Lanetta Walker
Louisville,KY
Summary
leveraging 5 years of experience in claims data management, Microsoft Office Suite proficiency, and in-depth knowledge of CPT codes. Skilled in negotiating rates, verifying Medicare and Workers' Compensation claims, and submitting medical records for prior authorizations. Expert in ensuring accuracy and compliance in financial and healthcare settings.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Financial Intake Specialist
LHC Group
08.2021 - Current
- Validated commercial, Medicare Advantage, and Workers' Compensation claims for accuracy.
- Submit medical records to facilitate prior authorization requests for patient care services
- Secured favorable rates with insurance companies to maximize financial results.
- Streamlined processes for managing Letter of Agreement collaborations with workers' compensation companies and partner agencies.
Claims Representative
UnitedHealth Group
04.2019 - 01.2020
- Resolved mental health claims in accordance with established company policies
- Conducted thorough research on diagnosis codes and verified prior authorizations to ensure accuracy and compliance
- Managed Family and Medical Leave Act (FMLA) leave processes, providing assistance to employees in filing and tracking their claims
Medical Clerk Receptionist
Ciox Health
10.2017 - 02.2019
- Certified medical and immunization records, ensuring compliance with healthcare regulations and patient confidentiality
- Facilitated patient interactions by assisting with the completion of release and HIPAA forms to protect privacy rights
- Supported staff by assisting in the processing of Family and Medical Leave Act (FMLA) leave forms, contributing to efficient personnel management
Education
Certificate - Medical Billing and Coding
ATA College
01.2006
High School Diploma -
Duluth Central High
01.2005
Skills
- Critical Thinking
- Computer Skills
- Communication Skills
- Data Entry
- Internet Research
Certification
Financial Achievement, 07/01/21
Timeline
Financial Intake Specialist
LHC Group
08.2021 - Current
Claims Representative
UnitedHealth Group
04.2019 - 01.2020
Medical Clerk Receptionist
Ciox Health
10.2017 - 02.2019
High School Diploma -
Duluth Central High
Certificate - Medical Billing and Coding
ATA College