Lakeisha M Young

Managing end-to-end claims processing, ensuring timely follow-up and resolution of outstanding claims. Implemented effective appeals strategies, resulting in a significant increase in successful claim recoveries. Analyzed billing discrepancies and developed solutions to enhance accuracy and compliance. Coordinated financial functions including charge capture, coding, and reimbursement analysis. Collaborated with cross-functional teams to optimize operational workflows and enhance revenue capture. Monitored regulatory changes and ensure compliance with industry standards. Generated detailed reports for financial audits, identifying discrepancies and ensuring data integrity. Processed payments and reconciled bank transactions to maintain accurate financial records. Posted adjustments and managed client accounts to ensure accurate billing and collections.

Printing and working patient balance report daily for balances to be collected for next day office visit. Working edit/error report in RealMed system daily. Importing ERA's and matching them with bank deposits. Submitting completed daily claims to a variety of insurance companies. Verifying patient’s insurance eligibility, coverage, authorizations and referrals. Preparing payment plans with patients with outstanding balances. Running and working A/R reports daily. Answering billing questions from patient and insurance companies via telephone and office visits. Preparing collection reports to submit to collection agency. Working 2021 fee schedule update. Provided exceptional support to patients regarding billing inquiries, fostering trust and improving overall satisfaction. Coordinated with insurance companies to rectify denied claims, achieving a higher approval rate and faster reimbursements. Maintained comprehensive records of patient insurance eligibility and referrals, ensuring compliance and facilitating timely treatments.

Reviewed patient bills meticulously, ensuring accuracy and completeness, which enhanced billing efficiency and reduced follow-up inquiries. Maintained accurate records of eligibility and benefits, significantly improving the verification process and minimizing delays in patient treatment. Collaborated with insurance companies to resolve discrepancies, fostering strong relationships and ensuring timely resolution of payment issues. Engaged with parents to discuss outstanding balances, effectively communicating payment options and improving collection rates. Optimized claims processing by developing a standardized checklist, leading to faster reimbursements and reduced claim denials.

Obtaining referrals and pre-authorizations as required for procedures. Checking eligibility and benefits verification for treatments, hospitalizations and procedures. Reviewing patient bills for accuracy and completeness, and obtaining any missing information. Preparing, reviewing and transmitting claims using billing software, including electronic and paper claim processing. Following up on unpaid claims within standard billing cycle timeframe. Checking each insurance payment for accuracy and compliance with contract discount. Identifying and billing secondary or tertiary insurances. Researching and appealing denied claims. Setting up patient payment plans and working collection accounts. Posting payments from insurance companies using EFT/ERA and paper checks as well as posting personal checks and payments from patients.