Lillian Madison
Medical Arbitration Specialist
Converse,TX
Summary
Knowledgeable medical professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
2026
2026
years of professional experience
4
4
years of post-secondary education
Work History
Arbitration Specialist
HaloMd
05.2025 - Current
- Collaborated with cross-functional teams to achieve project goals on time.
- Analyze claim reports to determine claims eligible for arbitration for both ERISA/NSA claims, as well as state insurance department claims.
- Prepare claims for submission to the appropriate portals for arbitration.
- Re-prioritizing key tasks and meeting with the manager and director to provide updates on findings and outcomes.
- Complete special projects, and other duties as assigned.
- Work with multiple Excel spreadsheets, using formulas, pivot tables, filters, etc.
- Using strong organizational, analytical, and problem-solving skills.
- Knowledge of the insurance industry.
- Proven success in negotiation and technical writing.
- Professionalism in all dealings, both internal and external.
- Clearly communicate, both verbally and in writing.
- Knowledge of medical terminology.
Accounts Payable Clerk
Red McCombs Ford
3 2022 - 05.2025
- Reviewed vendor invoices for appropriate documentation and validity prior to payment.
- Applied proper codes to invoices, files, and receipts to keep records organized and easily searchable.
- Prepared vendor invoices and processed incoming payments.
- Assisted manager in formulating year-end financial reports to determine financial performance of companies.
- Evaluated financial records to detect errors and discrepancies.
- Registered transactions and data on accounting database to track history and safeguard information.
- Stored office and client records on secured server to prevent data losses, conducting regular backups.
- Assisted manager in conducting internal audits to analyze findings.
- Reconciled bank accounts to verify accuracy of cash records.
- Studied past records to detect duplicate statements and fraud, avoiding penalties for non-compliance.
- Reconciled account information and reported figures in general ledger by comparing to bank account statement each month.
- Reduced financial discrepancies, effectively reconciling bank accounts and organizing information into accounting software.
- Reconciled company bank, credit card and line of credit accounts, investigating and resolving discrepancies to keep accounts audit-ready.
- Tracked financial progress by creating quarterly and yearly balance sheets.
- Managed complex problem-solving for upper management in order to complete projects on-time and within budget.
Medical Billing Coder
Universal Nursing
07.2021 - 03.2022
- Facilitated smooth transitions during staff turnover periods by training incoming Medical Billing Coders on company protocols.
- Supported practice growth by effectively managing a high volume of claims without compromising quality.
- Minimized errors in data entry by double-checking information before submitting claims to insurance companies.
- Contributed to team success through consistent collaboration and effective communication with colleagues.
- Assisted in the implementation of new billing software, leading to increased efficiency within the department.
- Managed workload effectively, prioritizing tasks based on urgency and importance to maintain timely claim submissions.
- Increased accuracy of claims submissions with thorough understanding of ICD-10, CPT, and HCPCS coding systems.
- Reduced claim denials by meticulously reviewing patient records for proper documentation.
Housing Specialist
City Of San Antonio
07.2020 - 06.2021
- Identified and recruited landlords and brokers to provide suitable and affordable units to meet clients' needs.
- Explained rental and housing regulations to clients and helped each discover best options for housing.
- Met with housing residents and landlords to answer questions, address concerns and clarify policies and procedures.
- Sought out affordable housing options and residences for people in need.
- Answered client questions about lease and rental agreements and advocated on behalf of client needs.
- Assisted applicants in filling out housing applications and verifying assets.
- Coordinated with local agencies to provide housing and prevent homelessness, decreasing homelessness 90%.
- Researched possible fraud cases by scrutinizing bank statements and reconciling statements with reported income sources.
- Maintained database of housing resources, landlords and management companies.
- Reviewed documentation and input data into computer system to complete eligibility process, re-certifications and tenant move-outs.
- Coordinated referrals and direct support for 1,600 clients.
- Helped social workers build, coordinate and lead programs supporting individuals with Covid-19 housing and income concerns.
Project Administration Assistant
Frost Bank
06.2018 - 07.2019
- Performed research to collect and record industry data.
- Developed new filing and organizational practices, saving company $600 per week in labor expenses.
- Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
- Completed forms, reports, logs and records to quickly handle all documentation for human resources.
- Volunteered to help with special projects of varying degrees of complexity.
- Built and maintained excellent customer relationships through timely response to inquiries and going above and beyond to accommodate unusual requests.
- Managed filing system, entered data and completed other clerical tasks.
- Conducted invoicing and investigated accounts receivables discrepancies.
- Liaised between clients and vendors and maintained effective lines of communication.
- Managed paper and electronic filing systems by routing various documents, taking messages and managing incoming and outgoing mail.
- Continually sought methods for improving daily operations, communications with clients, recordkeeping and data entry for increased efficiency.
- Interacted with vendors, contractors and professional services personnel to receive orders, direct activities and communicate instructions.
- Compiled 8 reports for program leaders.
Administrator
All About Jesus Ministry
07.2012 - 09.2017
- Prepared operational and salary budgets.
- Represented company at conferences and seminars to boost outreach.
- Processed employee expense reports quickly to prevent delays in payouts.
- Streamlined workflow.
- Implemented business initiatives to optimize day-to-day operations, resulting in 50% increase in productivity.
- Evaluated business data and reported o findings to inform stakeholders.
- Monitored executive and site schedules to coordinate meetings and corporate events.
- Increased revenue by 40%.
- Increased accuracy through improved processes for fiscal monitoring, payroll and operational expenses.
- Oversaw HR training, coaching, mentoring and staff retention.
- Reduced errors in accounting and financial reporting by modifying current processes.
- Observed all laws, regulations and other applicable obligations.
- Anticipated and prepared required materials for meetings.
- Drove specification, scheduling, status and review processes.
- Oversaw adequacy and soundness of organization's financial structure.
Education
Associate of Arts - Business Administration And Management
University of Phoenix Online
Online 09.2021 - Current
Skills
Medical coding knowledge
Patient account analysis
Medical terminology expert
Medical record security
New hire training
Customer relations and communications
Database administration
Bookkeeping
Spreadsheet management
Writing reports
Scheduling and calendar management
Budgeting proficiency
Accounting ledger maintenance
Sheet balancing
Timeline
Arbitration Specialist
HaloMd
05.2025 - Current
Associate of Arts - Business Administration And Management
University of Phoenix Online
09.2021 - Current
Medical Billing Coder
Universal Nursing
07.2021 - 03.2022
Housing Specialist
City Of San Antonio
07.2020 - 06.2021
Project Administration Assistant
Frost Bank
06.2018 - 07.2019
Administrator
All About Jesus Ministry
07.2012 - 09.2017
Accounts Payable Clerk
Red McCombs Ford
3 2022 - 05.2025
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