Lesa Skinner
Bartlesville,United States
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Preauthorization Coordinator
Ascension St. John Hospital
Bartlesville, OK
01.2020 - 12.2023
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
- Liaised with insurance companies to obtain pre-authorizations for procedures and medications.
- Monitored and tracked the status of pending insurance verifications and authorizations.
- Resolved insurance-related issues and discrepancies to prevent claim denials.
- Completed relevant insurance and other claim forms.
- Developed and maintained professional relationships with insurance representatives.
- Conducted follow-ups with insurance companies to expedite verification processes.
- Ensured HIPAA compliance through secure handling of confidential patient information.
Medical Coder
Holland & Robertson ENT
Bartlesville, OK
04.2018 - 01.2020
- Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
- Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
- Verified accuracy of procedure codes to ensure proper reimbursement levels.
- Researched discrepancies between documentation and billing information in order to resolve any issues prior to submission.
- Adhered to all HIPAA regulations while handling confidential patient information.
- Collected, counted and disbursed money to complete basic bookkeeping and banking transactions.
Medical Coder
Primary Care Associates Bartlesville ok
Bartlesville, OK
07.2015 - 03.2018
- Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
- Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
- Verified accuracy of procedure codes to ensure proper reimbursement levels.
- Researched discrepancies between documentation and billing information in order to resolve any issues prior to submission.
- Adhered strictly to HIPAA regulations when handling confidential customer information.
Certified Medical Coder, Administrative Assistant
Ceres Medical Practice Management
Bartlesville , OK
06.2011 - 02.2014
- Reviewed medical records and assigned appropriate codes to diagnoses, treatments, procedures, and services rendered by healthcare providers.
- Analyzed patient data for accuracy and completeness of information.
- Researched coding guidelines and regulations to ensure accurate coding practices.
- Assigned ICD-10-CM diagnosis codes as well as CPT procedure codes for billing purposes.
- Maintained accurate records of employees' hours worked, including overtime and vacation time.
- Monitored employee attendance to ensure compliance with company policies.
- Assisted in the preparation of payroll reports on a weekly basis.
- Ensured HIPAA compliance when handling confidential patient information
- Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
- Composed letters, memos, reports, emails, presentations and other written correspondence as required by management staff.
Billing Coordinator
Deborah J. Meyer, M.D.
Houston, TX
03.1994 - 09.1996
- Analyzed customer accounts to identify discrepancies and resolve billing issues.
- Created and maintained accurate customer records in database system.
- Processed invoices, credit memos, and other financial documents.
- Reconciled accounts receivable ledger against general ledger entries.
- Responded promptly to customer inquiries concerning services, bills, payments.
- Input details into accounts and tracked payments.
- Submitted appeals on behalf of patients for denied claims.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Managed all payments processing, invoicing and collections tasks.
Education
Certified Medical Coder
Tri-county Tech
Bartlesville, OK04-2011
High School Diploma -
Sooner High
Bartlesville, OK05-1979
Skills
- Information Collection
- Recordkeeping
- Data Entry
- Business Administration
- Document Management
- Document Control
- Medical Billing
- Discretion and Confidentiality
- Accounts reconciliation
- Medical Terminology
- Insurance Verification
- MS Office
- Professional Networking
Certification
- Certified Professional Coder
Timeline
Preauthorization Coordinator
Ascension St. John Hospital
01.2020 - 12.2023
Medical Coder
Holland & Robertson ENT
04.2018 - 01.2020
Medical Coder
Primary Care Associates Bartlesville ok
07.2015 - 03.2018
Certified Medical Coder, Administrative Assistant
Ceres Medical Practice Management
06.2011 - 02.2014
Billing Coordinator
Deborah J. Meyer, M.D.
03.1994 - 09.1996
Certified Medical Coder
Tri-county Tech
High School Diploma -
Sooner High
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