Revenue Cycle Medical Billing

Lynnette Lawrence

***********@*****.*** 305-***-**** Atlanta, GA

SUMMARY

Dedicated Revenue Cycle Specialist with 7 years of experience in medical billing, compliance, and denial management. Expert in resolving billing issues, analyzing financial reports, and ensuring accurate coding practices. Seeking to leverage extensive background in hospital and physician revenue cycle processes as a Medical Billing Specialist. WORK EXPERIENCE

FFAM 360

Hospital Follow-Up Representative (Onsite and Remote) Sep 2019 - Aug 2021

• Managed billing and compliance processes, ensuring adherence to relevant policies, contracts, and procedures through continuous monitoring and auditing.

• Served as the primary point of contact for hospital claim inquiries, effectively explaining Explanation of Benefits

(EOBs) to patients and facilitating resolution of account issues.

• Coordinated daily communication with hospital representatives and insurance personnel, employing various channels including phone, email, and official written correspondence, while maintaining detailed Excel logs for issue tracking and client reporting.

Bolder Healthcare / Cognizant Technology Solutions Denial Management Team Lead Aug 2018 - Aug 2019

• Supervised team members to foster a professional environment, provided ongoing training on revenue cycle processes, and adapted training materials to accommodate software updates and procedural enhancements.

• Conducted routine quality assurance audits, compiled weekly analytical and financial reports, and effectively managed claims appeal and correction processes to maintain departmental accuracy and efficiency.

• Analyzed denial trends, categorized denial reasons to streamline task assignments, and developed detailed reports and procedural manuals to optimize resolution strategies and client communications. Piedmont Medical Care Corporation

Revenue Cycle Specialist / Coder Dec 2012 - Sep 2017

• Managed the implementation of billing and compliance measures, including policy and procedure development, training, and audit processes to ensure adherence to contractual obligations.

• Served as the primary Coding Department liaison, addressing insurance company inquiries, submitting appeals, correcting claims, and resolving a range of employee issues as directed by management.

• Analyzed work queue trends and implemented solutions for coding, registration, and denial management, resulting in the maintenance of revenue levels that surpassed expected standards by 40%.

• Reviewed and verified patient medical records for accurate application of ICD-10, CPT, and HCPCS codes, while also collaborating with multiple departments to resolve provider, NDC, and patient demographic discrepancies. EDUCATION

Med Tech Billing Solutions

Remote Medical Biller & Coder

Apr 2012

ISC2

HCISPP Healthcare Information Security and Privacy Practitioner 2016

AAPC

CPC (former)

Stockbridge, GA

2011

AAPC

CRC HCC coding Risk Adjustment and Hierarchical Condition, studying for exam

CERTIFICATIONS

HCISPP Healthcare Information Security and Privacy Practitioner, ISC2 2016 CPC (former), AAPC 2011

CRC HCC coding Risk Adjustment and Hierarchical Condition, AAPC Studying for exam SKILLS

Hospital and Physician Billing • Medical Software Training • Correcting and Researching Coding and Various Payer Denials • Risk Adjustment Coding • Medicare Billing • Communication via Payer Sites and Representatives • Excellent Customer Service • Excel • Word • Ability to Effectively Communicate With Management

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