Lakeesha Salley
Fredericksburg,VA
Summary
Professional with high standards and results-driven approach, prepared for role of Office Manager. Skilled in team collaboration, adaptable to changing needs, and reliable. Proficiencies include administrative management, scheduling, budgeting, and staff coordination. Known for effective communication, problem-solving, and organizational skills.
Overview
17
17
years of professional experience
Work History
Office Manager
Allergy and Asthma Centers
03.2019 - Current
- Manager of all aspects of multi-physician medical practice and office logistics from physician-employee-patient scheduling, network connectivity billing, insurance, physician contracting with insurance companies-independent physician associations-hospitals, purchasing, payroll, reconciling practice financials for accountant and financial advisors
- Manages relationships and information flow across three different facilities.
- Directs and delegates billing and collections efforts.
- Recovered outstanding debts through consistent account management.
- Communicated company's AR and office developments to president on a weekly basis.
- Oversee charges along with insurance and patient payments.
- Leads regular team discussions and annual reviews.
- Responsible for corporate accounts payable and monitoring over payments and credits
- Oversee employee health benefits and 401k in collaboration with accountant, financial advisor, and broker. Rolled out diverse health benefit packages for the workforce.
- Coordinated continual training sessions for team members.
- Ensured timely dissemination of new office policies and billing practices.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
- Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
- Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
Team Lead Patient Registrar
Parrallon-HCA
11.2018 - 09.2021
- Guided patients to correct departments by working with nurses.
- Facilitated prompt check-ins through visitor greetings and establishing visit purposes.
- Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties
- Handled a wide range of insurance policies while managing customer payments.
- Scheduled patient appointments utilizing Meditech.
- Ensured accuracy in entering medical and insurance information.
- Identified non-participating and out-of-network insurance plans and worked with patients and providers to address situations
- Facilitated inter-facility patient transfers by liaising with representatives, physicians and nursing teams.
- Coordinated bed placement for scheduled and unscheduled patients.
- Efficiently processed imaging and scanning for electronic patient files.
- Ensured patients received necessary documentation for steps in hospital procedures.
- Set up patients in system by documenting key data, confirming eligibility and verifying insurance benefits
- Interpreted physician's orders accurately to input correct testing information and verify admissions criteria
- Placed new supply orders, managed inventory and restocked clerical spaces.
Physician claim Analyst II
George Washington Medical Faculty Associates
06.2017 - 03.2019
- Responsible for Workers comp and commercial denied claims
- Followed up with claim adjusters for companies that included: Sedgwick, Corvel, the Hartford, Department of Labor, Gallagher Basset, and etc
- Researched on Workers Comp claims to determine true denials
- Appealed denied claims, submitted daily with all information needed to prove the reason for payment reconsideration
- Payment research on EOB's and ERA's which included, posting payments, taking contractual adjustments, and escalating high dollar write-off's to the team lead
- Corrected return mail addresses for Workers Comp and sending out with medical records
- Contacted patients to resolve complicated Worker Comp issue
- Maintained a daily productivity of 50 accounts a day or 250 by the end of the week
- Escalated trending issues to management during weekly meetings
- Worked on assigned timely projects and completed before or by the due date
Billing Office Follow-up Representative
Medarva Stony Point Surgery Center
03.2016 - 06.2017
- Responsible for the follow-up of denied claims on all lines of business for Anthem, Tricare and Aetna
- No EMR at the time, so I created different ways to organize my work in order to achieve and maintain my goals with decreasing the AR
- Sent out UB-04 in a timely manner
- Communicated with providers offices when there were coding concerns and medical record request required in order to complete processing of the claim
- Worked on special projects with upper management and our facility insurance provider rep
- The projects consist of bad debt that was prior to my date of hire
- I worked on the projects to get payment on unresolved claim issues prior to writing off the debt
- Established a great working relationship with our insurance provider representatives
- I was able to obtain their contact information and this allowed me to email them directly when I had difficult claims that were not being processed
- Worked together as a team with my co-workers by assisting with front desk duties, registration and their special projects
- Assisted patients with their bill and insurance questions to help them gain a better understanding of their insurance benefits and patient responsibility
Physician Insurance Analyst III/Patient Financial Quality Coordinator
Inova Health System
04.2014 - 03.2016
- Physician Insurance Analyst III: Worked on denied claims from multiple payers through the EPIC system
- Responsible for claim follow-up in assigned que
- I achieved and went beyond the minimum of 30 required claims per day
- All high dollar write-offs were transferred to either the manager or team lead
- Response and rejection reports were worked weekly and provided to my manager for review
- Patient Financial Quality Coordinator: Obtained prior authorization from patients insurance companies for their surgeries and radiology appointments
- Patients were advised of their financial responsibility
- Achieved a daily productivity of 40 plus accounts per day
Unit Secretary
Georgetown University Hospital
07.2007 - 07.2014
- Worked as secretary on a busy pediatric transplant unit that held 24 patients at a time
- I managed multitasking high volume phone calls, reviewing and verifying orders through Med Connect (electronic chart system), admitted and discharged patients, created patient charts, and maintained the written log for all admitted patients and visitors
- Precepted new nurse hires and unit secretaries.
- I trained them how to use the Med Connect system and the basics of the unit secretary duties for when I was out
- I maintained a great relationships with co-workers, Doctors, and patients family members
- I was a team player from the start of my shift till the end
- I helped assist the EVS tech, Dietary tech, nurses, doctors and managers when they needed help
Billing Specialist
VMT Home Health Agency
01.2012 - 03.2014
- Performed day to day functions associated with billing including verifying completeness of claims, accuracy of all paper claims, following up with unpaid claims and denials, posting all charges, adjustments of insurance write-offs, and verifying clients insurances on a weekly basis
- Submitted billing electronically and on paper claims (UB-04 and 1500 form)
- Monitored payments of all TPL's (Third Party Insurances), generated weekly revenue reports for the Director of Patient accounts
- Processed RN and Case Managers timesheets
- Missing time or concerns with time was addressed immediately with the individual
- Trained all new employees with the process of capturing visits and entering orders for the services provided to the client
- Maintained directors schedule by scheduling meetings with government agencies, other department heads, and staff
- Completed meeting minutes for Director.
- Maintained a weekly report with director
- This time was used to go over inner office concerns, claim issues, and monthly progress
- Spreadsheets and reports were kept up and provided to the director for review
Education
No Degree - Business Administration
Germana Community College
Fredericksburg, VA12-2026
Skills
- Customer service
- Office management
- Organizational skills
- Office administration
- Clear oral/written communication
- Scheduling and calendar management
Accomplishments
- 2020- Implemented new, patient portal system.
- 2019-Nominated and selected for employee of the year.
Timeline
Office Manager
Allergy and Asthma Centers
03.2019 - Current
Team Lead Patient Registrar
Parrallon-HCA
11.2018 - 09.2021
Physician claim Analyst II
George Washington Medical Faculty Associates
06.2017 - 03.2019
Billing Office Follow-up Representative
Medarva Stony Point Surgery Center
03.2016 - 06.2017
Physician Insurance Analyst III/Patient Financial Quality Coordinator
Inova Health System
04.2014 - 03.2016
Billing Specialist
VMT Home Health Agency
01.2012 - 03.2014
Unit Secretary
Georgetown University Hospital
07.2007 - 07.2014
No Degree - Business Administration
Germana Community College
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