Summary
Overview
Work History
Education
Skills
Timeline
Generic

Lane Hethcote

Mount Juliet,TN

Summary

To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

9
9
years of professional experience

Work History

Stay at Home Mom

I'm Self Employed
01.2023 - Current
  • Take my son to school in the morning, get my son off the bus in the afternoon, help son with homework, put my granddaughter down for naps, clean and cook, time management, organization.

Billing Representative

PathGroup
01.2022 - 12.2023
  • Manual entry of daily billing from manual accounts, worked and resolved simple to moderately complex systems edits including TES, reviewed and resolved complex pre-billing through WorkLife systems.

Authorization Specialist

Premier Radiology
01.2020 - 12.2021
  • Obtained authorization for high tech radiology, injection and nuclear medicine studies, obtained medical records from the doctor's office and sent to insurance, kept in contact with patients and doctor offices to let them know the status of the authorization.

Patient Support Specialist

EMSI
01.2019 - 12.2020
  • Collect patient past due payments, sent request for adjustments, made sure patient balance was correct.

Medical Biller

AmSurg
01.2018 - 12.2018
  • Reviewed patient benefits, submitted request for claim paid in error, identified errors and refiled denied and rejected claims in a timely manner, prepared and attached all required claim documentation, identified payer trends, appealed denied claims, made sure that claim was paid at contracted rate.

Insurance Specialist II

Xtend Healthcare
01.2016 - 12.2018
  • Reviewed patient's insurance coverage, payments and balances, submitted request for claim paid in error, reviewed medical records for claim rejected or denied due to coding, submitted request for coding to be corrected and what the code should be, identified claim errors and rebilled denied or rejected claim, prepared and attached all required claim documentation, identified payer trends, sent appeals with appropriate documentation, contacted insurance in regards to denied claims, worked in several computer systems including Epic, EMR, ECW, Athena, NextGen, Brightree and Centricity.

Education

High School Diploma -

Mt. Juliet High School
Mount Juliet, TN
06.1998

Skills

  • Friendly, Positive Attitude
  • Teamwork and Collaboration
  • Customer Service
  • Problem-Solving
  • Time Management
  • Attention to Detail
  • Flexible and Adaptable
  • Dependable and Responsible
  • Multitasking
  • Multitasking Abilities
  • Excellent Communication
  • Critical Thinking

Timeline

Stay at Home Mom

I'm Self Employed
01.2023 - Current

Billing Representative

PathGroup
01.2022 - 12.2023

Authorization Specialist

Premier Radiology
01.2020 - 12.2021

Patient Support Specialist

EMSI
01.2019 - 12.2020

Medical Biller

AmSurg
01.2018 - 12.2018

Insurance Specialist II

Xtend Healthcare
01.2016 - 12.2018

High School Diploma -

Mt. Juliet High School

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Lane Hethcote