LISA HOLMES

ad4o1k@r.postjobfree.com 678-***-**** Fairbum, GA 30213

Summary

Energetic and enthusiastic insurance professinal motivated to succeed in fast-paced and deadline-driven professional

environment.

Skills

© Data Verification

Microsoft Office Suite

© Policy Investigations

© Claims Processing

Critical Thinking

Experience

Neba Pembroke Pines, FL

Claims Examiner

11/2021 - 08/2023

Viral Solutions Atlanta,GA

Medical Assistant

01/2020 - 10/2021

Benevis Atlanta,GA

Revenue Cycle Specialist

06/2014 - 09/2019

Education and Training

* Reviewed medical records and documents to determine coverage eligibility

of claims for insurance benefits.

Performed data entry into the computer system to record information

regarding claim status.

© Investigated discrepancies in claims and resolved issues with customers

via telephone or written correspondence.

© Assessed accuracy of claim payments by comparing submitted bills to

benefit allowance guidelines.

© Assisted physicians with patient care by taking vital signs, patient

histories.

© Tested patients for Covid-19.

Administered vaccines.

© Followed up with patients in regards to their questions on aftercare.

© Reviewed patient accounts to ensure accuracy and completeness of

information.

© Analyzed claims data to identify trends in denials and rejections.

© Assisted with the development of new processes for billing, coding,

collections, and reimbursements.

© Performed account reconciliations between insurance companies and

internal systems.

Ultimate Medical Academy - Clearwater Clearwater, FL.

Associate of Science

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