Alicia Lemke
Wedgefield,South Carolina
Summary
Dedicated and detail-focused healthcare professional with 16 years of experience. Possesses a positive and organized approach. Demonstrates keen ability to handle sensitive information accurately and securely. Equipped with foundational knowledge in medical terminology and electronic health records. Adept at data entry and records management. Extensive expertise in ICD-10 coding. Committed to ensuring accuracy and confidentiality of patient records to support optimal healthcare delivery. Skilled in acting as a liaison between patients, physician offices, and third parties to provide exceptional healthcare service.
Overview
16
16
years of professional experience
Work History
Specimen Processor/Call Center Representative
Prisma Health Tuomey
07.2019 - 11.2024
- Scheduled patient appointments and managed payment transactions
- Verified insurance coverage and obtained prior authorizations
- Ensured all necessary documentation was completed for billing purposes
- Acted as a liaison between patients, physician offices, and third parties to facilitate quality healthcare service
- Received and processed biological specimens in compliance with established protocols
- Accurately labeled and tracked specimens to maintain proper chain of custody
- Prepared specimens for testing by centrifuging, aliquoting, and transporting to appropriate departments
- Monitored specimen integrity and quality, addressing any issues promptly
- Entered and updated patient and specimen information in the laboratory information system
- Communicated with laboratory staff to prioritize and expedite urgent samples
- Assisted in training new employees on specimen processing procedures and protocols
- Answered and responded to patient inquiries and concerns via phone
- Scheduled and confirmed patient appointments over the phone
- Resolved issues related to billing, insurance, and appointment scheduling
- Escalated complex issues to the appropriate department or supervisor as needed
- Maintained accurate and detailed call logs and patient records
- Delivered exceptional customer service by addressing patient needs and concerns promptly and professionally
- Initiated service recovery efforts by facilitating the recollection of specimens for testing not performed due to laboratory errors
- Adhered to strict HIPAA guidelines to protect patient privacy
- Identified, researched, and resolved billing variances to maintain system accuracy and currency
- Faxed and/or called test results to fulfill client requests
- Researched inquiries and issues related to laboratory orders
Patient Access Representative II
Prisma Health Tuomey
01.2009 - 07.2019
- Maintained HIPAA compliance across all patient data-handling systems and training
- Prepared for HIPAA and Joint Commission reviews, making required brochures and pamphlets available to patients
- Built strong network of outside referral sources within the community
- Collected and processed copayments and out-of-pocket charges using Availity, Meditech, and Epic systems
- Called insurance companies and verified patient coverage
- Obtained prior-authorization for testing/procedures
- Interviewed patients upon entrance to the hospital and entered data into the system
- Collected forms, copied insurance cards, and scanned documents in HPF to coordinate patient information for billing and insurance processing
- Performed front desk duties including answering phones, greeting patients, and helping visitors to their destinations
- Verified all requisitions/orders have correct coding information and obtained new requisitions/orders if needed
Education
High School Diploma -
Homeward Bound of SC
01.2005
Skills
- Medical Terminology Expertise
- Healthcare Referral Specialist
- Detail-Oriented Data Management
- ICD-10 Coding Proficiency
- Confidential Material Processing
- Employee Training
- Epic and Meditech Software Proficiency
- Cisco Phone Technology Experience
- Outstanding Customer Care
- Effective Time Management
- Cross-Functional Team Collaboration
- Analytical Problem-Solving
- Verbal and Written Communication
- Adaptability to Change
- Patient Support and Data Collection
- Laboratory Safety Compliance
- HIPAA Standards Compliance
- Insurance Verification,Claims Processing, and Prior Authorizations
- Electronic Medical Records Management
- Healthcare Systems Proficiency
- Client Relations Management
- Issue Resolution
- Prioritization and Task Management
- Regulatory Confidentiality Adherence
Accomplishments
- Collaborated with LabCorp liaison to develop and implement LabCorp processes in physician offices and the outpatient laboratory, streamlining workflows and improving efficiency.
- Researched and documented lab results not crossing over the interface into patient charts, leading to a 30% increase in healthcare accuracy and patient outcomes.
- Resolved billing issues by meticulously researching and maintaining patient medical records, ensuring all necessary documentation was completed and accurate.
Languages
English
Native or Bilingual
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeLocation Preference
RemoteImportant To Me
Work-life balanceWork from home optionCareer advancementPersonal development programsQuote
Every twist and turn in life serve a purpose, guiding us towards growth and new beginnings. Embrace each moment and never shy away from exploring new paths.
Timeline
Specimen Processor/Call Center Representative
Prisma Health Tuomey
07.2019 - 11.2024
Patient Access Representative II
Prisma Health Tuomey
01.2009 - 07.2019
High School Diploma -
Homeward Bound of SC