Kasie Lewis
Prairieville,LA
Summary
With over 10 years of experience in the healthcare industry, this candidate brings a wealth of knowledge and expertise to the table. Their skills extend to various areas, including insurance verification, explanation of benefits, and eligibility. They are well-versed in handling prior authorizations, claims, grievances, appeals, members' enrollment, and pre-registrations. Additionally, they possess substantial knowledge of Medicare, Medicaid, and HIPAA guidelines, as well as proficiency in utilizing computer systems and Microsoft applications. Their familiarity with medical terminology and ICD-10 coding further enhances their ability to excel in this field.
Overview
14
14
years of professional experience
Work History
Billing & Reconciliation Coordinator
United HealthCare
12.2021 - Current
- Maintain current working knowledge of CPT and ICD-9 codes
- Generate claims, COB, and EOB
- Acts as liaison between Enrollment and Pharmacy
- Substantial knowledge in Amisys, RX Claims and CMS systems
- Collection of data from Medicaid and Medicare participants to determine eligibility
- Analytical and Researching techniques
- Accurate and timely submission of payer enrollments
- Timely, concise documentation of provider enrollment work in database
- Timely, frequent payer follow-up to confirm enrollment and effective dates
- Monitoring of work assignments to ensure all work is completed
- Maintaining accurate records of all work
- Collection of data from Medicaid and Medicare participants to determine eligibility
- Effective time management and ability to multi-task
- Demonstrated ability to successfully work in a production environment
- Keen attention to detail
Case Manager/DWS
Home Care PCA
07.2010 - Current
- Assist client with day-to-day tasks and activities including, but not limited to, community outings, odd jobs, and personal errands
- Prepared meals to maintain a healthy diet
- Motivate client be more independent
- Updated Medicaid/Medicare
- Up-kept background and credit check for employees
- Answer multi-Phone lines
- Perform basic clerical functions with proficient PC and Excel Skills
Utilization Management Technician
AmeriHealth Caritas
03.2019 - 12.2020
- Supported daily operations of Care Coordination, Utilization Management, Behavior Health, Concurrent Review, Retrospective Review, Denial and Prior Authorization
- Communicated daily with hospital facilities, medical vendors, pharmacy, and providers
- Created, updated, and processed prior authorizations
- Efficiently handled multi-phone lines, data entry, ICD-10 HCPC, Email, and faxing
- Processed incoming/outgoing correspondence/faxes in accordance with respective guidelines
Financial/Medicaid counselor
Ochsner Medical Center
11.2015 - 02.2019
- Supported business office with debt reduction and increase patient satisfaction
- Effectively communicated with Louisiana Department of Health, managing application Medicaid and Medicare applications
- Updated patient accounts, billing/insurance, and demographics in the Epic System
- Worked closely with Behavior Health Counselor’s and Case Management to discuss and coordinate patient after care
- Substantial knowledge the various types of Medicaid and Medicare
- Communicated financial responsibilities with patients, while maintaining their confidentiality
- Proactively solved problems
- Collection of data from Medicaid and Medicare participants to determine eligibility
- Effective time management and ability to multi-task
Manager/Case Manager
St. Charles Manor Apartments
08.2011 - 11.2015
- Managed apartment complex (48 units)
- Collected rental payments
- Aided in evictions
- Executed banking, lease, scheduling, and maintenance request
- Conducted on site visits with the State of Louisiana
- Maintained accurate payroll and budget
- Perform basic clerical functions with proficient Microsoft Word, Power Point and Excel Skills
- Directed an after-school Program
- Supported FEMA, Section 8, Start Program and various relief providers w/ housing individuals and families
- Substantial knowledge in disaster case management and records management
- Assessed client needs, housing stability and financial security
- Streamlined communication with various insurance providers, and various relief organizations
Education
Associate Degree -
Fletcher Community College
01.2018
Certificate of Surgical Sterile Processing -
South-Central Technical College
01.2013
High School Diploma -
Thibodaux High School
01.1995
Skills
- Healthcare Experience
- Insurance Expertise
- Verification
- EOB
- COB
- Billing
- Coding
- Pre-Registration
- Prior Authorizations
- Claims
- Grievances
- Appeals
- Follow-up
- Denial
- Financial Management
- Accounting
- Bookkeeping
- Scheduling
- Disaster Case Management
- Crisis Response
Accomplishments
- Coordinated for Lafourche Parish Councilwoman.
- Collaborated for the state Senator.
Timeline
Billing & Reconciliation Coordinator
United HealthCare
12.2021 - Current
Utilization Management Technician
AmeriHealth Caritas
03.2019 - 12.2020
Financial/Medicaid counselor
Ochsner Medical Center
11.2015 - 02.2019
Manager/Case Manager
St. Charles Manor Apartments
08.2011 - 11.2015
Case Manager/DWS
Home Care PCA
07.2010 - Current
Associate Degree -
Fletcher Community College
Certificate of Surgical Sterile Processing -
South-Central Technical College
High School Diploma -
Thibodaux High School