Lee Ann Vasquez

• Supervise 6 offshore A/R team and 1 on site employee by assigning work and special projects.
• Coordinate with contract team to make sure providers are being paid correctly. Supplying updated contracts to the team for review.
• Review credentialing dates for new providers and updating Athena as necessary.
• Support performance consultants and care centers with any questions or issues as needed.
• Create and present performance presentation for care centers in order to discuss issues and denial trends.
• Create team objectives and roles with specific goals outlined for each individual care center.

• Coordinated and managed various programs or projects to achieve established objectives.
• Worked with offshore team to make sure processes and projects were completed.
• Wrote standard operating procedures for Athena processes.

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• Communicated results of audits to upper management through factual written reports and oral presentations.
• Identify training opportunities for offshore team.

• Claims follow up for Anesthesia group, check on any complexdenials and send any appeals as needed.
• Work any correspondence received, send medical records or appeal as correspondence dictates.
• Answer any billing questions patient\'s might have about their bill or how their insurance processed their claims.
• Check to see if payments were made at contract rate by the insurance companies.
• Turn in any adjustments and let supervisor know of any problems or trends that are occurring.

• Team lead commercial responsible for training new employees on NextGen software, Epic, and various websites in order to check claim status and resolve issues.
• Also responsible for follow up on workers comp, Amerivantage, Amerigroup Star MMP, Cigna, Texan First Plus, Selectcare and workers comp.
• Also responsible for helping supervisor with any additional projects as needed.
• I also mail out billing for workers comp claims by gathering all documents necessary to mail them to insurance companies.

• Responsible for following up on assigned commercial accounts, all specialties including Psychiatry.
• Also responsible for working any correspondence and communicating with insurance companies and patients to get claims paid.
• Assigned insurance companies: UHC, CHIP, Contracts, for all specialties and Psych for all commercial insurance companies
• Verified that information in the computer system was up-to-date and accurate
• Identified and resolved system and account issues.

• Responsible for entering patient demographics, charge entry, and transmitting electronic and paper claims including secondary claims.
• Responsible for posting payments
• Reviewing, and sending patients to the collection agency.
• Sent patient statements, and sent statements to our providers.
• I was also responsible for reading and correcting response files from Availity as needed.
• I have done follow-up as well as insurance verification.
• Specialties that I'm familiar with include: radiology, surgery, OBGYN, and dura- medical equipment, home health, and nursing home.
• I worked all insurances, including Medicare and Medicaid and their HMO's.
• Identified and resolved system and account issues.
• Trained coworkers and our clients on how to use our software system
• The last 4 years I had been working from home.