Summary
Work History
Overview
Education
Skills
Certification
Timeline
Generic

Lakeshia Byrd

Louisville,KY

Summary

Knowledgeable medical coding specialist with nine years of experience in several areas of Health Information Management. Talented at correcting NCCI edits, appealing denied claims, and reviewing health records to identify proper relationships between procedure and diagnosis codes. I am seeking a full-time position to use my expertise and background to obtain a position in Health Information Management.

Work History

Medicare Supplement Enrollment & Billing Specialist

Anthem, Inc (Contract)
Louisville, KY
09.2021 - 01.2022
  • Manage the status of accounts and balances and identify inconsistencies.
  • Update account receivable database with new accounts or missed payments.
  • Securely handle client data and payment information
  • Resubmit claims
  • Process inbound enrollment documentation: applications, credible attestation, disenrollment request, and reinstatements.
  • Maintains and reconciles premium bill, self-bill and individual billed accounts.
  • Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.
  • Determines eligibility and applies contract language for each case assigned.

Seasonal Stocker

Bell's Nursery
Louisville, KY
02.2021 - 05.2021
  • Stocked tables and displays with merchandise while keeping garden center in order and plan a gram compliant.
  • Assisted with the movement of product from delivery trucks to the sales floor.
  • Greeted customers and assist them by answering product related and general gardening questions.
  • Evaluated supplies and product inventory to check for quality and quantity issues and returned unacceptable materials to vendors.
  • Placed products in correct storage locations to keep stock areas organized and inventory counts accurate.

Outpatient/Inpatient Coder

HIM, University of Louisville Hospital
Louisville, KY
04.2018 - 12.2020
  • Specialties: Inpatient, Oncology, Radiation Oncology, Ancillary, and Rehab Services
  • Assigned appropriately ICD-10-CM/CPT codes for oncology, radiation oncology, ancillary, and rehab outpatient services.
  • Assigned appropriately ICD-10-CM/PCS codes for inpatient accounts.
  • Utilized technical coding principles and MS-DRG reimbursement expertise to assign codes.
  • Reconciled NCCI, LCD, and Pre Bill edits and discrepancies prior to final billing.
  • Met and exceeded coding productivity requirements while maintain quality performance in accordance with company policies.
  • Assigned modifiers and sequenced codes appropriately to accurate reflect services provided.

Reimbursement Specialist

McKesson
Louisville, KY
07.2014 - 04.2018
  • Conduct full medical and pharmacy benefit investigations with Insurance companies.
  • Initiated Prior Authorizations for medical and pharmacy benefits.
  • Provided ICD -10, HCPCS, and CPT codes to payers for coverage.
  • Used Medicare Administrative Contractors grid for coverage.
  • Created documents in accordance with payer guidelines and submitted to appropriate parties.
  • Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
  • Delivered timely information to insurance representatives to resolve common and complex issues.
  • Created and maintained spreadsheets detailing medical procedures and insurance denials and approvals.

Rehab Administrative Assistant

Kindred Nursing and Rehabilitation
Louisville, KY
07.2013 - 07.2014
  • Assisted rehab therapist during rehab treatments
  • Filed paperwork in appropriate areas of medical records chart
  • Processed treatment by inputting ICD 9, CPT codes into computer system.
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Scheduled office meetings and client appointments for staff teams.
  • Sorted and distributed office mail and recorded incoming shipments for corporate records.

Overview

8
8
years of professional experience
1
1
Certification

Education

Bachelor's - Exercise Science

University of Louisville

Associate of Science - Medical Billing Coding

Sullivan University
Louisville, KY

Skills

  • Effective communication skills
  • ICD 10 /CPT Coding
  • Benefit Verification
  • Claims/Appeals
  • Prior Authorizations
  • Time Management
  • Attention to detail
  • Medical Terminology
  • Cerner/ Epic Systems
  • HIPAA Compliance

Certification

Certified Coding Associate October 2017 to Present Certified Coding Associated - AHIMA credential

Timeline

Medicare Supplement Enrollment & Billing Specialist

Anthem, Inc (Contract)
09.2021 - 01.2022

Seasonal Stocker

Bell's Nursery
02.2021 - 05.2021

Outpatient/Inpatient Coder

HIM, University of Louisville Hospital
04.2018 - 12.2020

Reimbursement Specialist

McKesson
07.2014 - 04.2018

Rehab Administrative Assistant

Kindred Nursing and Rehabilitation
07.2013 - 07.2014

Bachelor's - Exercise Science

University of Louisville

Associate of Science - Medical Billing Coding

Sullivan University

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Lakeshia Byrd