Linda Lynn
Sherloq solutions
Pittsburgh,PA
13
years of professional experience
Specialist in medical billing and revenue cycle management with comprehensive knowledge of billing, collections, and claims review. Skilled in utilizing data analytics to identify trends and ensure compliance with healthcare regulations. Proven ability to manage patient accounts, resolve denials, and maintain productivity in a fast-paced environment.
Work History
REVENUE CYCLE SPECIALIST
1 Year 11 Months- Managed patient accounts, including billing and collections of payments.
- Monitored changes in healthcare regulations and policies that impact the revenue cycle process.
- Utilized data analytics to identify trends in denials and underpayments.
- Ensured compliance with HIPAA regulations governing patient privacy rights.
- Tracked unpaid claims to ensure timely submission of appeals when necessary.
- Managed work queue and meet productivity expectations.
- Independently worked denials including medical necessity, authorization, coding, patient demographics and timely filing.
REVENUE CYCLE SPECIALIST
1 Year 7 Months- Monitored changes in healthcare regulations and policies that impact the revenue cycle process.
- Tracked unpaid claims to ensure timely submission of appeals when necessary.
- Developed a comprehensive understanding of medical insurance claims processes, including Medicare and Medicaid.
- Managed patient accounts including billing and collection of payments.
- Managed work queue and meet productivity requirements.
- Resolved customer inquiries regarding billing statements, payment options and account balances.
MEDICAL CODING AND BILLING SPECIALIST
8 Years 11 Months- Demonstrated expertise in ICD-10 and CPT coding systems, as well as HCPCS Level II codes.
- Resolved rejected or denied claims by contacting insurance companies to correct errors or obtain additional information.
- Compiled reports on claim activity and identified trends that could impact revenue cycle management processes.
- Maintained a thorough understanding of insurance regulations, including Medicare, Medicaid, Blue Cross and Blue Shield and private insurers.
- Developed proficiency in medical terminology and anatomy to accurately assign codes for diagnoses and procedures.
- Performed data entry tasks to enter patient information into electronic health records system.
- Verified accuracy of submitted claims prior to submission to payers for reimbursement.
- Used ICD-10-CM and CPT coding to complete records.
- Reviewed medical records to assign codes according to classification systems.
- Worked several physicians accounts daily for different specialties including PCP, Mental Health, Behavior Health, Pediatrics, Substance abuse, Chiropractic and Geriatrics.
Education
Associate of Applied Science - MEDICAL BILLING AND CODING
Skills
Revenue cycle management
HIPAA compliance
Denial management
ICD-10 and CPT coding proficiency
Multitasking
Claims review
Medical billing expertise
Teamwork
Attention to detail
Medical records review
Accounts receivable management
Claims processing proficiency
Insurance verification
Timeline
REVENUE CYCLE SPECIALIST
Sherloq solutions
06.2024 - 05.2026Read More
REVENUE CYCLE SPECIALIST
Change healthcare
08.2022 - 03.2024Read More
MEDICAL CODING AND BILLING SPECIALIST
Schmidt Medical Billing
06.2013 - 05.2022Read More
Career training Academy
Associate of Applied Science from MEDICAL BILLING AND CODING
Read More