Courtney Lewis
Hemet,CA
Summary
Hardworking and organized revenue cycle manager, with 6 years of medical billing experience and overall 10 years in the medical field. I am familiar will all aspects of the revenue cycle and strive to improve workflow efficiencies while maintaining client relations and expectations.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Collections Specialist
Flexcare Infusion Centers
04.2023 - Current
- Provided feedback on coding errors and discrepancies found in submitted claims.
- Conducted research into complex medical coding issues to ensure proper reimbursement.
- Reviewed denials, rejections, and underpayments from insurance carriers.
- Took billing calls, questions and concerns from patients and third party carriers.
- Identified discrepancies and carrier issues regarding billing and reimbursements.
- Processed refund requests and reconciled deposit and patient collections.
- Analyzed and reviewed medical records against insurance policies to ensure all coding and procedure guidelines were met.
- Drafted appeal letters to health plans for claims denied due to medical necessity, non-covered benefits, precertification, etc.
- Collaborated with provider relations staff to resolve disputes between providers and health plans concerning payment for services rendered.
Medical Coder
Marshall Billing
05.2023 - Current
- Verified proper coding, sequencing of diagnoses and accuracy of Behavioral Health procedures.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Biller and Collector/Client Manager
RPM Billing LLC
Reno, NV
03.2021 - Current
- Monitoring our clearing house for any claim rejections or errors
- Following up on delinquent claims
- Calling patients regarding any coordination of benefit issues
- Calling insurance companies for denial clarifications and reprocessing requests
- Identifying denial trends
- Creating insurance appeal letters and reconsideration requests
- Analyzing and running month end reports
- Organizing client meetings
- Maintaining client communications
- Assigning work tasks to employees
- Approving time cards.
- Verified proper coding, sequencing of diagnoses and accuracy of surgical procedures.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Reviewed received payments for accuracy and applied to intended patient accounts.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
Biller and Collector
Elizabeth Myers Billing, Remote
03.2019 - 03.2021
- Submitting claims in a timely manner
- Inputting daily charges
- Payment Posting
- Reduced aged accounts by collecting on approximately 40 to 50 accounts daily.
- Improved existing collections processes by analyzing rejection patterns and denials.
- Investigated and solved problems with payments, account updates and other concerns.
- Monitoring our clearing house for any rejections or claim errors
- Running account receivable reports to track and monitor insurance payments
- Creating Excel spreadsheets to track and monitor AR tends
- Creating insurance appeal letters and reconsideration requests
- Following up on delinquent claims
Collector
Allscripts
Murrieta, Ca
02.2018 - 03.2019
- Running account receivable reports
- Tracking and monitoring insurance payments
- Achieved production goals by training new employees and incentivizing team members.
- Recovered lost revenue by persistently reaching out to customers with past due accounts.
- Created repayment plans based on account holders' financial status and repayment abilities.
- Met demands of busy collections group by performing high volume of daily calls.
- Processed payments over phone and set up recurring drafts.
- Investigated and solved problems with payments, account updates and other concerns.
- Completed and submitted appeals for denied claims.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
Patient Collector
Accelerated Revenue Management
03.2017 - 03.2018
- Analyzing patient accounts for billing errors
- Calling patients on delinquent accounts
- Running account receivable reports to track delinquent claims
- Monitoring insurance and patient payments
- Following up on delinquent claims.
Front Office Clerk
Apex Healthcare
Hemet, Ca
02.2011 - 03.2017
- Managing a multi-line phone system
- Verifying benefits and eligibility
- Submitting referrals and authorizations
- Verifying appointment.
- Collected copays and account balance payments and updated account records.
Education
AAPC CPC Course Completed – -
05.2021
Billing And Coding
Mt. San Jacinto College
San Jacinto, CA01.2016
Some College (No Degree) - Health Administration
Mt San Jacinto College
San Jacinto, CAHigh School Diploma -
01.2009
Skills
- Experience in billing systems AMD, Duxware, Allscripts, Tele Comm, Cerner, Revenue Manager, Kareo, Valant, ModMed, Therabill, ECW
- Month End Reporting
- Compliance Assessment
- Staff Recruitment and Hiring
- Data Analysis
- Staff Training
- Project Leadership
- Payroll Liabilities
- Team Building Leadership
- Problem Investigation
- Managing Delinquent Accounts
- Analytical and Critical Thinking
Certification
- Certified Billing and Coding Specialist (CBCS)
- Certified Professional Coder (CPC)
- Behavioral Health Coding Course (Certificate of Completion)
Timeline
Medical Coder
Marshall Billing
05.2023 - Current
Collections Specialist
Flexcare Infusion Centers
04.2023 - Current
Biller and Collector/Client Manager
RPM Billing LLC
03.2021 - Current
Biller and Collector
Elizabeth Myers Billing, Remote
03.2019 - 03.2021
Collector
Allscripts
02.2018 - 03.2019
Patient Collector
Accelerated Revenue Management
03.2017 - 03.2018
Front Office Clerk
Apex Healthcare
02.2011 - 03.2017
AAPC CPC Course Completed – -
Billing And Coding
Mt. San Jacinto College
Some College (No Degree) - Health Administration
Mt San Jacinto College
High School Diploma -
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