Lauren Comly
Allentown,PA
Summary
Driven professional with a proven track record and 10 years experience in RCM post-billing department at Envision Physician Services. Excelled in claims processing while reducing receivables and resolving denials, showcasing exceptional attention to detail and customer service. Leveraged investigative research and comprehensive knowledge of medical coding to enhance cash flow and exceed production standards, demonstrating a proactive approach and critical thinking. Proven track record of managing tasks autonomously with exceptional time management and problem-solving skills, while also thriving in team environments through effective communication, collaboration, and conflict resolution. Consistently deliver high-quality results whether working individually or as part of a team.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Accounts Receivable Specialist
Envision Physician Services
Conshohocken, PA
01.2018 - 06.2024
- Ensured timely reimbursement with consistent follow-up on outstanding accounts
- Enhanced cash flow by promptly and accurately processing accounts receivable transactions
- Utilized payer portals to manage and track claims, ensuring accurate documentation and reporting
- Reviewed and analyzed aging reports to identify overdue accounts and implement appropriate actions for resolution
- Resolved claim issues by analyzing claim data, identifying discrepancies, and applying appropriate corrections to ensure successful resubmission
- Prepared and submitted appeals for claim denials to appropriate payers, ensuring compliance with timely filing limits
- Maintained and applied comprehensive knowledge of payer policies and guidelines, including those for Medicare, Medicaid, and Commercial payers
- Successfully took on projects and additional tasks as assigned by supervisor, showcasing versatility and the ability to manage multiple responsibilities effectively
Correspondence Representative
Envision Physician Services
Conshohocken, PA
09.2014 - 12.2017
- Expertly managed and resolved incoming correspondence and denials from insurance companies, ensuring accurate and timely processing of claims
- Efficiently handled a high volume of incoming phone calls from payers and patients, providing exceptional customer service and support
- Conducted outbound phone calls to insurance companies to proactively resolve denial issues, minimizing delays in claim processing
- Consistently exceeded daily production and quality standards, demonstrating a commitment to excellence and efficiency
Education
Associate of Applied Science - Nursing
Lehigh Carbon Community College
Schnecksville, PA05.2013
Skills
- Claims Processing
- Investigative research
- Customer service support
- Attention to Detail
- Critical Thinking
- Proactive and Self-Motivated
- Precision and Accuracy
- Microsoft Office
- Medical terminology, ICD 10, CPT, and HCPCS coding knowledge
Certification
January 2014 - October 2014
Medical Coding course for CPC-H certification - (80% completed with over 90% passing score)
American Academy of Professional Coders (AAPC)
- Provided insight into the medical billing/coding process
- Reinforcement of medical knowledge/terminology
Timeline
Accounts Receivable Specialist
Envision Physician Services
01.2018 - 06.2024
Correspondence Representative
Envision Physician Services
09.2014 - 12.2017
Associate of Applied Science - Nursing
Lehigh Carbon Community College