Amayia T. Lyons
Jackson,TN
Summary
Insurance coordinator with extensive experience in processing payments and managing patient accounts. Skilled in communication with patients, staff, and insurance providers to ensure accurate billing and maximize reimbursement. Proven track record of improving account management efficiency and enhancing patient satisfaction.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Insurance Verification Coordinator
Cvs Health
08.2024 - Current
- Order Management:
Processing new and refill prescriptions for specialty medications, ensuring accuracy and timely delivery. - Insurance & Financial Assistance:
Verifying insurance coverage, assisting with prior authorizations, and helping patients access financial assistance programs to manage medication costs. - Submit Prior Authorizations to insurance companies to determine coverage.
- Analyze and interpret data to derive insight
- Knowledge in business intelligence and analytics software, such as Tableau, Business Objects, and Excel
- Coordination of Care:
Collaborating with internal teams, including pharmacists, nurses, and other healthcare professionals, to ensure patients receive comprehensive support. - Problem Solving:
Identifying and resolving issues related to medication access, insurance claims, or other patient needs. - Patient Education:
Providing basic information about medications and treatment plans, as needed. - Patient Education: Providing basic information about medications and treatment plans, as needed.
- Maintained and updated case management systems to ensure accurate tracking of cases.
- Examined claims, records, and procedures to approve coverage. Outlook and PowerPoint.
- Verified insurance eligibility for patients using CVS Health systems.
- Examined claims, records, and procedures to approve coverage.
- Examined claims, records, and procedures to approve coverage.obtaining necessary information.
- Entered data into company databases accurately and efficiently.
- Performed data entry from paper documents, emails, and other sources into computer systems.
- Processed insurance claims by reviewing documentation and verifying information.
FRONT OFFICE SPECIALIST II
The Jackson Clinic, P.A
10.2022 - 08.2024
- Calculate and request DOS payments including copays, deductibles, and other out-of-pocket expenses owed by the patient and post to their accounts
- Updated patient accounts and verified that copays, coinsurance, and deductibles were properly loaded into the software system before appointments.
- Schedule & edit patient appointments in various systems to note specific needs
- Ensured current eligibility and benefits for scheduled patients in business office software.
- Verified patient demographics and provided updates and corrections.
- Investigated and managed billing problems, formulating effective solutions in line with clinic guidelines.
- Ensured precise and complete data entries in the database to support operations.
- Prepared reports and documents using Microsoft Excel, Word, and Access.
- Reviewed and processed prior authorization requests for medical services and procedures.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Verified patient insurance coverage, including eligibility, benefits, and authorizations for medical services.ion requests.,
- Collaborated with insurance companies to resolve authorization issues and disputes.
PATIENT CARE TECHNICIAN
Jackson General Hospital
08.2022 - 10.2022
- Delivered hygienic care and managed procedures for assigned patients, ensuring comfort and safety.
- Facilitated new admissions by taking vital signs, obtaining weights, and preparing patients with gowns.
- Transferred, admitted, and discharged patients, complying with principles of safe patient handling.
- Executed bedside baths and replaced linens for patients
- Maintained cleanliness in patient rooms and isolation areas, enhancing safety and comfort for patients.
- Entered any written orders into the electronic medical record systems and completed related forms, scheduled procedures via computer and/or manual process
- Managed incoming calls to the nurse station and relayed information to the appropriate team member
- Notified physicians of consults and scheduled appointments for office visits
Education
Associate of Science - General Studies
Jackson State Community College
Jackson, TN05-2023
High School Diploma -
Liberty Technology High School
Jackson, TN05-2020
Skills
- Insurance verification
- Prior Authorizations
- Billing resolution
- Medical billing
- Billing and Invoicing
- Insurance assistance
- Patient coordination
- Clinical Documentation
- Multi-Line Telephone Systems
- Schedule management
- Time Management
- Organizational skills
- Multitasking skills
- Problem-Solving Skills
- Administrative Duties
- Client Relations
- Computer skills
- Patient Relations
- Data analysis
- Claims processing
- Healthcare coordination
- Billing processes proficiency
- Customer service experience
- Medical terminology
- Excel
Certification
Patient care technician
CPR certified
Timeline
Insurance Verification Coordinator
Cvs Health
08.2024 - Current
FRONT OFFICE SPECIALIST II
The Jackson Clinic, P.A
10.2022 - 08.2024
PATIENT CARE TECHNICIAN
Jackson General Hospital
08.2022 - 10.2022
Associate of Science - General Studies
Jackson State Community College
High School Diploma -
Liberty Technology High School