented professional with cross-functional management and customer service experience; maintains strong understanding of importance of accurate claims processing. Maintains attention to detail needed to review and correct errors and retain high levels of accuracy. Follows policies, guidelines, and procedures to assure consistent quality.

Consistently successful in motivating and leading team members to top performance. Builds and maintains effective working relationships with partners and customers. KEY QUALIFICATIONS

Medical Billing Medical Coding ICD-9-CM HCPCS CPT ICD-10-CM Medical Terminology Electronic Health Records (EHR) Electronic Medical Records (EMR) Greenway Managed Care (HMO, PPO, and POS) Government Payers Third Party Payers Worker’s Compensation Centers for Medicare and Medicaid CMS 1500 CMS 1450 (UB-04) Tricare EOBs Payment Posting Revenue Cycle Management Scheduling Insurance Verification Insurance Billing Procedures Insurance Claim Processing Practice Management Medical Office Procedures Anatomy & Physiology HIPAA Compliance Co-Payments

Deductibles Co-Insurance Superbills

Reimbursement Methodologies Fee Schedules Outpatient / Physician Inpatient / Facility EDUCATION Ultimate Medical Academy Medical Billing and Coding Associate of Science Degree, 2016 Diploma

– Medical Billing and Coding, 2016

WORK EXPERIENCE

Pruitt Health

A/R Specialist (02/2022- 01/2023)

Handled billing for Medicaid and Medicare Advantage plans

Worked denials and rejections

Coordinated with branches to obtain proper documentation to get claims processed

Corresponded and communicated with insurance companies

Utilized medical terminology and followed HIPAA guidelines. Resolved routine billing issues and addressed all inquiries.

Adecco Staffing

MCA Admin (UHG) contractor

A/R specialist (08/2021-02/2022)

Handled billing for Medicaid, Medicare, Commercial and Medicare Advantage plans

Worked denials and rejections

Coordinated with branches to obtain proper documentation to get claims processed

Corresponded and communicated with insurance companies

Utilized medical terminology and followed HIPAA guidelines. Resolved routine billing issues and addressed all inquiries.

Kindred at Home Marietta, GA 30067

A/R Specialist (11/2020-07/30/2021 )

Handled billing for Medicaid and Medicare Advantage plans

Worked denials and rejections

Coordinated with branches to obtain proper documentation to get claims processed

Corresponded and communicated with insurance companies

Utilized medical terminology and followed HIPAA guidelines. Resolved routine billing issues and addressed all inquiries.

Lincare Conyers Ga 30013

Patient Account Coordinator (08/2018-02/2020)

Handled billing for Medicaid and Medicare; managed registration for Beacon Health Options.

Utilized medical terminology and followed HIPAA guidelines. Resolved routine billing issues and addressed all inquiries.

Newport Behavior Healthcare Decatur GA 03/2016 – 10/2017 Billing Specialist (06/2016 – 10/2017)

Handled billing for Medicaid and Medicare; managed registration for Beacon Health Options.

Utilized medical terminology and followed HIPAA guidelines. Resolved routine billing issues and addressed all inquiries.

Medical Administrative Assistant (03/2016 – 06/2016)

Scheduled appointments and updated patient records.

Completed insurance verification tasks and checked patients in and out.

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