Lisa Nixon

***** ***** *****, ******, ** ***** (C) 813-***-**** adc6o0@r.postjobfree.com

» Professional Summary

I am an enthusiastic person who has obtained my Medical Coding Certificate and skills gained from a semester of College training in Business Communication seeks to apply my knowledge, skills, and experience as a Lead or Manager in a Central Business Office or Clinic office setting and as a Medical Office Administrator to a Healthcare facility.

» Skills

Medical terminology

ICD- 10 CM and CPT coding

HCPCS Coding Guidelines

Insurance verification and collection experience

Composed & professional demeanor

Detail orientated

Strong team player

Office support (phone, faxing, Scan documents)

Microsoft Office proficient

Written &Verbal communication skills

Quick learner

EHR and EMR experience

Accounts payable/ QuickBooks

HIPAA compliance rules

Customer services skills

Experience with EZ Claim software 8.0 & Availity

Medical Billing

EHR Intergy Software

Authorization experience for procedures

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» Education

Certified: Medical Coding Specialist/ Graduated Tampa, FL

Hillsborough Community College

Emphasis in Business Writing, Medical Terminology and Administrative Support.

Coursework in Healthcare Management-Medical Office Procedure

ICD- 10 CM and PCS

CPT and HCPCS

Medical Billing and Insurance/Medical office documentation

Certificate: Receptionist/Business Computers/ 1992 graduated, Los Angeles, CA

Trade Technology College

Office Administration coursework

Typing 35-45 wpm

Data Entry

Interpersonal skills

» Work History

Insurance Verification/Authorization Team Lead

Physician Partner of America (Pain Management) March 2019 – Current

Coordinate and lead day to day department operations, implement new department process and training guides, update

employee time cards for payroll, run Practice Analytic reports to show trends and reflect revenue collections for all clinics weekly Productivity report of the department, delegate and distribute workflow for the day to department, multi task, managed referrals and verification, authorizations for procedures for all 50 Clinics, attending. Onboarding meetings weekly for upcoming new doctors,, monitored Referrals and verification of patient responsibility, keep team updated on upcoming, maintaining. Quality assurance of patient information (HIPAA). Submitted authorizations for ASC facilities. Maintain continuous focus on productivity through monitoring standards, metrics, performance criteria, policies and procedures Coordinate and/or deliver training personnel as needed.

Insurance Authorization/Verification Specialist

Physician Partners of America (Pain Management) June 2018 -Current

Verified managed care commercial insurance, Medicare Medicaid, PPO, HMO, and EPO, experience in and out of network

and documenting all new and existing managed care, benefits to ensure that the correct co-pay/co-insurance is collected

at time of service. Advise patients of any problems obtaining authorization, contacting insurance companies via phone

or payer websites (Availity, Zirmed, Humana Military Tricare, United Healthcare, RadMd, and Evicore) responsible for

following up on denied authorization with an appeal or scheduling a peer to peer for doctors. Read SOAP notes to insure

correct documentation are in order for authorization submission for in office procedures (minimally invasive procedure) update.

information in patient accounts patient responsibility for scheduled procedures, Works closely with clinics to assist with

patient authorizations and benefits, EHR Intergy Greenway, Outlook, Word. Submit CPT codes for procedures.

Patient Relations representative/front desk

Panther Medical Inc (DME). April 2017- June 2018

Verify all patients’ demographic information, ensure timely processing of benefit information, request pre-certification

and benefits on all patients, work with insurance to verify procedures are covered, enter insurance data in a accurate manner help patient arrange payment for services not covered by their insurance companies, discuss different finance options,

performed administrative duties as need, ensure all claims are submitted and verify accuracy prior to submission, timely

follow up on insurance claim denials, handled monthly aging accounts on unpaid claims over 30days, make arrangements

for medical records request, submit outstanding balances to secondary insurance companies, followed up on reconciliations

and appeals, maintained files and logs as need.

Front Desk Receptionist/Accounts Payable

Blackrock Milling Co. Oct 2016- Feb 2017

Maintain front desk, answer multi- phone line transfer calls, managed vendor/supplier relations, oversaw the timely,

accurate processing of invoices, purchase orders, balanced expense reports for employees payment, prepare deposits,

and Fed-ex packages and vendor relations, invoice reconciliations, and office procedural duties. Correspond office

memos on Mac pro.

Server

Brio Tuscan Grille/ Jan 2015-Aug 2016, Tampa, FL

Proactively prepared for large parties and reservations, anticipating planning and staffing needs

Effectively listened to, understood and clarified guest concerns and issues

Provided friendly and attentive service. Customer Service, working in a fast pace environment

Resolved guest complaint and quickly and efficiently.

Routinely supported other areas of the restaurant as requested, including answering phone and

Completing financial transactions for other staff

Front Desk Representative

Trinity Medical Center/ Nov 2015-May 2016, Trinity, FL

Maintained strict patient and physician confidentiality

Treated all patients, their families, visitors, peers, staff and provider in a pleasant and courteous manner

Professionally and courteously verified appointment time with patients

Adeptly managed a multi-line phone system and pleasantly greeted all patients. Print updated patient admission

Report and patient transporting.

Administrative Assistant

Rooms To Go Corporate/ Mar 2008- Aug 2012, Seffner, FL

Ordered and distributed office supplies while adhering to a fixed office budget

Researched and resolved accounts payable discrepancies for customer accounts

Entered numerical data into databases in a timely and accurate manner

Oversaw daily office operations for a staff of 20 employees, verify sale agents orders with customer

Created financial reports, correspondence of Revenue on excel spreadsheets and Microsoft Office programs,

planned office events.

» Activities

Volunteer work @ All Children Hospital/ Feb 1990

Volunteer work @ Trinity Medical Center/ Nov 2015

References

Joseph Grasso Coding Instructor 813-***-**** adc6o0@r.postjobfree.com

Ihisha Cherefant Manager 347-***-****

Jessica Concepcion Office Manager 813-***-**** ext103

Debra James Patient Relations 813-***-**** ext127

Contact this candidate