Emily Lawrence
Dallas
Summary
Committed job seeker with a proven track record of effectively meeting company needs through consistent and organized practices. Experienced in working under pressure within medical environments. Thrives in adapting to new situations and challenges to enhance the organizational brand. Demonstrates a strong ability to remain calm and focused, consistently delivering high-quality results while maintaining a professional and collaborative approach.
Overview
8
8
years of professional experience
Work History
Medical Records Analyst
Signature Medical Billing
05.2024 - Current
- Facilitated timely billing processes by providing accurate coding and record management services, reducing delays in reimbursement.
- Ensured ongoing adherence to industry standards by staying current on changes in medical coding practices and updating internal systems accordingly.
- Streamlined the medical records process for faster retrieval, enabling healthcare practitioners to make informed decisions more quickly.
- Managed electronic health record systems effectively, ensuring seamless integration of new technology into daily operations without disruption to patient care or workflow efficiency.
- Successfully responded to requests from insurance companies, legal teams, and other external parties while maintaining strict adherence to privacy regulations and protocols.
- Proactively identified potential gaps in documentation practices, proposing solutions that resulted in increased accuracy and completeness of patient records.
- Assisted in maintaining compliance with HIPAA regulations by diligently protecting patient privacy while handling sensitive information.
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Utilized electronic medical record systems to store, retrieve and process patient data.
Patient Care Advocate
Cigna
03.2023 - Current
- Assist members by providing exceptional customer service nationwide for certain Fitness Programs
- By responding to customers' inquiries and providing information regarding all aspects of the members' association with ASH
- Answer incoming calls on the ASH telephone system in a professional, accurate, timely and courteous manner
- Look up member information using information in internal system and provide information to caller
- Ascertain the nature of the call and record information in the Communication Log
- Transfer callers to the practitioner queue if question is of a more complex issue (claims, authorizations, etc)
- Document all calls appropriately
- Manage time to ensure calls are answered within required timeframes and appropriate follow up is done in a timely manner
- Utilize appropriate resources, including those online; to provide timely responses.
- Improved patient outlook and daily living through compassionate care.
03.2023 - Current
Claims Representative
UnitedHealthcare
07.2020 - 02.2023
- Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
- Verified details with policyholders and requested additional information.
- Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote service times.
- Processed high volumes of bodily injury claims efficiently while working in fast-paced environment.
- Filed appeals on behalf of customers when necessary after denial of a claim due to insufficient evidence.
- Processed a high volume of claims efficiently while maintaining quality standards.
Customer Service Representative
American Specialty Health
05.2019 - 07.2020
- Promotes coffee consumption by educating customers; selling coffee and coffee grinding and brewing equipment, accessories, and supplies; preparing and serving a variety of coffee drinks, along with pastries and cookies
- Generates revenues by attracting new customers; defining new and expanded services and products
- Keeps equipment operating by following operating instructions; troubleshooting breakdowns; maintaining supplies; performing preventive maintenance; calling for repairs
- Improves quality results by studying, evaluating, and re-designing processes; implementing changes; maintaining and improving the appearance of the store and coffee bar
- Updates job knowledge by participating in educational opportunities; reading coffee, retail trade, and food service publications; maintaining personal networks.
Carhop
Sonic
03.2017 - 11.2017
- Ensure that the packaging, temperature, presentation and service of all menu items meet operational standards
- Delivering a warm, friendly, and fast experience to every guest
- Making accurate change quickly and efficiently for restaurant guests
- Ensuring that all restaurant menu items meet operational standards
- Carrying and balancing a tray weighing up to 25 pounds.
Education
Some College (No Degree) - Nursing
Tarrant County College
Fort Worth, TXHigh School Diploma -
Chisholm Trail High School
Fort Worth, TX06-2018
Skills
- Resolve customer issues by taking ownership of the situation and one-call resolution
- Conduct outbound calls as needed to follow-up on complex inquiries
- Ability to remain customer-focused while toggling between multiple systems and documenting each customer interaction
- Collaborate routinely with team members through various channels
- Leadership
- Communication
- Task Prioritization
- Data Entry
- Computer Skills
- Critical Thinking
- HIPAA regulations
- Clinical documentation
- Microsoft office
- Medical billing
- Medical coding
- Data entry
- Payment collection
- Medical billing and coding
Training
Management training for Starbucks Co.
Timeline
Medical Records Analyst
Signature Medical Billing
05.2024 - Current
Patient Care Advocate
Cigna
03.2023 - Current
03.2023 - Current
Claims Representative
UnitedHealthcare
07.2020 - 02.2023
Customer Service Representative
American Specialty Health
05.2019 - 07.2020
Carhop
Sonic
03.2017 - 11.2017
Some College (No Degree) - Nursing
Tarrant County College
High School Diploma -
Chisholm Trail High School
Similar Profiles
Loresa McCulloughLoresa McCullough
Charge Review Specialist at Signature Medical BillingCharge Review Specialist at Signature Medical Billing
Angel AdamsAngel Adams
Director of Operations at Enturo Medical Billing/Crescent Medical BillingDirector of Operations at Enturo Medical Billing/Crescent Medical Billing
Roxana ReyesRoxana Reyes
Medical Biller, Accounts Receivable at Ashron Billing INC, Medical Billing Concepts INCMedical Biller, Accounts Receivable at Ashron Billing INC, Medical Billing Concepts INC
EVAN GEORGEEVAN GEORGE
91B Wheeled Vehicle Mechanic / 68J Medical Logistics at U.S. Army91B Wheeled Vehicle Mechanic / 68J Medical Logistics at U.S. Army
Carlos AguilarCarlos Aguilar
Warehouse Worker at AmazonWarehouse Worker at Amazon