Lillian Grier
Winston-Salem,NC
Summary
Seasoned Insurance Specialist with 4 years of experience in patient financial services and insurance claims management. Skilled in patient registration, insurance verification, and providing exceptional customer service. Seeking to leverage expertise in claims resolution and medical coding to contribute to a dynamic insurance team.
Overview
5
5
years of professional experience
Work History
Service Center Switchboard Operator
Atrium Health Wake Forest Baptist
08.2024 - Current
- Provides a wide range of services to patients, hospital employees and staff, and the public including answering and routing switchboard calls, updating telephone and pager numbers in the switchboard software, and maintaining on-call schedules
- Provides backup coverage for the Customer Service Representatives in the Service Response Center by receiving and dispatching service requests
- Identifies callers' needs by soliciting information to handle requests efficiently
- Follows up with clinical departments related to schedule discrepancies and missing data
- Assists Pathology by acting as a third-party witness to sensitive after-hours discussions with family members related to autopsies
Patient Access Specialist
Novant Health
10.2021 - 07.2024
- Conduct patient pre-registration, registration, and verification, ensuring accurate collection and processing of demographic and financial data
- Communicate financial responsibilities to patients and handle point-of-service fee collection when necessary
- Submit insurance claims, collaborating with healthcare providers to maintain accurate and timely submissions
- Perform documentation audits to comply with payer requirements, including Medicare, ensuring medical necessity and plan of care are properly recorded
Insurance Specialist/Customer Service
Chime Solutions
06.2020 - 09.2021
- Managed inbound and outbound communication, effectively resolving account discrepancies and delivering high-quality customer service
- Communicated professionally with patients and insurance providers to address concerns related to outstanding balances, benefits, and billing inquiries
- Furnished accurate quotes for services and identified financial resources for clients, adhering to established policies and procedures
- Collaborated with Claims and Collections departments to support patient billing and payment processes, contributing to improved cash flow
Education
Diploma - Medical Office Administration - Outpatient Coding
Forsyth Technical Community College
08.2021
Certificate of Completion - Medical Office Administration - Advanced Medical Office Coding
Forsyth Technical Community College
12.2020
Skills
- Knowledge of Insurance Plans and Coordination of Benefits
- Medical Records
- Medical Office Administration
- Data Entry
- Analyzed
- Insurance Processing
Timeline
Service Center Switchboard Operator
Atrium Health Wake Forest Baptist
08.2024 - Current
Patient Access Specialist
Novant Health
10.2021 - 07.2024
Insurance Specialist/Customer Service
Chime Solutions
06.2020 - 09.2021
Diploma - Medical Office Administration - Outpatient Coding
Forsyth Technical Community College
Certificate of Completion - Medical Office Administration - Advanced Medical Office Coding
Forsyth Technical Community College
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