Lead billing Rep

Taquinta Lawson

225-***-**** ● Baton Rouge, LA ● **************@*****.***

EXPERIENCE

Lead Billing Representative March 2020 - Present

Ochsner Health System Remote

● Contributes to the financial viability of the organization by assuring that accounts have been properly billed and collected.

● Contacts the appropriate insurance companies to secure and expedite payments to the organization through the follow up and appeal resolution process.

● Trains new staff members and conducts quality audits on all employees within pod.

● Generates monthly and quarterly reports and provides update during meetings to identify trend information per the revenue cycle accounts.

● Collaborates with department leadership to update and refine appeal processes resulting in increased efficiency and revenue.

● Reviews correspondences, medical records, and relevant forms to ensure invoices and documents requests are compliant.

● Verifies that the AR and Denied EOB issues received from assigned collectors have been worked according to office policy. Referral Specialist Sept. 2018 - March 2020

Louisiana Healthcare Connection Baton Rouge, LA

● Assisted in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations.

● Initiated authorization requests for inpatient and outpatient services in accordance with prior authorization lists.

● Assisted in the coordination of care for patients, in conjunction with providers, MA’s, Clinic Managers and staff by preparing and processing internal and external referrals for 3 locations.

● Conducted user testing of new processes and procedures prior to implementation of new pilot project.

● Processed an average of over 50 prior authorization requests per day for over 70 health plan clients.

● Provided pertinent feedback to stakeholders to develop new materials and enhanced existing departmental training materials. Patient Access Representative January 2018 - September 2018 Our Lady of the Lake Regional Medical Center Baton Rouge, LA

● Managed and monitored several electronic information and databases.

● Trained and developed other staff members on scheduling patient appointments and prepared program evaluations for upper management.

● Maintained patient charts and managed a multiline telephone system within the emergency department and outpatient wound care center.

● Compiled outside providers data to develop and format intake forms that aided in efficient improvements and performance.

● Increased patient satisfaction by 80% and reduced wait times by 50% by streamlining patient onboarding systems. ER Registration Clerk January 2016 - December 2017 Thibodaux Regional Medical Center Thibodaux, LA

● Contributed to health care site by consistently achieving 90% or higher on patient satisfaction survey scores.

● Educated patients on medical benefits and aided with applying for financial assistance when necessary.

● Performed medical office duties including patient scheduling, charge entry, and medical claim coding.

● Performed administrative tasks, including patient follow-up, process improvements, cross-departmental communication, job aid creation and report processing.

● Contacted appropriate insurance providers for precertification of emergency room services and inpatient admits Customer Service Lead January 2008 - January 2016

Walmart Thibodaux, LA

● Mentored and supervised new associates on customer services techniques and company policies and procedures.

● Managed customer service department as well as supervised a staff of over 50 front end and floor register cashiers.

● Reduced the number of returns and exchanges within the store by 52% by using personal discretion to determine if merchandise was eligible for return or exchange, thus saving the store from excess product and increasing overall revenue.

● Performed start of day and end of day procedures such as opening and closing out registers and funding registers for daily transactions.

EDUCATION

Herzing University New Orleans September 2019

Associate of Science in Healthcare Administration

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