LAWANNA RISER
Merck Access Program (MAP)
Garland,Texas
1
Certification
23
years of professional experience
Compassionate and detail-oriented healthcare professional with experience supporting patients, providers, and healthcare organizations through patient access, claims processing, insurance verification, medical documentation, and customer service. Skilled in benefits investigation, prior authorizations, appeals support, reimbursement processes, revenue cycle operations, and HIPAA-compliant documentation. Proven ability to communicate effectively with patients, providers, pharmacies, and payers while maintaining accuracy and delivering exceptional service. Experienced in high-volume call center environments, EHR/EMR systems, and healthcare administrative operations.
Work History
Patient Access Program Support / Case Management Support
8 Months- Assist patients and healthcare providers with enrollment and prescription assistance processes.
- Conduct insurance benefit investigations to verify coverage, copays, deductibles, and prior authorization requirements.
- Support prior authorization requests by gathering required clinical documentation.
- Assist with appeals and claim-related documentation following denials.
- Educate patients regarding copay assistance programs, specialty pharmacy procedures, and financial assistance resources.
- Coordinate communication among providers, pharmacies, payers, and patients to facilitate access to therapy.
- Maintain detailed and accurate case documentation while ensuring HIPAA compliance.
Outpatient Tele Scribe
2 Months- Document patient encounters in real time within EHR systems.
- Record patient histories, assessments, treatment plans, medication updates, and follow-up instructions.
- Maintain accurate clinical documentation while supporting provider workflow efficiency.
- Ensure compliance with HIPAA and healthcare documentation standards.
Receptionist
2 Months- Managed high-volume inbound and outbound customer calls.
- Scheduled appointments and coordinated client communications.
- Maintained confidential records and documentation.
- Provided exceptional customer service while handling sensitive information.
- Performed administrative support, scanning, filing, and cash reconciliation duties.
Medical Billing & Coding Extern / Quality Assurance
2 Years 3 Months- Reviewed provider charges, medical records, and billing documentation for accuracy.
- Verified CPT and HCPCS coding documentation and claim support materials.
- Assisted with compliance reviews and quality assurance processes.
- Prepared supporting documentation for accident-related claims.
- Trained and assisted new interns during onboarding.
Online Marketing & Customer Service Representative
3 Years 4 Months- Managed inbound and outbound customer communications.
- Maintained CRM records and customer databases.
- Resolved customer inquiries and provided account support.
- Performed high-volume data entry and documentation management.
- Developed strong communication and relationship-building skills.
Claims Analyst I
5 Years 4 Months- Processed Medicare Part A and Section 1011 claims according to CMS guidelines.
- Investigated claim edits and resolved reimbursement issues.
- Maintained patient confidentiality and documentation accuracy.
- Trained staff on claims processing procedures and quality standards.
- Collaborated with internal teams to improve claims workflow efficiency.
Data Entry Technician
4 Years 2 Months- Processed high-volume Medicare claims with accuracy and attention to detail.
- Reviewed, sorted, and batched claims for processing.
- Assisted with employee training and quality improvement initiatives.
- Supported CMS compliance and documentation requirements.
Education
Medical Billing & Coding
Enrolled as of May 5, 2026
Medical Billing & Coding Certificate
Skills
EHR/EMR Systems
Medical Billing Software
CRM Systems
Microsoft Office Suite
Outlook
Slack
Trello
Medicare Claims Processing
HIPAA Compliance
ICD-10-CM
CPT
HCPCS
Insurance Verification
Prior Authorization Support
Appeals Processing
Revenue Cycle Operations
Records management
Medical terminology
Insurance coverage verification
Documentation skills
Data entry
Microsoft office
Teamwork and collaboration
Insurance claim forms review
Coverage determination
Critical thinking
Information verification
Claims processing
Patient rapport
Claims adjustment
Data entry software
Eligibility determination
Prior authorization processing
Documentation processing
10-key touch
Organizing and prioritizing work
Appointment scheduling
Problem-solving abilities
Multitasking
Claims investigation
Multitasking Abilities
Team collaboration
Relationship building
Computer proficiency
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Documented and resolved [Issue] which led to [Results].
- Achieved [Result] by completing [Task] with accuracy and efficiency.
- Achieved [Result] by introducing [Software] for [Type] tasks.
- Collaborated with team of [Number] in the development of [Project name].
- Achieved [Result] through effectively helping with [Task].
Certification
- ICD-10-CM Diagnosis Coding Training
- Revenue Cycle Management in Healthcare
- Intro to Electronic Health Records (EHR)
- Medical Billing & Revenue Cycle Management
- CPT Coding Guidelines
- ICD-10-CM Medical Coding & Billing
Languages
English
Native or Bilingual
Timeline
Patient Access Program Support / Case Management Support
Merck Access Program (MAP)
10.2025 - CurrentRead More
Outpatient Tele Scribe
Scribe America
06.2025 - 08.2025Read More
Receptionist
H&R Block
02.2025 - 04.2025Read More
Medical Billing & Coding Extern / Quality Assurance
JDM Records
08.2022 - 11.2024Read More
Online Marketing & Customer Service Representative
RRR247.com
04.2019 - 08.2022Read More
Claims Analyst I
Trailblazer Health Enterprises LLC
06.2007 - 10.2012Read More
Data Entry Technician
Trailblazer Health Enterprises LLC
04.2003 - 06.2007Read More
Southern Careers Institute
Medical Billing & Coding Certificate
Read More
American Association of Professional Coders
Medical Billing & Coding
Read More