LAUREN OLIVA
MASSAPEQUA,NY
Summary
Dynamic position sought at Northwell Health to leverage strong organizational skills, education, and expertise in patient account management and revenue cycle operations. Demonstrated ability to resolve billing issues, ensure accurate financial records, and maintain compliance with healthcare regulations. Committed to fostering team collaboration and achieving organizational goals through adaptability and a results-driven approach. Renowned for excellent problem-solving skills, and dedication to enhancing patient satisfaction.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Lead Patient Account Representative
Northwell Health
05.2024 - Current
- Oversaw patient account management to guarantee precise billing practices.
- Facilitated training sessions for new staff on revenue cycle policies and best practices in patient account management.
- Facilitated support for colleagues during peak periods and absences, demonstrating strong teamwork and collaboration skills.
- Ensured timely electronic bill submission to maintain compliance with established regulations.
- Established and sustained OB/GYN OneNote platform to streamline information sharing among staff.
- Supported leadership by filtering and distributing daily and weekly reports.
- Work the monthly missing delivery and circumcision report for the OB/GYN service line.
Senior Patient Account Representative
Northwell Health, Revenue Cycle
01.2023 - Current
- Performed charge review and entry for all providers in the practice in a timely manner.
- Managed edits on rejected charges and investigated all denied claims.
- Verified insurance eligibility for Medicare and commercial payers.
- Resolved billing issues in a timely manner for both insurance companies and the patients.
- Process and complete any necessary reports to increase daily productivity, i.e., Annual wellness eligibility, missing charge, and insurance eligibility reports.
- Assist leadership with the training new employees on organizational processes, policies, and systems used by the department to effectively complete the daily workflow.
- Assist leadership by filtering and distributing weekly reports.
Patient Account Representative
Northwell Health, Revenue Cycle
09.2022 - Current
- Performed charge review and entry for all providers in the practice in a timely manner.
- Managed edits on rejected charges and investigated all denied claims.
- Verified insurance eligibility for Medicare and commercial payers.
- Resolved billing issues in a timely manner for both insurance companies and the patients.
- Process and complete any necessary reports to increase daily productivity, i.e., Annual wellness eligibility, missing charge, and insurance eligibility reports.
- Assist leadership with the training new employees on organizational processes, policies, and systems used by the department to effectively complete the daily workflow.
Associate Patient Account Representative
Northwell Health, Revenue Cycle
05.2022 - Current
- Performed charge review and entry for all providers in the practice in a timely manner.
- Managed edits on rejected charges and investigated all denied claims.
- Enter surgeries in GECB and Patient Keeper.
- Contacted the insurance companies and obtain authorization for procedures that require authorization.
- Verified insurance eligibility for Medicare and commercial payers.
- Resolved billing issues in a timely manner for both insurance companies and the patients.
- Process and complete any necessary reports to increase daily productivity, i.e. Annual wellness eligibility, missing charge, and insurance eligibility reports.
Associate Patient Account Representative
Northwell Health, NHPP
11.2020 - 05.2022
- Performed charge review and entry for all providers in the practice in a timely manner.
- Managed edits on rejected charges and investigated all denied claims.
- Enter surgeries in GECB and Patient Keeper.
- Contacted the insurance companies and obtain authorization for procedures that require authorization.
- Verified insurance eligibility for Medicare and commercial payers.
- Resolved billing issues in a timely manner for both insurance companies and the patients.
- Process and complete any necessary reports to increase daily productivity, i.e. Annual wellness eligibility, missing charge, and insurance eligibility reports.
CPP Representative
Northwell Health
04.2019 - 11.2020
- Consistently reviews registration information according to CPP policies and procedures
- Verifies insurance coverage on a timely basis when appropriate.
- Demonstrates good judgment when explaining physician or department’s policy for point of service payments.
- Assists patients or guarantors in answering their questions.
- Maintains good relationship among the physicians, patients, and guarantors
- Maintains a polite attitude when assisting patients or guarantors
- Am a member of the events committee
Practice billing associate
Northwell Health
07.2017 - 04.2019
- Entered charges for all sonograms, doctors consults and genetic counseling appointments in a timely manner.
- Contacted the insurance companies and obtain authorization for procedures that require authorization.
- Entered patient appointments in Sorian.
- Submitted charges through All Scripts.
- Worked various reports on stockamp.
- Assisted patients via phone and in office with billing inquiries
- Performed various other office duties
Medical billing and collections
Continued Care of Long Island
11.2009 - 06.2017
- Durable medical equipment billing and collections
- NYS Medicaid prior authorizations and claims entry
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Verified patients' eligibility and claims status with insurance agencies.
- Diligently filed and followed up on third party claims.
- Obtain prior authorizations for durable medical equipment.
- Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party requirements regarding billing.
- Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
- Submitted electronic/paper claims documentation for timely filing.
- Precisely evaluated and verified benefits and eligibility.
- Identified and resolved patient billing and payment issues.
- Confidently and adeptly handled claim denials and/or appeals.
Medical biller
Cold Spring Hills Center for nursing and rehabilitation
02.2009 - 10.2009
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Collected Medicaid spend down checks
- Processed Payment
- Data Entry
File Clerk
Cold Spring Hills Center for Nursing and Rehabilitation
07.2008 - 02.2009
- Filed patient's notes in nursing charts
- Arranged transportation for patients
- Data entry
- Various office duties
Education
Certificate - Medical Billing and Coding
Nassau Boces
Westbury, NY05.2005
Associate of Science - Medical Laboratory Technology
Farmingdale State University
Farmingdale, NY08.2003
Skills
- Insurance verification
- Medical terminology knowledge
- Team collaboration
- Report generation
- Flexible and adaptable
- Multitasking Abilities
- Reliability
- Decision-making
- Attention to detail
- Teamwork
Certification
- American Society for Clinical Pathology Certified Medical Laboratory Technician
- Medical Laboratory Technology Certified MLT-American Society for Clinical Pathologists
Timeline
Lead Patient Account Representative
Northwell Health
05.2024 - Current
Senior Patient Account Representative
Northwell Health, Revenue Cycle
01.2023 - Current
Patient Account Representative
Northwell Health, Revenue Cycle
09.2022 - Current
Associate Patient Account Representative
Northwell Health, Revenue Cycle
05.2022 - Current
Associate Patient Account Representative
Northwell Health, NHPP
11.2020 - 05.2022
CPP Representative
Northwell Health
04.2019 - 11.2020
Practice billing associate
Northwell Health
07.2017 - 04.2019
Medical billing and collections
Continued Care of Long Island
11.2009 - 06.2017
Medical biller
Cold Spring Hills Center for nursing and rehabilitation
02.2009 - 10.2009
File Clerk
Cold Spring Hills Center for Nursing and Rehabilitation
07.2008 - 02.2009
Associate of Science - Medical Laboratory Technology
Farmingdale State University
Certificate - Medical Billing and Coding
Nassau Boces
Extras
Cabinet member of the Communications committee.
Member of Well Connected BERG, Women of Northwell BERG, N-Able BERG, and Expressions BERG