Medical Billing
Resume:
LAKESHA WYATT
SAN LEANDRO, CA 94577
EDUCATION & CERTIFICATIONS:
Laney College, Oakland, CA
Associates of Business
Oakland High School, Oakland, CA
High School Diploma
CPR for Medical Professionals
Relevant Skills:
Medical Office Management
Data Entry (45 WPM)
Phlebotomy & Injections
Ancillary Testing
Medical Billing & Coding (ICD-9)
Bookkeeping & Filing
Insurance Verification
Medical Terminology
Medical Records Management
Taking Patient Vitals
Patient Scheduling
HIPAA & JCAHO Knowledge
PROFESSIONAL EXPERIENCE:
Alameda Alliance for Health (YOH Healthcare) Alameda, CA March 2018- July 2018
Utilization Management Coordinator
Prioritize, maintain, coordinate, process accurate and timely inpatient admission and post-discharge
Establish, facilitate and maintain effective ongoing relationships with network hospitals, SNFs, delegated groups, vendors and providers; facilitate communication and care coordination between network entities
Utilize established UM guideline pathways for screening, authorizing, and finalizing authorization for inpatient, outpatient, retrospective requests.
Reconcile daily hospital census reports and face sheets against plan’s authorization records; Maintain and communicate daily inpatient census and weekly discharge reports to hospitals.
Work with Medical Director, UM Management and clinical staff as well as other departments at the Alliance to receive, date, document and resolve inquiries/issues for claims, authorizations, appeals and eligibility. Perform these duties in a professional and timely matter. Receive and respond to claims issues related to an authorization.
Webster Orthopedics Medical Group Oakland, CA January 2017- March 2018
Mri Scheduler
Conduct face-to-face scheduling with patients in the clinic
Obtain insurance verifications/authorizations for mri procedures
Answer incoming calls for all patients and collect necessary information for data entry and scheduling purposes
Verify insurance information and input into Centricity EMR
Verify worker’s compensation and submit Request for authorization to the patient’s claim adjuster
Utilize email and other resources to communicate with patients and distribute new patient registration forms
Work closely with the orthopedic Physicians to facilitate coordination of scheduling follow up appointments
Alta Bates Hospital, Berkeley, CA (Contract)
Radiology scheduler October 2016-December 2016
Patient registration
Correlates scheduling of same day examinations with Physician and Nurses as to the time slot/preparation
Verify insurance benefits and obtain authorization
Obtains pertinent information for each patient appointment
Stanford Hospital, Stanford, CA (Contract)
Data Entry Coordinator – Pending Department April 2016 – June 2016
Supported the surgical unit’s pending department handling all data entry and authorizations of patient insurance providers.
Input all data collected through Epic and Apex Systems
Maintained communication with internal teams to obtain proper information necessary for the completion of patient records in pending process.
Interacted with various insurance companies included, but not limited to; HMO,PPO, Aetna, Cigna, etc.
UCSF, San Francisco, CA (Contract) April 2015-May 2015
Data Coordinator-Transplant Department
Performed collection and data entry into Titus for liver, kidney, pancreas, lung and heart transplants for the department of surgery.
Collected data from source elements such as APEX/EPIC, Titus, out-patient charts and medical records; for acquiring data from patients and local physicians; and performing patient interviews by phone.
Entered data into Titus for both the recipient and donor for all transplants both deceased and living for all organ recipients.
Scanned and uploaded all documents into Titus.
Removed patients from Titus waiting list.
Performed manual lab entries for both donor and recipient.
Processed living donor registration (LDR) forms and transplant recipient registration (TRR) forms prepared by the Nurse Coordinators.
San Leandro Hospital, San Leandro, CA (Alameda Health System) July 2011-March 2015
Secretary II-Radiology/Radiology Scheduling Coordinator
Performed clerical duties: Answering multi-line phones, directing inquiries, maintains files, diagnostic film and reports.
Maintained and coordinates required patient information including: medical history, patient charts, registration and billing.
Scheduled patient appointments for Nuclear Medicine, DEXA, Ultrasound, CT scan, PET Scan, Mammography and Breast Biopsy.
Interact with Radiologist, MD offices and patients.
Instructed patients in preparations for scheduled services.
Communicates with patients, physician office and Health Plan to obtain all information necessary for appropriate scheduling within HIPPA guidelines and policy
Prepare copies of x-ray reports/films for additional treatment.
Schedules surgical and anesthesia procedures with various departments
Answered calls and determined callers’ needs in order to appropriately refer cases.
Maintain all office supplies regularly as needed.
Eden Medical Center, Castro Valley, CA July 2007-July 2011
ED Registration/Admitting/Outpatient/Radiology
Registered patients for surgery, procedures or emergency room visits.
Entered accurate information onto appropriate forms and into the computer system.
Collected appropriate co-payments, and obtained signatures and escorted patients to destination if required.
Verified Insurance and patient demographic information.
Completed registration of patients into the computer system while coordinating their placement with the nursing units.
Worked closely with the nursing staff, physician's offices, and other medical center departments.
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