Lesley Draper

• The primary function of the Insurance Analyst was to provide best-in-class customer service to patients, Health Care Providers (HCPs) and their staff

• Verified medical and pharmacy benefits through referral and call management
• Obtained network status, benefits and authorizations.
• Identified financial assistance opportunities
• Processed and monitored prior authorizations to assist the patient in starting or continuing therapy.

• Utilized expert experience in subject matter of insurance billing, claims processing, and prior

authorizations, denials and appeals.

• Acted as liaison between payors and healthcare providers to comprehensively determine patients’ overall medical and prescription coverage.

• Oversaw the daily operations for assigned regions in Arizona, Texas and Florida Imaging Centers for medical authorizations
• Verified medical insurance and obtain authorizations for all Advanced Imaging orders
• Financially advised patient of their cost for denied tests with Self Pay promotional pricing
• Assisted with training new employees.

• Supervised and oversaw the daily operations for the authorization department for a large cardiovascular practice
• Verified and obtained medical authorizations for all tests, procedures and surgeries
• Entered billing charges
• Collections: researched and kept track of assigned accounts with outstanding debt
• Inquired on payment status, correct claims for resubmission and appeal
• Interviewed and trained new employees
• Entered and process payroll.

• Coordinated and ran daily schedules for a large cardiovascular group
• Verified benefits, obtained referrals and authorizations for all services (diagnostics testing, advanced imaging, in & outpatient surgery and admissions)
• Acted as a liaison between the medical office and corporate billing office
• Researched billing denials, submitted appeals and aided with collection efforts,
• Trained new staff.

• Functioned as a team leader
• Organized, supervised and oversaw the daily operations for patient access department
• Trained new employees
• Scheduled appointments and surgeries
• Verified insurance, eligibility and benefits, obtained notifications and authorizations
• Entered medical coding and billing information
• ICD 10 & CPT coding
• Followed up on claim denials for Collections dept.

• Coordinated the daily functions for Intake Department for my assigned region of dialysis clinics
• Verified medical insurance for dialysis in the home and pharmacy benefits
• Obtained referrals/authorizations and registered patients
• Calculated patient responsibility and collected payments
• Provided financial counseling and set up payment arrangements
• Entered charges for services
• Followed up on outstanding medical claims, researched denials and appeals
• Trained new employees.