EVA LEMONIOUS
Orlando,FL
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
17
17
years of professional experience
Work History
Medical Collections Specialist
AIS Healthcare
Dallas, TX
10.2022 - Current
- Monitor accounts receivable aging reports on a regular basis.
- Verify accuracy of invoices prior to submitting them for payment processing.
- Participate in weekly meetings with management team members to review progress towards goals.
- Work with insurance companies to ensure timely reimbursement of claims.
- Compile statistical reports regarding outstanding debts and past due payments.
- Contact insurance companies to check status of claim payments.
- Monitor trends in the field of connections and adjusted strategies accordingly.
- Collaborate with internal teams to ensure compliance with industry standards for connection activities.
Denial Specialist/Team Leader
MTI America
Deerfield Beach, FL
02.2019 - 09.2022
- Checked documentation for appropriate coding, catching errors and making revisions.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Organized information by using spreadsheets, databases or word processing applications.
- Collaborated with fellow team members to manage large volume of claims.
- Corresponded with insured or agent to obtain information or inform of account status or changes.
- Participated in meetings with coders, and billing personnel regarding denial prevention initiatives.
- Identified areas for improvement, narrowing focus for decision-makers in making necessary changes.
- Offered training and support to keep team members motivated and working toward objectives.
- Maintained a positive work environment that promoted collaboration between team members.
- Developed strategies to resolve complex issues related to denials.
Insurance Verification Specialist / ALF Biller / TMS Coordinator
Ventre Medical Associates
Oakland Park, Florida
05.2017 - 01.2019
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Navigated through multiple online systems to obtain documentation.
- Responsible for setting up new patient accounts/ Verifying patients Demographics
- Screened patients for TMS based on Insurance Requirements / Guidelines
- Communicated regularly with physicians and other healthcare professionals
- Maintained special Logs/ Spreadsheets for Physicians and Staff
Admission Coordinator
Martin Nursing and Restorative
Stuart, FL
11.2016 - 04.2017
- Hands on experience in handling pre admission screening and other related clinical procedures
- Recorded patients information and assess them for proper placement
- Managed financial screening for incoming referrals
- Conducted tours with prospective residents and their families
- Demonstrated strong proficiency in customer service and public relations
- Resolved patient and family dissatisfaction by investigating concerns; recommending changes in service policies and procedures
- Responded to telephone inquires regarding available services and support
Billing Case Manager / Hospital Billing Coordinator
Oncology and Hematology Associates of West Broward
Tamarac, FL
09.2007 - 10.2016
- Supervised billing charges for multiple hospitals
- Established billing guidelines and procedures to various hospitals
- Processed disability forms for approval
- Organized and managed health data by ensuring accuracy, accessibility, and security
- Communicated regularly with physicians and other healthcare professionals
- Intake of consults and distribution to corresponding physician
- Coordinated support services and optimized communication between healthcare workers and patients.
- Participated in regular team meetings and in-house training sessions to boost group effectiveness.
Senior Paralegal/File Manager ( Part Time )
Tida Immigration Law Office
Hollywood, FL
02.2012 - 02.2015
- Organized and distributed incoming documents from courts, witnesses and opposing parties
- Completed applications and various immigration benefits related forms
- Organized submissions to federal agencies
- Kept files and corresponding deadlines organized and identified
- Possessed strong writing and verbal communication skills
- Advised attorneys regarding deadlines associated with filings of pleadings or other documents in court proceedings.
- Researched applicable laws using computer-assisted legal research tools such as Westlaw or LexisNexis.
Education
Master of Science - Criminal Justice
Everest University
2014
Bachelor of Science - Criminal Justice
Everest University
2010
Skills
- In depth researcher with strong working knowledge of Microsoft Office,CPR, Waystar, Epic, Intergry, OncoEMR, Excel, Westlaw, Cortex, Availity, EMR, Citrix, ICD10, Navinet, Kareo, Excel, HCPCS
- Excellent written/verbal communicator
- Organizational, and time management skills
- Analytical thinking
- Self-directed nature
- Motivational leadership style
- Reliable & trustworthy
Timeline
Medical Collections Specialist
AIS Healthcare
10.2022 - Current
Denial Specialist/Team Leader
MTI America
02.2019 - 09.2022
Insurance Verification Specialist / ALF Biller / TMS Coordinator
Ventre Medical Associates
05.2017 - 01.2019
Admission Coordinator
Martin Nursing and Restorative
11.2016 - 04.2017
Senior Paralegal/File Manager ( Part Time )
Tida Immigration Law Office
02.2012 - 02.2015
Billing Case Manager / Hospital Billing Coordinator
Oncology and Hematology Associates of West Broward
09.2007 - 10.2016
Master of Science - Criminal Justice
Everest University
Bachelor of Science - Criminal Justice
Everest University