Summary
Overview
Work History
Education
Skills
Accomplishments
Work Preference
Timeline

LILLIAN BUSBY

HUMBLE

Summary

I am a highly skilled and analytical Medical Claims and Billing professional with strong chart auditing and application of federal standards for appropriate coding practices. Who is always looking forward to learning new procedures to be able to contribute in helping the company reach its goal and be successful. Certified Phlebotomist well versed in venipuncture, capillary puncture and special collection procedures. Detail-oriented and committed to maintaining highest quality control and patient care standards. Adept in variety of software applications for EMR maintenance.

Overview

15
15
years of professional experience

Work History

Phlebotomy Technician

BioReference Laboratories
09.2020 - 05.2023
  • Medical billing & Coding January

Phlebotomy Technician

Quest Diagnostics
03.2008 - 05.2020
  • Analyzes accounts for errors, adjustments and credits, issuing corrected entries when necessary
  • Updates account information accordingly
  • Communicates with other hospital departments: Medical Records, Business Office, Accounting, Labs, Physical Therapy, Infusion suites, Radiology and Materials Management to clarify coding or charges needed to complete billing process
  • Call Insurance Companies and/or patients to obtain missing or necessary information to complete the billing process
  • Maintains working knowledge of ICD9 and CPT4 codes for specified services rendered
  • Monitors regulations set in place by compliance programs to maintain conformity
  • Review treatment and/or encounter dates for Medicare & Medicaid claims to ensure compliance of governmental regulations
  • Utilizes computer skills of various software packages: Microsoft Office, Excel, Word, Power Point Electronic billing, System on-line reporting programs, Electronic Mail, data base management and systems/mainframe/file server applications
  • Utilize TDH online Medicaid eligibility systems to verify correct recipient numbers and Medicare DDE online system to verify information prior to billing, enter a correction or void claims.

Education

Master of Arts - Master of Arts in Education/Elementary Teacher Edu

University of Phoenix, Tempe, AZ
09.2025

Bachelor of Science - Medical Business

University of Phoenix, Tempe, AZ
03.2023

Associate of Science - Medical Management

DeVry University, Villa Park, IL
08.2020

Associate of Applied Science - Medical Assisting

National Institute of Technology, Houston, TX
12.1998

Skills

  • SKILLS & ABILITIES
  • Extensive knowledge of ICD-9 CPT4 HCPCS and DRG billing and coding
  • Good knowledge of medical and surgical terminology and disease process as related to coding
  • Excellent interpersonal and oral communication skills
  • Efficient medical documentation auditing for code appropriateness and guidelines
  • Thorough understanding of contract Medicaid and Medicare reimbursement terminology
  • Above-average auditing skills
  • Donor Suitability Determination
  • File Documents

Accomplishments

  • Improved blood collection process by preparing supplies to match patient load.
  • Educated 10 phlebotomy students on venipuncture and capillary puncture techniques.
  • Maintained compliance with OSHA, HIPAA and CLIA standards.
  • Oversaw team of 6 phlebotomists in lab processing over 250 samples daily.

Work Preference

Work Type

Full TimeContract Work

Work Location

RemoteHybrid

Important To Me

Company CultureCareer advancement401k matchPaid time offPaid sick leaveHealthcare benefitsFlexible work hoursWork from home option

Timeline

Phlebotomy Technician - BioReference Laboratories
09.2020 - 05.2023
Phlebotomy Technician - Quest Diagnostics
03.2008 - 05.2020
University of Phoenix - Master of Arts, Master of Arts in Education/Elementary Teacher Edu
University of Phoenix - Bachelor of Science, Medical Business
DeVry University - Associate of Science, Medical Management
National Institute of Technology - Associate of Applied Science, Medical Assisting

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LILLIAN BUSBY