LANETTE OCTELUS
WEST PARK,FL
Summary
Effective project leader and problem-solver with advanced programming skills and a hardworking mentality. Seeking to apply expertise and extensive experience in software engineering to take on a challenging new role with a growing team. History of being an effective team member with full understanding of the underwriting process and team needs. Well-versed in using Excel to create and update tracking spreadsheets. Motivated collection with solid experience managing all levels of large-scale projects, including administration. Experienced professional with strong leadership and relationship-building skills. Client-focused Sales Representative with years of providing solutions to customers. Solid understanding of . Dedicated to enhancing underwriting department operations with an analytical and disciplined approach. Able to work with minimal direction to solve problems, resolve conflicts and respond to customer inquiries. Independent-minded . An effective leader willing to interact with office personnel and decision-makers. Ready to generate referrals for a new organization.
Overview
17
17
years of professional experience
Work History
Collection Analyst
HEALTH SERVICES FINANCIAL
01.2014 - Current
- Over payment,Refunds & Remediation.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record
- Determined patient financial needs and referred eligible patients to proper county, state or federal agencies to obtain financial assistance
- Explained estimated cost for medical treatments and answered patient questions to promote a good understanding of proposed services
- Performed patient scheduling and registration functions to serve as an initial contact point for medical office visits
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patients' privacy
- Utilized knowledge of electronic medical record systems and medical terminology to perform diverse data entry tasks
- Organized patient records and databases to facilitate information storage and retrieval
- Identified insurance payment sources and listed payers in a proper sequence to establish the chain of payment
- Obtained patient's insurance information and determine eligibility for benefits for specific services rendered
- Helped address client complaints through timely corrective actions and appropriate referrals
- Organized patient records and databases to facilitate information storage and retrieval
- Collect delinquent accounts and insufficient payments
- Verify, identify and collect contacts of customers with delinquent accounts
- Develop and execute collection processes on past-due accounts
- Ensure follow-up calls at regular intervals till the payments are realized .follow-up for participated providers, such as Medicare/Medicaid and Commercial Insurance, responsible for self-pay billing, and also correcting and re-billing Insurance claims
- Examined diagnosis codes for accuracy, completeness, specific it, and appropriateness according to services rendered
- Review diagnostic and procedural terminology for consistency with acceptable medical Enclosure
- Appropriately and correctly identified errors and re -file d denied/rejected claims
- Prepared and attached all required claim documentation including referrals, treatment plans, or other required correspondence to reduce the incidence of denials
- Resolve delinquency promptly.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Provided excellent customer service, developing and maintaining client relationships.
Medical Assistant
MT. SINAI ENDOCRINE SOLUTION
05.2014 - 06.2014
- Record patients medical history, vital statistics and information such as test results in medical records, prepare treatment rooms for patient examinations, keeping the rooms neat and clean, interview patients to obtain medical information and measure their vital signs, weight, and height, authorize drug refills and provide prescription information to pharmacies, clean and sterilize instruments and dispose of contaminated supplies, prepare and administer medications as directed by a physician, show patients to examination rooms and prepare them for the physician, explain treatment procedures, medications, diets and physicians' instructions to patients.
Payment Posting Rep
ED Care Financial Services
07.2006 - 06.2012
- Posting payments to patients' accounts, updating and removing them from the collection
- Over payment,Refunds & Remediation.
- Able to choose correct payments and codes when Posting patient's account
- Wrote off any balances that we participated with, by using correct adjustment codes based on Managed
- Care listing or Medicare/Medicaid guidelines
- Verified that batch numbers are corrected dates before Posting
- Logged Batches into Microsoft Excel spreadsheet daily, also met daily production standards set forth
- Scanned document and also responsible for insurance verification.
- Over payment,Refunds & Remediation.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Delivered timely information to insurance representatives to resolve common and complex issues.
Education
Medical - Assisting
Some College
Medical Front Office Procedures EKG Precautions/OSHA Medical Back Office Procedures - undefined
Florida Career College
Miami, FLundefined
Lindsey Hopkins Technical College
Miami, FLAssociate of Science - License
South College
Knoxville, TN06.2024
Phlebotomy Medical Billing And Coding: Medical Billing And Coding - undefined
Vital Signs
03.2005
No Degree - Business Administration
National School of Technogly
Miami Gardens, FL04.2000
High School Diploma - undefined
Miami Dade College
Miami, FL06.1997
Skills
- Data Entry
- Medical Terminology
- Health Records Management
- Reception and Phone Skills
- Collections
- Treatment Authorization Referrals
- Excel,Microsoft Word,internet
- E-Premis
- Meditech
- IDX
- Emdeon
- Epic
- Eligibility Determination
- Information Collection
- Insurance billing
- DDE
Accomplishments
- Chart pulling
- Appointment Scheduling
- Document filing
- Insurance verifying
- Insurance Verification
- Patient Access Representative, 01/2020 to Current
- Trinity Hospital – Michigan, ND
- PROFESSIONAL SUMMARY
- SKILLS
Timeline
Medical Assistant
MT. SINAI ENDOCRINE SOLUTION
05.2014 - 06.2014
Collection Analyst
HEALTH SERVICES FINANCIAL
01.2014 - Current
Payment Posting Rep
ED Care Financial Services
07.2006 - 06.2012
Medical - Assisting
Some College
Medical Front Office Procedures EKG Precautions/OSHA Medical Back Office Procedures - undefined
Florida Career College
undefined
Lindsey Hopkins Technical College
Associate of Science - License
South College
Phlebotomy Medical Billing And Coding: Medical Billing And Coding - undefined
Vital Signs
No Degree - Business Administration
National School of Technogly
High School Diploma - undefined
Miami Dade College
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