Lakesia Mckinnon
Fayetteville,NC
Summary
Efficient billing professional with 8 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive. Driven Medical Biller motivated to perform beyond expectations. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented Medical Biller with strong understanding of bookkeeping principles and customer service. Experienced in developing and managing efficient billing and posting processes. Considered focused and organized team player.
Overview
30
30
years of professional experience
Work History
Quality Assurance Analyst
Mako medical Labs
08.2023 - Current
- Compile data, perform audits, and interpret results to report back to management
- Devise sampling procedures and directions for recording and reporting quality data
- Identify inefficiencies and process gaps, recommending best practices for improvement
- Assist in drafting standard operating policies and procedures
- Ensure claims are adjudicated in compliance with provider contract parameters
- Identify training needs and communicate opportunities to the leadership team
- Achieve or exceed department goals as defined by management.
Revenue Cycle Specialist
Mako Medical Laboratories
04.2021 - 08.2023
- Responsible for all facets of medical billing and accounts receivable management including charge entry, payment posting, customer service and follow-up in accordance with our practice protocol with an emphasis on maximizing patient satisfaction and profitability.
Benefits Verification Specialist
Talent Bridge
10.2020 - 03.2021
- Worked under close supervision of the Project Team coordinators /management team
- Contacted insurance companies, on behalf of the physician's offices to verify patient benefits, including asking appropriate questions regarding patient's benefits and complete data entry and/or appropriate forms to document patient's benefits coverage.
Customer Service Associate
Easycare/APCO
03.2020 - 09.2020
- Served as point of contact and handled volumes of incoming calls to engage customers and provide solutions
- Made outbound calls asking customer about renewing their warranties.
Insurance Coordinator
Cape Fear Orthopaedic Clinic
07.2018 - 01.2020
- Reviews and appeals unpaid and denied claims
- Verifies patients' insurance coverage
- Answers patients' billing questions
- Reviews patient bills for accuracy and completeness and obtain any missing information
- Knowledge of insurance guidelines especially Medicare and state Medicaid
- Follows up on unpaid claims within standard billing cycle time frame
- Checks each insurance payment for accuracy and compliance with contract discount
- Calls insurance companies regarding any discrepancy in payments if necessary.
Physician Biller
Cape Fear Valley Medical Center
04.2018 - 07.2018
- Researched, tracked, and processed medical claims per month to include transmittal
- Continually identified and resolved claim deficiencies and reference registration processes and system functionality in order to resolve and resubmit timely.
Medical Biller
Carolina Heart and Leg Center PA
05.2017 - 04.2018
- Uses coded data to produce and submit claims to insurance companies
- Works directly with the insurance company, healthcare providers, and patient to get claims processed and paid
- Reviews and appeals unpaid and denied claims
- Verifies patients' insurance coverage
- Answers patients' billing questions
- Reviews patient bills for accuracy and completeness and obtain any missing information
- Knowledge of insurance guidelines especially Medicare and state Medicaid
- Follows up on unpaid claims within standard billing cycle time frame
- Checks each insurance payment for accuracy and compliance with contract discount
- Calls insurance companies regarding any discrepancy in payments if necessary
- Identifies and bills secondary or tertiary insurances
- Answers all patient or insurance telephone inquiries pertaining to assigned accounts.
Medical Biller
Carolina Behavioral Care
03.2016 - 05.2017
- Used coded data to produce and submit claims to insurance companies
- Worked directly with the insurance companies, healthcare providers, and patients to get the claim processed and paid
- Reviewed and appealed unpaid and denied claims
- Verified patients' insurance coverage
- Answered patients' billing questions
- Handled collections on unpaid accounts
- Managed the facility's Accounts Receivable reports
- Reviewed patient bills for accuracy and completeness and obtain any missing information
- Knowledge of insurance guidelines especially Medicare and state Medicaid
- Followed up on unpaid claims within standard billing cycle time frame
- Checked each insurance payment for accuracy and compliance with contract discount
- Called insurance companies regarding any discrepancy in payments if necessary
- Identified and billed secondary or tertiary insurances
- Answered all patient or insurance telephone inquiries pertaining to assigned accounts.
Front Desk Clerk
Highland Clinic
02.2015 - 03.2016
- Welcomed and greeted all patients and visitors, in person or over the phones
- Answered the phone while maintaining a polite, consistent phone manner using proper telephone etiquette
- Responsible for bookkeeping, called patients to remind them of appointments, handled billing, answered and routed calls, made transactions, and kept paperwork organized
- Checked patients in and out and used accurate and appropriate ICD-9, ICD-10 and CPT codes
- Registered patients, prepared charts, posted charges and payments and collected co-payments
- Maintained current database of patient's demographics and billing information
- Verified insurance eligibility
- Responded to patients, prospective patients, and visitor inquiries in a courteous manner
- Kept medical office supplies adequately stocked by anticipating inventory needs, placed orders, and monitored office equipment
- Filled out insurance forms and arranged for hospital admissions and laboratory services.
Customer Service Representative
Sitel
09.2014 - 01.2015
- Responsible for taking in-bound calls for consumers who have questions or concerns about billing and/or programming or technical issues
- Determine the wants, interests, and needs of each customer to identify the best solution in the interest of providing an outstanding and personalized customer service experience.
Customer Service Representative
Guthy Renker
07.2014 - 08.2014
- Answers incoming telephone calls for specified product line(s)
- Addresses customer's issues and provides effective problem resolution
- Offers 'upsells' as required by client on both customer care and sales calls
- Utilizes selling techniques and follows prescribed sales process to meet revenue per order and sales conversion goals on inbound sales
- Accurately and reliably provides timely information to customers regarding general inquiries, billing, products information, cancellations, instructions, and recommendations
- Accurately and reliably processes customer order/changes (to include reorders and replacements) according to established departmental policies and procedures.
Customer Service Representative
Piedmont Natural Gas
04.2005 - 08.2013
- Handle customer inquiries, complaints, billing questions, payment arrangements, and service order requests
- Calm irate customers, repair trust, instill loyalty, and achieve win-win outcomes all while projecting a professional company image
- Though phone interactions
- Responsible for verifying the customer's identity using the world's largest online database Lexis Nexis as well as Risk view
- Provide technical support for customers using Piedmont Natural Gas's website
- Noted for achieving the highest level of first call resolution
- Noted for providing exceptional customer service
- Duties and tasks are standardized.
Processing Clerk
Highland Clinic
11.2004 - 04.2005
- Responsible for taking all the new patient information over the phone and scheduling the initial appointment
- Processing the new patient paperwork upon the initial appointment
- Answering the multiline phone and taking messages
- Greeting the customers and checking them in
- Taking the customer's credit card, cash and check co-payments
- Calling the insurance companies and verifying the co-payment, the deductible and that the insurance is still active
- Opening and closing the clinic
- Preparing the patients appointments.
Teacher
Gloria J. Matthews Academy
09.2004 - 11.2004
- Worked with the students and strived to give the students both academic and spiritual tools to effectively accomplish God's will for their lives.
Customer Service Representative
AT&T
06.2002 - 01.2004
- Assisted external customers with routine requests, questions and concerns through research and resolution
- Researched products, services, billing and installation/repair requests
- Ensured that customers received the best service possible while processing request and concerns
- Sold wireless service and corresponding products for enhanced service
- Was also responsible for credit/collections/activation's and revenue management
- Received product orders and prepared them for entry into the database
- Duties and tasks were standardized.
Customer Service Representative
Sprint LTD
07.2000 - 06.2002
- Assisted customers when they called into ask specific questions about their local or long-distance telephone bill or account
- Answered questions regarding features and confirmed the status of orders already placed
- Placed new orders for telephone service and sold various Sprint products and services
- Processed payments for customer local and long-distance accounts
- Sold and answered questions about Sprint's high-speed data service.
Office Manager
Mac's Auto Sales
06.1994 - 07.1999
- Sold cars and handled cash transactions
- Opened and closed the car lot
- Had to develop ongoing relationships to enhance future sales
- Handled all the administrative duties to include: typing, file maintenance, incoming calls, and arranging meetings
- Was responsible for accounts receivable and payable
- Greeted customers in a professional and courteous manner
- Expedited UPS mailings and FedEx
- Was in charge of inventory control.
Education
Douglas Byrd HS
06.1994
Skills
- Medicare/ Medicaid Billing
- Electronic/ Paper Claims
- IMS
- Customer service
- Medicare HMO & Advantage plans
- MS Excel/Word/ Publisher
- Eclinical works
- Complaint Handling
- CMS forms
- Nextgen
- Navicure
- Resolution
- Stress Tolerance
- Waystarr
- Cerner (As400)
- Excellent Communication Skills
- S2K
- Lotus Notes
- Snapshot
- Highly Organized
- Lexis Nexis
- Artivia
- Signature Claim Billing
- Ehim
- Waystar
- Availity
- Payment Posting
- Palmetto GBA website
- Humana Military's website
- Tricare for Life's website
- BCBS website
- HIPAA Compliance
- I have several years customer service experience in which I have developed excellent communication skills
- I am highly motivated, with a positive attitude
- Scheduling
- Billing
- Word
- Medical Records
- Clerical
- EMR
- EClinicalWorks
- Next Generation Sequencing
- ICD-10
- ICD-9
- Deductive Reasoning
- Group Presentations
- Quality Assurance
- SharePoint
- Quality Processes
- Attention to detail
- Strong Problem Solver
- Decision-Making
Timeline
Quality Assurance Analyst
Mako medical Labs
08.2023 - Current
Revenue Cycle Specialist
Mako Medical Laboratories
04.2021 - 08.2023
Benefits Verification Specialist
Talent Bridge
10.2020 - 03.2021
Customer Service Associate
Easycare/APCO
03.2020 - 09.2020
Insurance Coordinator
Cape Fear Orthopaedic Clinic
07.2018 - 01.2020
Physician Biller
Cape Fear Valley Medical Center
04.2018 - 07.2018
Medical Biller
Carolina Heart and Leg Center PA
05.2017 - 04.2018
Medical Biller
Carolina Behavioral Care
03.2016 - 05.2017
Front Desk Clerk
Highland Clinic
02.2015 - 03.2016
Customer Service Representative
Sitel
09.2014 - 01.2015
Customer Service Representative
Guthy Renker
07.2014 - 08.2014
Customer Service Representative
Piedmont Natural Gas
04.2005 - 08.2013
Processing Clerk
Highland Clinic
11.2004 - 04.2005
Teacher
Gloria J. Matthews Academy
09.2004 - 11.2004
Customer Service Representative
AT&T
06.2002 - 01.2004
Customer Service Representative
Sprint LTD
07.2000 - 06.2002
Office Manager
Mac's Auto Sales
06.1994 - 07.1999
Douglas Byrd HS
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