Laneisha Thomas
Hackensack,NJ
Summary
Developed versatile skill set in fast-paced, collaborative environment, seeking to transition into new field. Expertise in data analysis and process optimization, with talent for problem-solving and strategic planning. Eager to leverage these transferable skills to contribute effectively in new role.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Coding & Claims Edit Specialist III
61st Street Service Corporation
12.2021 - Current
- Comply with medical coding guidelines and policies
- Followed all company policies and procedures to deliver quality work.
- Collected, arranged, and input information into database system.
- Skilled at working independently and collaboratively in a team environment.
- Passionate about learning and committed to continual improvement.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Organized and detail-oriented with a strong work ethic.
- Contact payers regarding provider denials or credentialing
- Assist follow up reps with request to resolve denials.
Insurance Follow Up Specialist III
61st Street Service Corporation
08.2018 - 11.2021
- Resolve claims denials and discrepancies.
- Resolved patient disputes promptly regarding insurance coverage or billing matters.
- Responded proactively and positively to rapid change.
- Investigated and resolved patient inquiries and complaints quickly.
- Met patient call guidelines for service levels, handle time and productivity.
- Boosted revenue recovery by identifying and resolving errors in billing and coding practices.
- Submitted reconsiderations and appeals to payer when needed.
Dental Biller/ Auditor
Concerned Dental Care of Westchester
11.2009 - 05.2018
- Stayed informed of state and federal regulations regarding dental billing practices, ensuring full compliance within the office at all times.
- Reduced outstanding accounts receivable balances by diligently following up on unpaid claims and invoices.
- Enhanced communication with insurance companies through professional correspondence, resulting in faster claim processing times.
- Assisted office administrators in establishing efficient workflow processes related to dental billing and insurance claims management.
- Contributed to overall office efficiency by creating standardized forms, templates, and procedures for common dental billing tasks.
- Conducted regular audits of patient accounts to identify discrepancies or errors, rectifying issues promptly for continued accuracy in financial reporting.
- Served as a valuable resource for patients seeking clarification on complex insurance matters, working diligently to help them understand their coverage and financial obligations.
- Audited and corrected billing and posting documents for accuracy.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
Education
No Degree - Certified Professional Coder
ABC Training
Bronx, NY 08-2019
Skills
- Customer relations
- Expert problem solving
- Analytical thinking
- Documentation management
- Proficient in [Epic, IDX, Dentrix, Dentech]
- Root-cause analysis
- Multitasking
- Troubleshooting techniques
- Attention to detail
- Continuous improvement
- Reliability
Certification
- CPC AAPC 01/2020
- Medical Billing
Timeline
Coding & Claims Edit Specialist III
61st Street Service Corporation
12.2021 - Current
Insurance Follow Up Specialist III
61st Street Service Corporation
08.2018 - 11.2021
Dental Biller/ Auditor
Concerned Dental Care of Westchester
11.2009 - 05.2018
- CPC AAPC 01/2020
- Medical Billing
No Degree - Certified Professional Coder
ABC Training
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