Lilianna Arteaga
Lagrange,KY
Summary
Detail-oriented Payment Integrity Analyst with experience reviewing healthcare claims, investigating discrepancies and maintaining records across multiple systems. Brings strong deadline adherence, system navigation, and a consistent focus on quality, efficiency, positive working relationships and performance goals.
Overview
10
10
years of professional experience
Work History
Payment Integrity Analyst- Newborn
Machinify INC
La Grange, Kentucky
03.2023 - Current
- Analyzed healthcare claims data using Machinify platform workflows.
- Investigated claim discrepancies across provider and payer.
- Ensured accuracy of records for all data collected during investigations.
- Maintained positive working relationship with fellow staff and management.
- Identified needs of customers and clients promptly and efficiently.
- Achieved performance targets to enhance team productivity.
- Organized workload to prioritize and manage tasks effectively.
Payment Integrety Validation Specialist
The Rawlings Group
Lagrange , KY
07.2022 - 03.2023
- Contributed to AHRP and P3E projects.
- Applied HIPAA standards during confidential record handling
- Met tight deadlines to satisfy client demands and project timelines.
- Met customer call guidelines for quality and productivity.
- Utilized multiple computer systems to streamline workflow.
- Accurately document data gathered.
Server
Cracker Barrel Server, Cracker Barrel
09.2018 - Current
- Displayed enthusiasm and promoted excellent service to customers, successfully increasing referrals, and walk-in business.
- Answered customers' questions, recommended items, and recorded order information.
- Maintained order efficiency and accuracy through clear communication with kitchen staff, earning numerous recommendations from satisfied customers.
- Resolved customer complaints promptly and professionally to maintain positive reputation.
Veterinarian Assistant/Receptionist
Countryside Animal Hospital
08.2016 - 12.2021
- Provided pet owners with excellent customer service and compassionate care for animals.
- Assisted veterinarians with restraining animals during examinations to assess injuries.
- Administered medications to animals in treatment and documented changes in condition.
- Positioned animals for diagnostic imaging such as x-rays and scans.
- Collected patient biopsies and blood samples for laboratory analysis.
- Groomed and bathed animals to maintain hygiene and appearance.
- Answered owner animal health questions and advised on best care practices.
- Scheduled appointments, answered phones, billed customers for services and maintained inventory to maximize office productivity.
Education
AS - Science
Jefferson Community And Technical College
Carrollton Ky11-2019
High School Diploma -
Trimble County High School
Bedford, KY05-2017
Bachelor of Science - Business Finance
University of Louisville
Louisville, KY10-2026
Skills
- Effective Communication
- Filing Experience
- Customer Service
- Phone Etiquette
- Computer Skills
- Claims review
- Record keeping
- Problem solving
- Attention to detail
- Continuous improvement
- Deadline adherence
- Positive working relationships
Timeline
Payment Integrity Analyst- Newborn
Machinify INC
03.2023 - Current
Payment Integrety Validation Specialist
The Rawlings Group
07.2022 - 03.2023
Server
Cracker Barrel Server, Cracker Barrel
09.2018 - Current
Veterinarian Assistant/Receptionist
Countryside Animal Hospital
08.2016 - 12.2021
AS - Science
Jefferson Community And Technical College
High School Diploma -
Trimble County High School
Bachelor of Science - Business Finance
University of Louisville