CHRISTIE LOHOMBOLI

Autonomously research, initiate follow-up and resolve all health care insurance claim accounts with existing credit balances (claim(s) paid more than expected by payer); actions included but not limited to initiating refund packets, retractions, and/or adjustments to claims
● Use critical thinking, root cause analysis, and problem-solving skills to resolve issues on outstanding claim balances
● Uses strong organizational skills to effectively manage large amounts of detailed information
● Utilizes excellent written and oral communication skills to collaborate and maintain positive working relationships with peers, leaders, clinical personnel, and payer representatives to resolve credit balances.
● Contributes to implementation of process improvement initiatives aimed at improving credit department

• Followed up with correct, and resubmitted claims for all government and non-government denials in a timely manner
• Develop and maintain relationships with insurance companies to ensure accurate and timely payment of claims
• Identify and recommend strategies to improve the collections process and maximize revenue for the organization
• Collaborate with other departments to identify and implement strategies for improving collection processes and reducing outstanding balances
• Negotiate settlements with patients or insurance companies to resolve outstanding balances
• Provide exceptional customer service by addressing patient inquiries and concerns promptly and professionally
• Review and analyze delinquent accounts to determine appropriate collection strategies and actions.

• Evaluated and processed correspondences including claim rejections, medical records requests, and itemized bills
• Responsible for specific sets of patient accounting including the appropriate billing, follow up/denial resolution of insurance claims
• Monitored accounts for timely follow-up and prompt resolution
• Analyzed insurance claims for accuracy of payments and rejections, as well as properly accounted for all payments and adjustments
• Collaborate with billing department to ensure accurate and timely submission of claims.

• Serve as model and direct teaching in interpersonal and financial management skills
• Administer medication per instructions
• Develop and implement personalized care plans for individuals with physical and intellectual disabilities, ensuring their safety, well-being, and independence
• Provide emotional support and companionship to the residents
• Assist individuals with disabilities in developing and maintaining social and life skills, such as communication, problem-solving, and decision-making
• Assist individuals with financial management skills, such as budgeting and saving, to promote their financial independence and stability.