Lesley Frazier

* Enhanced team productivity by streamlining processes and implementing time-saving strategies.

* Helped meet changing demands by recommending improvements to business systems or procedures.

* Knowledgeable in various commercial insurance plans, Medicaid, Medicare, Tricare, Etc.

* Obtained 835 files and EOP's from various payer sites and Availity, completed uploads into EHR. Worked contractual adjustments, managed billing to clients as well as to secondary payers.

* Experienced with CMS 1550.

* Followed up with denials, rejections, and insurance issues.

* Appealed and disputed claims with payers when needed.

* Worked in Simple Practice EHR.

* Provided education to billing staff of new processes.

* Excellent communication skills and collaboration with team members as well as clinicians,

* Uploading 835's and EOP's into EHR form various payer sites, Availity, and Etatctics.

* Completing contractual adjustments, managing billing of client responsibility amounts, billing secondary insurances, etc.

* Reconciling bank statements and finding any missing payments.

* Managing unapplied payments and posting to claims when paid.

* Completed Discharge Audits and completed monthly reports of follow up for AR purposes.

* Excellent communication skills with billing team and clinicians in regards to financial issues with accounts.

* Knowledgeable in denial codes and appeals.

* Experienced with many Commercial insurance plans, Medicaid, Medicare, and Tricare.

* Provided reports and needed documentation during yearly audit.

* High attention to detail, exceptionally detail oriented, and honest.

* Provided valuable feedback to noticed trends and process to improve productivity and revenue.

Worked in Carelogic and Etactics EHR Systems.

* Other billing tasks as assigned by supervisor.

* Worked with adults and children in a behavioral health setting to help manage daily needs and substance abuse issues.

* Assisted client's with accessing needed resources within the community.

* Advocated for client needs in the judicial setting, child protective agencies, and community.

* Worked with clients to develop Individual Service Plans to help meet manageable goals to improve overall stability.

* Maintained accurate documentation.

* Managed crisis situations when needed.

* Educated in Mental Health and Substance Abuse diagnosis'.

* Maintained CDCA license and education, and practiced within scope.

Excellent customer service, communication skills, and rapport with clients.