Lena Shockley
Sanger,TX
Summary
- Accomplished Medical Biller with a proven track record at Rise Integrated Healthcare Solutions, adept in insurance claims and fostering effective team collaboration.
- Excel at reducing claim denials and enhancing revenue collections through meticulous insurance verification and strategic appeals.
- Demonstrates exceptional CPT knowledge and communication skills, significantly improving billing operations and compliance.
- Outgoing and organized, with solid foundation in medical terminology and patient care standards.
- Knowledge of healthcare billing procedures and proficient in coding and insurance claim processing.
- Dedicated to improving billing accuracy and efficiency to support healthcare providers.
- Developed skills in billing, coding, and claim processing within healthcare environment.
- Excited to bring strong foundation in administrative and analytical functions to new industry.
Overview
16
16
years of professional experience
Work History
Medical Biller
Rise Integrated Healthcare Solutions
09.2023 - Current
- 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.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Delivered timely and accurate charge submissions.
- Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
Medical Biller/Office Manager
Allied Medical and Urgent Care
08.2014 - 09.2023
- 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.
Medical Biller/Office Manager
Texas Medical Evaluators
11.2008 - 08.2014
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Oversaw office budget, ensuring all expenditures were within allocated funds and identifying cost-saving opportunities.
- Developed and enforced office policies that aligned with company values and regulatory requirements, maintaining compliance.
- Resolved office disputes swiftly and equitably, maintaining harmonious workplace.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
Education
High School Diploma -
Krum High School
Krum, TX05-1987
Skills
- Medical insurance billing
- Electronic claims
- CPT knowledge
- Billing and collection procedures
- Patient billing
- Accounts receivable
Timeline
Medical Biller
Rise Integrated Healthcare Solutions
09.2023 - Current
Medical Biller/Office Manager
Allied Medical and Urgent Care
08.2014 - 09.2023
Medical Biller/Office Manager
Texas Medical Evaluators
11.2008 - 08.2014
High School Diploma -
Krum High School
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