Lauren Callis
Bedford,OH
Summary
Solid background in revenue cycle management. Also Possesses valuable expertise in streamlining billing processes and resolving claim discrepancies. Demonstrates efficiency in utilizing analytical skills and customer service to ensure optimal financial outcomes.
Overview
7
7
years of professional experience
Work History
Revenue Cycle Specialist
University Hospital and Medical Center
Cleveland, OH
04.2022 - Current
- Analyzed patient accounts to identify billing discrepancies and resolve issues promptly.
- Collaborated with healthcare providers to ensure accurate coding and documentation compliance.
- Managed claims submission process, ensuring timely filing and follow-up on denials.
- Reviewed and reconciled payment postings, improving accuracy of revenue reporting. Coveredered over all 5 radiology dept including interventional radiology and the cleveland Sideman cancer Completedeted pre-reg and precert exams based on medicaid guidelines
Claims Processor
Sedgwick Claims Management
Independence, OH
01.2019 - 04.2022
- Processed claims by reviewing documentation for accuracy and completeness
- Assisted in data entry using claims management software
- Learned company policies and procedures to ensure compliance
- Communicated with clients to gather necessary information for claim resolution
- Processed disability and LOA claims for Walmart employees
- Documented calls and communicated with case manager as needed.
Education
High School Diploma -
Maple Hieghts
Maple Heights, OH06.2012
Skills
- Claims review
- Claims processing proficiency
- HIPAA compliance
- Professionalism and ethics
- Patient registration
- Insurance verification
- Paperwork management
- Verifying insurance
- Problem-solving
- Time management
- Problem-solving abilities
- Multitasking
- Reliability
Timeline
Revenue Cycle Specialist
University Hospital and Medical Center
04.2022 - Current
Claims Processor
Sedgwick Claims Management
01.2019 - 04.2022
High School Diploma -
Maple Hieghts