Customer Relations Revenue Cycle
Resume:
Sara Lewis
Little Rock, AR *****
***********@*****.***
Skills
Customer Relations
Problem Solving
Attention to Detail
Negotiation Skills
Time Management
Product Knowledge
Education
Associate of Science
Arkansas Tech University,
Russellville, AR
Certifications
HIPAA Training
PHI (Patient Health Information)
Training
MDA (Medical Device Act) Training
Proactive manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Exceptionally experienced in medical billing including DME, Pediatrics, and OT/PT/ST Therapy, Revenue Cycle Management and Claims Processing.
Work History
Office Manager
Hippos & Fish Pediatric Therapy, North Little Rock, AR June 2024 - Current
Insurance Analyst
Home Medical, Inc. October 2019 - April 2024
Eligibility/Claims Customer Support
QualChoice Health Insurance September 2017 - September 2019 Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction.
Addressed and remedied all patient or team member issues. Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
Collaborated with billing and coding teams to ensure accurate and timely submission of claims, resulting in decreased denial rates and improved revenue collections
Utilized data analytics tools to generate reports and provide insights on key performance indicators, leading to enhanced financial forecasting and decision-making
Developed and maintained detailed policies and procedures related to revenue cycle management, ensuring compliance with regulatory requirements and industry standards
Provided training and support to staff on revenue cycle best practices, contributing to increased efficiency and productivity within the organization
Billing Specialist
Recovery Zone Pediatric Therapy January 2017 - July 2017 Pre-Authorization Specialist
Isokinetics March 2016 - December 2016
Assisted customers with inquiries regarding claim status, benefits coverage, and eligibility requirements in a timely and professional manner.
Analyzed and resolved complex claims issues by collaborating with internal departments and external providers to find suitable solutions. Managed a high volume of incoming calls and emails, providing exceptional customer service and support to address any eligibility or claims-related concerns.
Maintained detailed records of customer interactions and resolution outcomes in the company database, ensuring accurate and up-to-date documentation for future reference.
Utilized accounting software and tools to streamline billing processes and improve efficiency in billing operations
Maintained a thorough understanding of insurance policies and guidelines, ensuring compliance with all regulations and requirements Responsible for accurately reviewing and verifying patient insurance information for billing purposes
Obtain necessary pre-authorization for medical procedures and services from insurance providers
Review patient medical records and diagnosis codes to ensure accurate and timely authorization submissions
Communicate with healthcare providers, insurance companies, and patients to facilitate pre-authorization process
Maintain detailed records of all pre-authorizations and ensure compliance with insurance regulations and guidelines
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