Delight Lemaster
Anchorage,AK
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
15
15
years of professional experience
1
1
Certificate
Work History
Billing Specialist
Alaska Foot & Ankle Specialists
2022.05 - Current
- Submitted claims to insurance companies for 5 providers and 6 therapist.
- Assisted with billing inquiries and provided timely responses to enhance patient satisfaction.
- Researched and resolved claim denials and billing discrepancies to enable accurate billing.
- Contacted patients with past due accounts to formulate payment plans and discuss restructuring options.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing write-offs.
- Worked effectively with insurance carriers such as Medicare, Medicaid, Tricare and commercial insurances to obtain timely and accurate payments.
- Handled account payments and provided information regarding outstanding balances.
- Called insurance companies to verify eligibility and submit prior authorization as needed
- Processed payment via telephone and in person with focus on accuracy and efficiency
- Reconciled prior day payment activity .
- Post payments from insurance carriers and patients.
- Identified overpayment from patients and created refunds to go out in a timely manner.
Front Desk Lead
Alaska Foot & Ankle Specialists
2018.08 - 2022.05
- Enhanced customer satisfaction by efficiently managing front desk operations and addressing patient concerns promptly.
- · Increased office productivity by multitasking efficiently during peak hours, handling multiple responsibilities simultaneously.
- Streamlined check-in and check-out processes for improved patient experience
- Coordinated with other departments to ensure smooth operation of the office.
- · Reviewed and sent medical records to other physicians upon request.
- Demonstrated excellent problem-solving skills when faced with unexpected challenges, working closely with team members to find effective solutions.
- · Assisted in billing processes, ensuring accurate records and timely payments from insurance companies and patients.
- Trained new team members on company policies, procedures, and best practices to ensure consistent service quality.
- Maintained accurate records of daily transactions, including cash drawer reconciliation at the end of each shift for financial accountability purposes.
- Controlled cash and credit card payment transactions at front desk to successfully reduce errors.
- Handled tasks and responsibilities for front office employees during periods of understaffing.
- Checked patient in and out, made appointments, and processed payments.
- Attended staff meetings and brought issues to attention of upper management.
Patient Care Coordinator
Johns Hopkins
2016.05 - 2018.01
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
- Assisted patients with completing necessary paperwork and forms to provide healthcare facilities with essential information to bill for services.
- Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Collected and processed copayments, deductibles, and co-insurances.
- Worked closely with physical therapist to ensure proper patient care.
Child Care Specialist
United States Air Force
2009.07 - 2014.12
- Enhanced children''s emotional well-being by providing a nurturing and supportive environment.
- Achieved timely completion of daily tasks while balancing multiple priorities related to child supervision, meal preparation, and activity planning.
- Implemented individualized learning plans for children with diverse needs, ensuring their success in meeting developmental milestones.
- Ensured adherence to licensing regulations by maintaining accurate records and documentation for inspections.
- Developed age-appropriate activities that promoted cognitive, social, and emotional growth in children.
- Established and maintained a safe, clean, and stimulating learning environment for the children under my care.
- Attended professional development workshops to stay current on best practices within the child care industry.
- Collaborated with colleagues to develop comprehensive lesson plans tailored to individual child needs.
Education
Billing
AAPC
Online04.2024
Billing And Coding
Ultimate Medical Academy - Clearwater
Clearwater, FL08.2014
High School Diploma -
Wesley Chapel High School
Wesley Chapel, FL05.2004
Skills
- Billing systems and software
- Insurance Verification
- Invoice Processing
- Claims Processing
- Data entry proficiency
- HIPAA Compliance
- Payment posting
- Customer Service
- Problem-Solving
- Time Management
- Epic, Greenway, & Athena Systems
Languages
English
Native or Bilingual
Spanish
Professional Working
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Billing Specialist
Alaska Foot & Ankle Specialists
2022.05 - Current
Front Desk Lead
Alaska Foot & Ankle Specialists
2018.08 - 2022.05
Patient Care Coordinator
Johns Hopkins
2016.05 - 2018.01
Child Care Specialist
United States Air Force
2009.07 - 2014.12
Billing
AAPC
Billing And Coding
Ultimate Medical Academy - Clearwater
High School Diploma -
Wesley Chapel High School
Certified Professional Biller
Certification
Certified Professional Biller
References
Dana Castro- Practice Administrator 907-351-8305
Dr. Jennifer Jansma- 907-569-4104
Kaile Collins-907-795-3712
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