LELA BURTON-HARPER
Gaston,SC
Summary
Dynamic Medical Billing Specialist with proven expertise at Meduit in processing claims and ensuring HIPAA compliance. Adept at resolving discrepancies and enhancing workflow efficiency. Strong communication skills complemented by a solid foundation in payment posting and insurance verification, driving successful outcomes in fast-paced environments.
Overview
14
14
years of professional experience
Work History
Medical Billing Specialist
Meduit
08.2022 - Current
- Processed medical claims using advanced billing software, ensuring compliance with insurance regulations.
- Reviewed patient accounts for accuracy, identifying discrepancies and resolving issues efficiently.
- Collaborated with healthcare providers to gather necessary documentation for timely claim approvals.
- Analyzed billing procedures, recommending improvements to enhance workflow efficiency and reduce errors.
Customer Service Representative
Radial
01.2019 - 08.2022
- Resolved customer inquiries through direct communication, ensuring satisfaction and retention.
- Processed orders accurately using company-specific software to maintain operational efficiency.
- Collaborated with team members to streamline workflows, enhancing service delivery standards.
- Managed escalated customer issues, providing timely resolutions and maintaining positive relationships.
- confirm customer orders and shipment status.
- assist with placing online orders
- create return labels and escalation tickets
- troubleshoot technical issues
- process payments
- averaged 75 calls per day
Insurance Specialist
Alight Solutions
03.2018 - 03.2019
- Managed benefits administration processes, ensuring compliance with regulations and company policies.
- Collaborated with HR team to streamline onboarding processes related to benefits enrollment and education.
- assist employees with benefit claim issues and changes
- Managed claims processing, ensuring compliance with regulatory standards and company policies.
Customer Service Representative
Iqor
04.2012 - 02.2018
- Resolved customer inquiries through direct communication, ensuring satisfaction and retention.
- proven ability succeed in fast paced environment
- strong communication skills
- data entry
- handle calls with friendly courteous touch while following strict procedures for handling various types on inquiries.
Education
Central Piedmont Community College
Charlotte, NC08-2008
Victory Christian Center
Charlotte, NC06-2006
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
Timeline
Medical Billing Specialist
Meduit
08.2022 - Current
Customer Service Representative
Radial
01.2019 - 08.2022
Insurance Specialist
Alight Solutions
03.2018 - 03.2019
Customer Service Representative
Iqor
04.2012 - 02.2018
Central Piedmont Community College
Victory Christian Center