Antisia Lawrence
Eastlake,OH
Summary
Results-driven individual with a solid track record in delivering quality work. Known for excellent communication and teamwork abilities, with a commitment to achieving company goals and delivering exceptional service. Passionate about continuous learning and professional development.
Overview
25
25
years of professional experience
Work History
Physician Billing Specialist 11
University Hospitals, Revenue Cycle
Shaker Heights, OH
12.2012 - 11.2024
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
- Assisted in training new employees on various aspects of the billing process.
- Developed strategies to increase collections on unpaid or denied claims.
- Applied HIPAA privacy and security regulations while handling patient information.
- Submitted claims to insurance companies.
- Corresponded with third party payers via phone calls or emails regarding claim resolution.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Enforced compliance with organizational policies and federal requirements regarding confidentiality.
- Submitted appeals using provider portals and phone communication.
- Performed insurance verification, pre-certification and pre-authorization.
- Completed and submitted appeals for denied claims.
- Maintained detailed records of claim statuses including denials, appeals status, resubmissions and adjustments made on accounts receivable transactions.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Resolved discrepancies between insurance companies, patients and providers with regards to billing errors.
Patient Coordinator/Certified Medical Assistant
University Hospitals Plastic Surgery Dept.
Cleveland, OH
05.2000 - 12.2012
- Answered incoming calls from patients, providers, and insurance companies in a courteous manner.
- Facilitated communication between patients, families and healthcare providers.
- Resolved issues arising from incorrect coding or denied claims due to lack of pre-authorization.
- Assisted with the development of efficient office procedures for improved workflow.
- Ensured all paperwork related to patient care was completed accurately and timely.
- Pulled patient files and verified insurance before patient's appointment.
- Managed medical records by filing documents into appropriate folders according to established protocols.
- Managed patient appointments, ensuring efficient scheduling and rescheduling as necessary.
- Liaised effectively with patients, doctors and staff members, assessing medical charts and promoting high level of communication and interaction.
- Received and routed care team messages and documents to appropriate staff.
- Mentored new hires, including explaining hospital policies, procedures, and practices.
- Prepared treatment rooms for patient examinations.
- Assisted back office patient processes to reduce office wait times.
- Scheduled appointments for patients via phone and in person.
- Handled general office duties to support administrative staff during peak hours.
- Executed prior authorization and precertification for Commercial and Medicaid insurances for surgical procedures, ensuring timely follow-up with insurance companies for authorization status.
Education
Graduate Certificate - Medical Assistant
Remington College
14801 Broadway Avenue12-1996
Skills
- Analytical problem solving
- ICD-10 proficiency
- Teamwork and collaboration
- Insurance claims
- Data entry
- CPT knowledge
- Patient billing
- Submission of medical claims
- Multitasking and organization
- Verbal and written communication
- Commercial and private insurance
- Clerical support
- Insurance claims processing
- Electronic claims
- CMS-1500 billing forms
- Insurance verification
- Claims processing
- HIPAA compliance
- Information requests
- Claims review
- Electronic health record software
- IDX, Soarian, Epic, Availity, Waystar, Medicaid & Commercial web portals
- Insurance billing
- 30-35 WPM
- Medical terminology
References
References available upon request.
Timeline
Physician Billing Specialist 11
University Hospitals, Revenue Cycle
12.2012 - 11.2024
Patient Coordinator/Certified Medical Assistant
University Hospitals Plastic Surgery Dept.
05.2000 - 12.2012
Graduate Certificate - Medical Assistant
Remington College
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