Leslye Sullivan
Cordova,Tennessee
Summary
Goal-driven Receptionist/Scheduler with extensive background managing busy reception areas and multi-line telephone systems. Security-conscious and astute in control of confidential documentation.
Overview
16
16
years of professional experience
Work History
Insurance Verification Specialist
Guided Practice Solutions
Jonesboro, AR
10.2023 - Current
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Provided timely follow up with payers regarding payment status of claims.
- Assisted in resolving claim issues related to billing and reimbursement inquiries.
- Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
- Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
- Processed manual claims when necessary due to incorrect or incomplete information from providers or patients.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Evaluated policies and procedures related to Insurance Verification activities.
- Collaborated with internal staff members such as Billing Specialists, Medical Coders., to resolve any discrepancies in patient's insurance information.
- Participated in training sessions on new software programs used for verification purposes.
- Updated patient and insurance data and input changes into company computer system.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Accessed third-party insurance databases to identify coverage of benefits.
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
- Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
- Transmitted medical records and other correspondence by mail, e-mail, or fax.
- Scheduled and confirmed patient appointments and consultations.
- Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
- Performed bookkeeping duties, preparing and sending financial statements or bills.
Scheduler/Receptionist
Erica Polk DDS
Memphis, TN
12.2018 - 08.2023
- Arranged documents for insurance claims.
- Verified, updated and entered patient information into system.
- Answered and managed incoming calls and emails.
- Maintained master calendar and scheduled new appointments based on provider availability.
- Collected payments from patients and arranged payment schedules.
- Demonstrated proficiencies in telephone, e-mail, fax and front-desk reception within a high-volume environment.
- Scheduled cleanings and dental appointments for patients using Dentrix.
Coordinator
Nike
Memphis, TN
11.2008 - 12.2018
- Completed quarterly employee performance evaluations to identify deficiencies and recommend improvement strategies.
- Managed administrative processes and prepared key reports and documentation.
- Automated office operations, managing client correspondence, supplier record tracking and data communications.
- Demonstrated consistent operational excellence to maintain stellar office reputation.
- Delivered key projects on-time and on-budget by effectively managing resources and staff.
- Conducted new employee orientation to foster positive attitude toward organizational objectives.
- Warmly welcomed employees and guests and addressed all needs with conscientious support.
- Served as link between management and employees by handling questions, interpreting and administering contracts and helping resolve work-related problems.
- Partnered with peers and cross-functional teams to align operations with targets and strengthen internal relationships.
- Optimized personnel coverage, preparing work schedules based on staff availability and forecasted demands.
Education
Associate of Science - Health Administration
University of Phoenix
Tempe, AZSkills
- Insurance billing
- Team building
- First Aid/CPR
- Administrative support
- Customer service
- Planning and coordination
- MS Office
- Insurance Eligibility Verification
- Excel Spreadsheets
- Document Retrieval
- Appointment Coordination
- Multi-Line Telephone Systems
Timeline
Insurance Verification Specialist
Guided Practice Solutions
10.2023 - Current
Scheduler/Receptionist
Erica Polk DDS
12.2018 - 08.2023
Coordinator
Nike
11.2008 - 12.2018
Associate of Science - Health Administration
University of Phoenix
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