Open To Work
Lanier Caywood
Medical Credit Specialist
Green Sea,SC
Summary
Dedicated Medical Billing Specialist with over 10 years of experience in the medical billing field. Skilled in collaborating with multiple departments to resolve discrepancies and enhance revenue collection while ensuring compliance with industry regulations.
Overview
14
14
years of professional experience
Work History
Credit Specialist
Fast Pace Urgent Care
06.2021 - 12.2025
- Collaborated with healthcare providers to resolve billing discrepancies and enhance customer satisfaction.
- Processed and submitted insurance claims, ensuring accuracy and compliance with regulatory guidelines.
- Reviewed patient records to identify coding errors and discrepancies for resolution.
- Collaborated with healthcare providers to clarify billing information and optimize claim submissions.
- Trained new staff on billing procedures, improving team efficiency and knowledge retention.
- Developed training materials for staff on updated billing regulations and coding practices, enhancing overall compliance.
- Verified insurance of patients to determine eligibility.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Liaised between patients, insurance companies, and billing office.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Supported efficient scheduling practices by verifying patient eligibility and coverage prior to appointments.
- Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Organized filing system for patient records, expediting access to essential documents when needed.
- Adhered to established standards to safeguard patients' health information.
- Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
- Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Facilitated seamless collaboration between billing department and healthcare providers to ensure accurate billing information.
- Maintained up-to-date knowledge of billing software and healthcare regulations, contributing to department's compliance and efficiency.
- Reduced instances of denied claims, carefully reviewing and rectifying coding errors before submission.
- Achieved significant reduction in outstanding accounts receivables by implementing rigorous follow-up procedures with insurers and patients.
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements.
- Monitored outstanding invoices and performed collections duties.
- Audited and corrected billing and posting documents for accuracy.
- Handled account payments and provided information regarding outstanding balances.
- Generated monthly billing and posting reports for management review.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Maintained accurate records of customer payments.
- Collaborated with customers to resolve disputes.
- Utilized various software programs to process customer payments.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Kept vendor files accurate and up-to-date to expedite payment processing.
- Reconciled accounts receivable to general ledger.
- Processed credit card transactions efficiently, ensuring accuracy and compliance with industry standards.
- Collaborated with team members to resolve transaction discrepancies, enhancing overall customer satisfaction.
Medical Billing Specialist
FastMed Urgent Care
11.2015 - 09.2019
- Processed medical claims efficiently, ensuring accurate billing and timely submission to insurance providers.
- Reviewed patient accounts for discrepancies, resolving issues to maintain billing accuracy.
- Collaborated with healthcare providers to gather necessary documentation for claim approvals.
- Trained new staff on billing software and compliance protocols to enhance team performance.
- Implemented process improvements that reduced claim denial rates and expedited revenue cycle management.
- Led initiatives to streamline workflows, enhancing overall efficiency within the billing department.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Precisely evaluated and verified benefits and eligibility.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
- Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Conducted regular audits of patient accounts for potential underpayments or overpayments due to incorrect coding or billing practices.
- Prepared billing correspondence and maintained database to organize billing information.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Contributed to overall office organization by maintaining up-to-date records of all billed services and payments received.
- Evaluated patients' financial status and established appropriate payment plans.
- Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
- Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
- Educated colleagues on best practices in medical billing, providing ongoing training sessions as needed.
- Increased overall efficiency of the billing department by regularly auditing internal procedures and suggesting improvements.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Delivered timely and accurate charge submissions.
- Verified insurance of patients to determine eligibility.
- Filed and updated patient information and medical records.
- Posted payments and collections on regular basis.
- Collected payments and applied to patient accounts.
- Liaised between patients, insurance companies, and billing office.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Adhered to established standards to safeguard patients' health information.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Responded to customer concerns and questions on daily basis.
- Used data entry skills to accurately document and input statements.
- Monitored outstanding invoices and performed collections duties.
- Audited and corrected billing and posting documents for accuracy.
- Handled account payments and provided information regarding outstanding balances.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Maintained accurate records of customer payments.
- Collaborated with customers to resolve disputes.
- Utilized various software programs to process customer payments.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Kept vendor files accurate and up-to-date to expedite payment processing.
- Reconciled accounts receivable to general ledger.
- Managed patient accounts to ensure timely collections and minimize outstanding balances.
- Developed and implemented effective follow-up strategies for overdue accounts, enhancing recovery rates.
- Analyzed billing discrepancies and resolved issues to maintain accuracy in patient invoicing.
- Established rapport with patients to facilitate payment arrangements while ensuring compliance with regulations.
- Negotiated payment plans with patients, ensuring timely payments and reducing financial strain on the practice.
- Logged charges and payments within Tempus (PaymentMate).
- Researched billing errors and discrepancies to initiate corrective action.
- Processed debtor payments and updated accounts to reflect new balance.
- Listened to customers and negotiated solutions that met creditor and debtor needs.
- Established relationships with customers to encourage payment of delinquent accounts.
- Analyzed bankruptcy filings to ensure compliance with federal regulations and client requirements.
- Facilitated communication between clients and legal teams to clarify case details and streamline bankruptcy processes.
Childcare Assistant Teacher
Solid Start Childcare
06.2012 - 11.2015
- Developed engaging lesson plans to foster cognitive and social development in children.
- Implemented behavior management techniques to promote positive interactions among students.
- Collaborated with parents to support children's individual learning needs and progress.
- Assisted in organizing educational activities that align with developmental milestones.
- Streamlined daily routines to enhance efficiency and create a structured environment for learning.
- Conducted assessments to monitor children's growth and adjust teaching methods accordingly.
- Sanitized toys and play equipment each day to maintain safety and cleanliness.
- Assisted in maintaining a clean and orderly classroom environment, ensuring compliance with health and safety regulations while supporting an optimal learning space for students.
- Assisted lead teacher with snack time, arts and crafts and putting children down for naps.
- Communicated regularly with parents about daily activities and behaviors.
- Served as a reliable source of support for lead teacher during times of absence or need for additional assistance in the classroom.
- Engaged with children on individual basis to build positive relationships and promote learning.
- Established strong relationships with parents through regular communication, fostering trust and collaboration for their child''s development.
- Applied play-based strategies to provide diverse approaches to learning.
- Observed children to identify individuals in need of additional support and developed strategies to improve assistance.
- Participated in professional development opportunities to stay current with best practices in early childhood education, incorporating new strategies into the classroom as appropriate.
- Improved classroom management with the implementation of positive reinforcement strategies, leading to a more conducive learning environment.
- Provided individualized support to students with diverse needs, ensuring their academic and social success within the classroom.
- Enhanced student learning by implementing interactive and creative teaching methods in the childcare setting.
- Implemented engaging hands-on activities that facilitated learning through play, promoting cognitive development among students.
- Documented daily food attendance, enrollments and withdraws and monthly food claims in state-regulated system.
- Maintained accurate records of student progress and behavior, allowing for timely interventions when necessary.
- Taught hand washing and proper use of utensils to promote good hygiene and etiquette habits.
- Actively encouraged children to develop their communication, problem-solving and social skills.
- Consulted with parents to build and maintain positive support networks and support continuing education strategies.
- Planned and executed activities to stimulate physical, social and intellectual growth.
Education
Early Childhood Education Credentials - Early Childhood Care And Education
Central Carolina Community College
Sanford, NC01-2012
High School Diploma -
Harnett Central High School
Angier, NC06-2011
Skills
- Telephone and email etiquette
- Effective communication
- Documentation review
- Credit analysis
- Cash flow analysis
- Credit policy development
- Data analytics
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Patient billing
- CPT knowledge
- Medicare and medicaid process
- Medical coding expertise
- Bill payment
- Accounts payable
- Collections management
- Quality-oriented team player
- Tempus (PaymentMate), Experity (Practice Velocity) software applications proficiency
- Files and records management
- Insurance billing
- Data entry
- Medical billing
- Insurance claims
- Medical terminology
- Claims review
- Billing and collection procedures
- Insurance claims processing
- Payment processing
- Payment transactions
- Teamwork and collaboration
- Accounts receivable
- Medical claims submission
- Electronic health record software
- Patient collections
- Account reconciliation
- Commercial and private insurance
- Patient account analysis
- Multitasking and organization
- HIPAA compliance certification
- Medical terminology expert
- Account management
- Records management
- Collection calls
- Medical record security
- Data security procedures
- Invoice processing
- Invoice coding
- Verbal and written communication
- Account follow-up
- Reimbursements
- Information inputting
- Submission of medical claims
- Encrypted data management
- Database systems
- CPT code modifiers
- Administrative support
- Customer contact
- Microsoft office
- Customer service support
Work Preference
Work Type
Full TimeLocation Preference
RemoteTimeline
Credit Specialist
Fast Pace Urgent Care
06.2021 - 12.2025
Medical Billing Specialist
FastMed Urgent Care
11.2015 - 09.2019
Childcare Assistant Teacher
Solid Start Childcare
06.2012 - 11.2015
Early Childhood Education Credentials - Early Childhood Care And Education
Central Carolina Community College
High School Diploma -
Harnett Central High School