Summary
Overview
Work History
Education
Skills
Timeline
Lanett Lee

Lanett Lee

Hampton,VA

Summary

Passionate about starting a career in an entry-level clerical or administrative role within a dynamic business setting. Ready to utilize skills and experience to improve efficiency and operational performance in a challenging position. Enthusiastic about contributing to a team-oriented environment and making a meaningful impact on organizational success.

Overview

24
24
years of professional experience

Work History

Certified Application Counselor

HealthFund Solutions
Newport News, VA
11.2022 - 10.2024
  • The ability to speak with patients seeking medical health insurance for sponsorship program.
  • Offered premium assistance if the patient is eligible.
  • The ability and focus to visit patients bedside while admitted to Riverside Regional Medical Center for sponsorship eligibility.
  • Handled accounts and spreadsheets for ideal processing.
  • Ideal positivity with coworkers and patients.

Broker Support Medicare Advantage Plans

Optima Medicare Advantage Insurance
Virginia Beach, VA
08.2022 - 08.2022
  • Verifies member's eligibility for Medicare Advantage HMO plans.
  • Conducts research by utilizing CMS for member's status with original Medicare Part A and B.
  • CMS validations authorized by the Social Security Administration.
  • In addition to Medicare Part C (Medicare Advantage Plan) eligibility, member may be eligible for Medicaid insurance based on income and special needs.
  • Medicare advantage plans must include prescription drug coverage.
  • Medicare Part D is for Medicare drug coverage which is included with Medicare Advantage plans.

TRICARE Provider Certification

WPS Health Solutions
Hampton, VA
09.2017 - 08.2022
  • Process provider certification credentialing to ensure providers are paid accurately based on TRICARE guidelines.
  • Analysts critical review for problem solving.
  • Conducts research for medical provider's state license.
  • Data entry processing efficiently.
  • New providers physical and billing address records created.
  • Inputs contact information such as phone and fax number for providers.
  • Updates are made as incoming correspondence received via documents system via mail and/or fax.
  • Reviews incoming provider applications to certify based on completion of application.
  • If additional information is required upon review then appropriate correspondence letter is mailed to provider.
  • Medicaid analyst of claims received and amounts payable once ran through private insurance.

PRN Medical Administration

Riverside Health System
Newport News, VA
07.2017 - 08.2017
  • Medical office appointments checking in and out.
  • Sending required administrative documents.
  • Accepting copays for visits.
  • Insurance verification and any insurance updates in EPIC.

Patient Advocate Representative

Patient Advocate Foundation
Hampton, VA
03.2011 - 06.2017
  • Assist patients with blood cancers regarding co-pay assistance program.
  • Excellent Customer Service.
  • Receives patient demographics, insurance and financial data to start application intake for eligibility.
  • Reviews patient application documents for eligibility and issues final determination status based on program restrictions.
  • Examines co-pay reimbursement requests for acceptable payments that may be made to patients and/or providers.
  • Identifies HCFA 1500 forms and Explanation of Benefits to determine treatment related services.
  • Familiar with pharmacy, treatment and insurance premium claims.
  • Performs administrative duties with incoming faxed documents received for application and co-pay reimbursement review.
  • Minor accounting responsibility for expenditure productivity while using a printing calculator.
  • Ability to handle high pressure situations while remaining focused on operational goals.
  • Knowledge of documenting classified information and record keeping.
  • Interpersonal skills and ability to work well with others.

Medical Management

Health Net Federal Services (Kelly Services-Temporary)
Hampton, VA
03.2010 - 03.2011
  • Conducted research and data entry of authorizations and referrals for TRICARE.
  • Documented health information.
  • Interacted with Utilization Management and other departments for benefit review.
  • Provided direct contact by phone with patients and providers.
  • Interpreted Explanation of Benefits / EOB.

Customer Service Representative

APAC
Newport News, VA
07.2008 - 03.2010
  • Provided tracking and shipping support.
  • Processed orders for shipping supplies.

Consumer Relations Specialist

Advanced Services, Inc.
Norfolk, VA
05.2006 - 07.2008
  • Resolved escalated complaints regarding products and services
  • Addressed product issues for GE Manufacturer Warranty
  • Processed orders for appliance parts

Front Desk Receptionist

AppleOne - CACI
Norfolk, VA
12.2005 - 02.2006
  • Greet visitors entering the organization
  • Answered multiple lines / Switchboard
  • Received and sorted mail
  • Dispatched employees via intercom

Customer Care Representative

TeleTech
Hampton, VA
06.2005 - 11.2005
  • Explained cellular billing, plans and features
  • Provided technical support for Nextel and Sprint mobile devices.

Sales Representative

Telespectrum
Hampton, VA
04.2005 - 07.2005
  • Outbound calls made to previous Verizon customers to win back business.
  • Sold additional packages and services with Direct TV.

Order Processor

Spiegel/Newport News, Inc.
Hampton, VA
06.2003 - 09.2004
  • Processed catalog orders for fashion merchandise.
  • Sold additional subscriptions for discount purposes.

Data Entry Specialist

West Telemarketing
Hampton, VA
06.2000 - 03.2003
  • Processed orders that were advertised on television.
  • Completed intake applications for major credit card approvals by phone.

Education

Some College (No Degree) - Business Management

Norfolk State University, Norfolk, VA

High School Diploma -

Hampton High School, Hampton, VA
06.2002

Skills

  • Microsoft Office (Word, Excel, PowerPoint)
  • Typing Speed: 50 wpm
  • Filing
  • Organizational skills
  • Insurance verification
  • Typing
  • Citrix
  • Microsoft Windows Server
  • HCPCS
  • Customer service
  • Data entry proficiency
  • Problem-solving
  • Time management
  • Ethical behavior
  • Teamwork and collaboration
  • Policy interpretation

Timeline

Certified Application Counselor - HealthFund Solutions
11.2022 - 10.2024
Broker Support Medicare Advantage Plans - Optima Medicare Advantage Insurance
08.2022 - 08.2022
TRICARE Provider Certification - WPS Health Solutions
09.2017 - 08.2022
PRN Medical Administration - Riverside Health System
07.2017 - 08.2017
Patient Advocate Representative - Patient Advocate Foundation
03.2011 - 06.2017
Medical Management - Health Net Federal Services (Kelly Services-Temporary)
03.2010 - 03.2011
Customer Service Representative - APAC
07.2008 - 03.2010
Consumer Relations Specialist - Advanced Services, Inc.
05.2006 - 07.2008
Front Desk Receptionist - AppleOne - CACI
12.2005 - 02.2006
Customer Care Representative - TeleTech
06.2005 - 11.2005
Sales Representative - Telespectrum
04.2005 - 07.2005
Order Processor - Spiegel/Newport News, Inc.
06.2003 - 09.2004
Data Entry Specialist - West Telemarketing
06.2000 - 03.2003
Norfolk State University - Some College (No Degree), Business Management
Hampton High School - High School Diploma,

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