Katherine Lajaunie
Summary
Billing specialist with 6 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about creating company values through impeccable work ethic and drive.
Overview
6
6
years of professional experience
Work History
Billing Specialist
Seeca Medical
03.2021 - Current
- Negotiated with insurance companies to resolve disputed claims, securing rightful payments.
- Used data entry skills to accurately document and input denied claims
- Discussed issues with customers to resolve disputes.
- Generated monthly billing and posting remits
- Increased accuracy of submitted claims through detail in verifying insurance eligibility and benefits.
- Conducted thorough follow-ups with insurance companies, ensuring timely receipt of authorization numbers for approved services.
- Minimized claim denials by accurately coding procedures according to CPT guidelines before submission for approval.
- Minimized errors in claims submissions through regular cross-checking of CPT and ICD codes against medical documentation.
- Works all workers comp claims along with collecting payment and getting authorization from adjusters
- Experience with Microsoft Word and Microsoft Excel
Billing Specialist
Hayden Spine Pain & Wellness
11.2018 - 03.2021
- Assisted coworkers during peak workload periods, demonstrating strong teamwork and commitment to overall departmental success.
- Verified all commercial, Medicare and Medicaid plans via upcoming appointments
- Worked all workers comp claims along with authorization for appointment
- Speaking with insurance companies regarding denied claims along with payments information
- Reduced processing time with thorough pre-authorization requests, ensuring prompt approvals for patient procedures.
- Stayed up-to-date with industry developments and changes in insurance policies to ensure ongoing compliance and adaptability in billing practices.
-
Education
Certification - Phlebotomy
L.E. Fletcher Technical Community College
Schriever, LA05.2016
High School Diploma -
H. L. Bourgeois High School
Gray, LA05.2015
Skills
- Billing systems and software
- Insurance Verification
- Invoice Processing
- Claims Processing
- Data entry proficiency
- HIPAA Compliance
- Claim submission
- Denial Management
- Medical coding knowledge
- Payment posting
- Customer Engagement
- Month-end closing procedures
- Patient account management
- Medical Billing Expertise
- Record preparation
- Collections
- Accounts receivable management
- Billing and Invoicing
- Microsoft Office
- Customer Service
- Payment Collection
- Customer service support
- Account updating
- Payment Processing
- Paperwork and documentation
- Billing Data Verification
- Customer Contact
- 10-Key Data Entry
- Job Billing
- Word Processing
- Collections duties
- Year-end reporting
- Account Posting
- General accounting
- ICD-10 Proficiency
- Medical Coding Guidelines
- Medical Abbreviations
- Diagnostic Coding
- Clinical Documentation Improvement
- Medical record review
- Medical terminology expertise
- Insurance coding (ICD-9 and CPT)
Timeline
Billing Specialist
Seeca Medical
03.2021 - Current
Billing Specialist
Hayden Spine Pain & Wellness
11.2018 - 03.2021
Certification - Phlebotomy
L.E. Fletcher Technical Community College
High School Diploma -
H. L. Bourgeois High School
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