Lauren Barnes
Monroe,GA
Summary
Driven by a results-focused approach, I leveraged my expertise in medical billing and analytical problem-solving at Northeast Georgia Medical Center to enhance revenue through meticulous billing audits and efficient claims processing. My professionalism and ethical standards facilitated effective training and cross-departmental liaison, significantly improving workflow and compliance.
Overview
9
9
years of professional experience
Work History
Revenue Cycle Specialist
Northeast Georgia Medical Center
07.2015 - 04.2016
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
- Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
- Ensured accurate billing with thorough audits of patient accounts and insurance claims.
Medicaid Billing Specialist
Northeast Georgia Medical Center
01.2011 - 07.2015
- Served as a reliable source of information for colleagues regarding changes to Medicaid policies or procedures, promoting a well-informed team environment.
- Prevented revenue loss by quickly identifying trends or patterns in denied claims, taking corrective action accordingly.
- Streamlined the billing process for improved efficiency through implementing better organization and filing systems.
- Regularly audited client records to ensure proper coding and adherence to state guidelines.
- Supported management with ad hoc reporting requests related specifically to Medicaid reimbursement performance.
- Collaborated with healthcare providers to obtain necessary documentation for accurate billing and reimbursement.
- Maintained up-to-date knowledge of Medicaid regulations, ensuring full compliance in all billing practices.
- Managed a high volume of cases while maintaining strict attention to detail and adhering to tight deadlines.
Medical Records Specialist
Northridge Medical Center
04.2009 - 01.2011
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Coordinated responses to subpoenas and other legal requests for medical records, working closely with legal counsel as necessary to protect patient privacy rights.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Uploaded physician progress notes, history, and physicals into electronic medical records.
- Reviewed charts and flagged incomplete or inaccurate information.
- Kept accurate log of requests for medical information and records.
- Followed up with patients about medical and healthcare processes.
- Oversaw insurance cost reporting.
- Managed electronic medical records for [Number] patients.
- Provided outstanding customer service to patients requesting copies of their medical records or seeking assistance with related inquiries.
- Created new medical records and retrieved existing medical records by gathering appropriate record folders and contents and assigning and recording new record numbers.
Front Desk Receptionist
Athens Regional Urgent Care
02.2007 - 05.2008
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
- Scheduled, coordinated and confirmed appointments and meetings.
- Delivered outstanding first impressions by warmly greeting visitors upon arrival at the front desk.
- Managed high-volume phone calls, directing inquiries to appropriate personnel for prompt resolution.
- Answered multi-line phone system and transferred callers to appropriate department or staff member.
- Collected room deposits, fees, and payments.
- Enhanced customer satisfaction by providing efficient and professional front desk services.
- Scheduled appointments accurately using reservation software, reducing conflicts or doublebookings.
- Supported administrative tasks such as filing, data entry, and document preparation for more efficient office workflow.
Front Office Receptionist
Benchmark Physical Therapy
01.2007 - 07.2007
- Reduced wait times for callers, promptly answering phone lines and directing calls as needed.
- Interacted with customers by phone, email, or in-person to provide information.
- Maintained clean reception area to promote positive, professional environment for clients.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Ensured a welcoming atmosphere for guests with efficient check-in and check-out procedures.
- Answered multi-line phone system and enthusiastically greeted callers.
Education
High School Diploma -
Jefferson High School
Jefferson, GA05.2007
Skills
- Claims review
- Claims Processing Proficiency
- HIPAA Compliance
- Professionalism and Ethics
- Patient Registration
- Insurance Verification
- Paperwork management
- Verifying insurance
- Denial Management
- Medical Billing Expertise
- Analytical Problem Solving
- Accounts receivable management
- Managing records
Timeline
Revenue Cycle Specialist
Northeast Georgia Medical Center
07.2015 - 04.2016
Medicaid Billing Specialist
Northeast Georgia Medical Center
01.2011 - 07.2015
Medical Records Specialist
Northridge Medical Center
04.2009 - 01.2011
Front Desk Receptionist
Athens Regional Urgent Care
02.2007 - 05.2008
Front Office Receptionist
Benchmark Physical Therapy
01.2007 - 07.2007
High School Diploma -
Jefferson High School