Lebria Wilson
Atlanta,GA
Summary
Experienced Patient Account Representative with over 20 years in healthcare finance and insurance verification. Specializes in optimizing payment processes, managing insurance updates, and resolving claim denials to streamline billing operations. Proficient in EOB analysis and utilizing insurance portals to enhance claim approvals and expedite payment processing.
Overview
13
13
years of professional experience
Work History
Central Appeals Rep
Lasalle Group
03.2025 - 01.2026
- Processed client appeals, ensuring compliance with company policies to support fair resolution.
- Reviewed documentation for accuracy and completeness, contributing to timely submissions and reducing errors.
- Analyzed appeal outcome trends to identify areas for process enhancement and inform best practices.
- Collaborated with team members to resolve complex case issues.
Rehabilitation Patient Account Rep II
Ernest Health
06.2023 - 11.2024
- Communicated with patients about account balances and payment options to facilitate understanding and timely payments.
- Collaborated with healthcare providers to resolve billing discrepancies efficiently.
- Processed patient accounts and verified accuracy of insurance information to ensure timely billing.
- Utilized billing software to efficiently update and maintain patient account records for accurate financial tracking.
Third Party Accounts Receivable Rep
City of Hope Cancer Center
02.2023 - 04.2023
- Processed invoices with attention to detail, ensuring accurate data entry into billing systems.
- Processed patient invoices and billing statements, ensuring timely distribution to enhance cash flow.
- Reviewed contracts to clarify billing requirements and ensure compliance with standards.
Patient Account Representative
Titan Health
Phoenix, Arizona
11.2021 - 02.2023
- Communicated with insurance companies to promptly resolve claim discrepancies, supporting revenue recovery.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Processed invoices with advanced billing software, ensuring timely payments and maintaining cash flow.
- Analyzed customer accounts to identify discrepancies, resolving billing issues to enhance accuracy.
- Analyzed billing data to identify trends and improve efficiency in workflows.
Denials Specialist Medicare
Northside Hospital
Atlanta, USA
01.2017 - 11.2021
- Reviewed denied claims to determine rejection reasons and inform corrective actions.
- Monitored assigned accounts to optimize payment resolution and identify appeal opportunities.
- Participated in interdisciplinary meetings to develop strategies for denial prevention.
- Communicated with healthcare providers to gather necessary documentation.
- Analyzed billing discrepancies to ensure accurate processing.
Customer Service Rep 2
Piedmont Experis Health Solutions
Atlanta, USA
06.2015 - 03.2021
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Provided timely resolutions to customer complaints, contributing to positive customer experiences.
- Resolved customer complaints to enhance customer satisfaction and loyalty.
- Assisted customers with billing, processed payments, set up payment plans, and supported charity applications and budget planning.
Patient Service Lead
Ascension Health
Baltimore
04.2013 - 06.2015
- Verified insurance information, collected payments, and scheduled appointments.
- Managed patient account inquiries and discrepancies, improving accuracy in billing processes.
- Resolved billing inquiries and discrepancies to enhance patient satisfaction.
- Trained and mentored team members on best practices in account handling.
- Addressed internal audit requests regarding billing records, ensuring compliance and accuracy.
Education
Associate -
Strayer University
Baltimore03-2003
High School Diploma -
Mergenthaler Vo-Tech Higj School
Baltimore, MD06-1997
Skills
- Appeal processing
- Claim analysis
- Insurance verification
- Eligibility determination
- EOBs
- Payment processing
- Workers Comp Insurance
- Revenue cycle management
- Healthcare Finance
- Healthcare systems navigation
- Account reconciliation
- Electronic health records
- Customer follow-up
- Insurance expertise
Skills
Expert, Expert, Expert, Experienced, Expert, Expert
Timeline
Central Appeals Rep
Lasalle Group
03.2025 - 01.2026
Rehabilitation Patient Account Rep II
Ernest Health
06.2023 - 11.2024
Third Party Accounts Receivable Rep
City of Hope Cancer Center
02.2023 - 04.2023
Patient Account Representative
Titan Health
11.2021 - 02.2023
Denials Specialist Medicare
Northside Hospital
01.2017 - 11.2021
Customer Service Rep 2
Piedmont Experis Health Solutions
06.2015 - 03.2021
Patient Service Lead
Ascension Health
04.2013 - 06.2015
Associate -
Strayer University
High School Diploma -
Mergenthaler Vo-Tech Higj School