Dionndra Lemar
Katy,TX
Summary
Highly organized individual that possesses strong communication, problem-solving, and multitasking skills. Skilled in building strong relationships with clients and providing quality service.
Overview
17
17
years of professional experience
1
1
Certification
Work History
CLIENT SERVICES AGENT
Acumen Fiscal Agent
03.2021 - Current
- Accurate data entry using several databases simultaneously while meeting deadlines
- Establish, foster, and grow relationships with clients and program contacts including third party organizations
- Work collaboratively with other internal departments in order to ensure all issues are addresses effectively in a verbal and written fashion
- Accurately enter budgets for clients on a daily basis
- Ensure compliance with all state and federal guidelines including the management of all escalated issues with client families and states within contractual specific time frames
- Provide effective and efficient customer service via calls and/or electronic communication to clients and internal departments.
MENTAL HEALTH SPECIALIST
Sims Social Services, LLC
11.2020 - 03.2022
- Individual skills training in the client's natural environment (i.e., home, school, etc.)
- Assisted in the development of behavior management programs
- Actively engaged in treatment of recipients
- Provided direct services to assigned clients which included weekends and/or evening services
- Encouraged clients to express feelings and discuss what was happening in day-to-day life in order to help each person develop insight into personal experiences and relationships
- Documented client progress in confidential files and submitted for billing to the agency in a timely manner
PATIENT ACCESS TEAM LEAD
Northside Hospital
12.2019 - 08.2020
- Daily deposits and discrepancies of POS collections
- Effectively handled and solved patient problems while serving as lead in an outpatient setting
- Assisted with department reports as requested by leadership
- Informed patients of their deductible and co-payment responsibilities after insurance coverage
- Effectively trained and mentored new hires.
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks.
LEAD MVA REPRESENTATIVE/ACCOUNT FOLLOW-UP/CLAIMS
FFAM
08.2018 - 12.2019
- Managed work queues to verify demographics and obtain auto accident information, clarifying information as needed
- Met monthly collection goals within the department
- Tracked payments to make sure reimbursements are received
- Established productive and mutually respectful working relationships
- Effectively handled and solved patient inquiries related to auto accidents and billing
- Served as a lead and coach in a call center environment.
- Worked with outside entities to resolve issues with billing, claims and payments.
PATIENT ACCESS SUPERVISOR II
Ochsner Medical Center
05.2016 - 01.2018
- Developed budget and goal projections to achieve company objectives
- Interviewed, hired, trained, and motivated employees in the most effective and efficient manner to meet company goals and objectives
- Supervised day-to-day operations of Outpatient Registration, Financial Counselors, and ER Registration areas
- Ensured training requirements were completed by the staff within the departments
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Acted in the capacity of the manager as needed.
SENIOR REVENUE CYCLE REP III
Ochsner Medical Center
05.2015 - 05.2016
- Interpreted rules and regulations set by Medicaid, Medicare, and commercial insurance
- Strong medical bill collections practice
- Met productivity and collection goals including dollars collected and accounts handled
- Recognized for distinguished project execution on transition to new system
- Effectively trained new hires
- Maintained quality levels by conducting random registration audits and working with personnel to resolve problems.
REVENUE CYCLE REP III
Ochsner Medical Center
06.2006 - 05.2015
- Worked directly with insurance companies to verify insurance coverage, benefits, and obtain authorization, estimate patient responsibility, and calculate deposits
- Informed patients of their deductible and co-payment responsibilities after insurance coverage
- Assisted with department reports as requested by leadership
- Ensured accuracy of coding; codes services provided utilizing CPT and ICD-9 coding
- Posted payments and applicable credits to accounts while maintaining balance sheets
- Ensured compliance with state collection and credit regulations; interpreted and complied with applicable state/federal regulations, laws, and guidelines.
Education
Master of Arts - Mental Clinical Health Counseling
HOUSTON CHRISTIAN UNIVERSITY
Bachelor of Science - Psychology
CAPELLA UNIVERSITY
Skills
- Experienced and dedicated leader focused on influencing and leading to drive results
- Excels in resolving employer challenges with innovative solutions, systems and process improvements proven to increase efficiency and patient satisfaction
- MS Office
- Working knowledge of medical billing and HIPAA laws
- Adaptability- Efficient under pressure
- ICD-10
- Mental Health Counseling
- Training & Development
- Insurance Verification
- Customer service
- Communication skills
Accomplishments
Agent of the 2nd Quarter 2023 (Peer Nominated)
Certification
CPR/AED Expires November 2024
Timeline
CLIENT SERVICES AGENT
Acumen Fiscal Agent
03.2021 - Current
MENTAL HEALTH SPECIALIST
Sims Social Services, LLC
11.2020 - 03.2022
PATIENT ACCESS TEAM LEAD
Northside Hospital
12.2019 - 08.2020
LEAD MVA REPRESENTATIVE/ACCOUNT FOLLOW-UP/CLAIMS
FFAM
08.2018 - 12.2019
PATIENT ACCESS SUPERVISOR II
Ochsner Medical Center
05.2016 - 01.2018
SENIOR REVENUE CYCLE REP III
Ochsner Medical Center
05.2015 - 05.2016
REVENUE CYCLE REP III
Ochsner Medical Center
06.2006 - 05.2015
Master of Arts - Mental Clinical Health Counseling
HOUSTON CHRISTIAN UNIVERSITY
Bachelor of Science - Psychology
CAPELLA UNIVERSITY