LAZANDRA HUNT
Las Vegas
Summary
Professional medical billing/coding expert with proven track record in financial accuracy and efficiency. I have extensive knowledge in medical billing processes and healthcare administration. Proven track record of ensuring accurate claim submissions and timely reimbursement. Known for effective communication and problem-solving skills, consistently meeting needs of healthcare providers.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Specialty Pharmacy Biller
Elevance
01.2025 - Current
- Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
- Determined proper codes for medical records and patient services.
- Managed a high volume of invoices, prioritizing workload to meet deadlines and maintain cash flow.
- Ensured compliance with relevant regulations and industry standards throughout all aspects of the billing process.
- Executed billing tasks and recorded information in company databases.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Increased revenue through timely processing of invoices and thorough follow-up on outstanding payments.
Reimbursement Analyst
UHS INC.
07.2024 - 01.2025
- Maintained up-to-date knowledge of state and federal laws governing healthcare reimbursement practices.
- Processed payments accurately and efficiently utilizing company software systems.
- Utilized problem solving skills to resolve discrepancies between submitted documents and internal databases.
- Reviewed and processed incoming claims for accuracy and completeness according to established guidelines.
- Conducted data analysis on various topics such as claim denials, appeals, overpayments.
- Analyzed medical records and insurance documentation to ensure compliance with applicable policies and regulations.
- Transmitted claims for payment and further investigation.
- Processed and recorded new insurance policies and claims.
- Calculated premiums, refunds, commissions, adjustments and new reserve requirements, using insurance rate standards.
- Processed, prepared and submitted business and government forms, such as submitting applications for coverage to insurance carriers.
MEDICAL BILLER/MEDICAL CODER
CPSI/TRUBRIDGE
07.2022 - 06.2024
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Delivered timely and accurate charge submissions.
- Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
- Reviewed and evaluated unpaid claims to determine cause of delay or denial, taking appropriate action as needed.
REMOTE ELIGIBILITY CASE REVIEWER
Insight Global
11.2021 - 06.2022
PROGRAM TECHNICIAN II
State Of California
08.2013 - 02.2021
Education
Healthcare Administration (A.A.) -
Northwest Career College
Las Vegas, NV05.2025
CPC-CERTIFIED CODING SPECIALIST - Medical Insurance Coding
JOHN HAILES MEDICAL CODING INSTITUTE
Sacramento, CA07.2024
Skills
- Medical Billing & Coding
- Medical Collections
- Medical Terminology
- Analytical experience
- Interpret and implement policies and procedures statutes, codes and regulations
- Payment posting
- Electronic Health Record Software
- Medical claims submission
- Claims review
- Records Management
- Worker’s Compensation Knowledge
- Account Reconciliation
- Accounts receivable management
- ICD-9, 10 Coding
- Patient Collections
- Payer Contracts
- Healthcare Reimbursement
- Claims Processing
- Medicare knowledge
- Denial Management
- Payment and Investigation Escalations
- Customer Service
Certification
- CPC - Certified Professional Coder
Timeline
Specialty Pharmacy Biller
Elevance
01.2025 - Current
Reimbursement Analyst
UHS INC.
07.2024 - 01.2025
MEDICAL BILLER/MEDICAL CODER
CPSI/TRUBRIDGE
07.2022 - 06.2024
REMOTE ELIGIBILITY CASE REVIEWER
Insight Global
11.2021 - 06.2022
PROGRAM TECHNICIAN II
State Of California
08.2013 - 02.2021
CPC-CERTIFIED CODING SPECIALIST - Medical Insurance Coding
JOHN HAILES MEDICAL CODING INSTITUTE
Healthcare Administration (A.A.) -
Northwest Career College
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