LINDETTA C. LAFAVOR

Work History

Northside Hospital Atlanta

08.2017 - 01.2022

Work RCX scrub within 24 hours to ensure claims are being billed as required
Work denials in Site Manager Work Driver to ensure corrections, medical records, and all other requests are handled in a timely manner
Responsible for resolution of all denials received in work driver on a daily basis
Work denial report received from Northside Business Office on a weekly basis
Ensures all task and rule breaks are resolved prior to month-end close
Monitor and completes daily charge rejection report
Informs supervisor of any trends
Responds to coding and billing inquiries from Galen, PBS and Northside Hospital billing departments within 48hours
Completed weekly voids and corrections reports sent from clinics
Communicates effectively with clinic coordinators and staff regarding charges and corrections
Work directly with the ROI department to ensure medical records requests are received daily
Researches all information needed to complete the outpatient billing process
Assists manager/coordinator when needed.
Completed routine and complex account updates to resolve problems.
Adhered to standards of quality and service as well as all compliance requirements.
Worked independently with minimal supervision.

PROGRESSIVE MEDICAL CENTER

02.2017 - 08.2017

Performed missing charge audits of daily and lab charges
Ensure charges from missing charge audit are entered and billed within 48hours
Accurately prepare, srub, and submit clean claims
Follow up on submitted claims to ensure payer acceptance
Responsible for edits, adjusting and resubmitting claims, working rejected medical insurance claims
Responsible for A/R follow up with insurance carrier due to denied, underpaid, and delinquent claims
Prepare, review, and issue patient statements
Answer and return patient phone calls and emails about account balance
Post patient payments
Verify patient insurance and input demographics.

VANTAGE

02.2011 - 12.2016

Ensure all charges are entered within 48hours
Experienced billing for Radiation Oncology
Responsible for edits and adjusting and resubmitting claims, working rejected medical insurance claims, identifying payer trends and working clearinghouse edits and rejections
Adheres to confidentiality, state, federal, and HIPPA laws and guidelines with regards to patient records and collections
Procedural Terminology code or CPT in order to get the codes properly structured
Completes special projects that may require defining problems, determining work sequence and summarizing findings
Monitors tasks to improve billing practices and increase revenue
Determines impact of program policy changes and develops action plan to comply with new billing regulations
Verify patient insurance and input demographics.

EMORY HOSPITAL MEDICINE CODING

10.2008 - 02.2011

Ensured all charges are entered within 24 hours
Corrected TES edits as they occur to ensure clean submission of charges
Developed methods to ensure that duplicate accounts are not created in FY10
Coordinated the daily basis of billing and coding functions for an assigned section of the Emory Clinic
Abstracted and coded all patient services provided by section physicians and providers
Coordinated certain billing functions such as verifying patient insurance, referrals and pre-certifications, entering provider charges assisting the patients with billing and insurance concerns and preparing regular financial reports
Assisted patients with billing problems or in making initial financial arrangements
Verifies insurance for patients and verified referrals and pre-certifications as needed
Worked with manager to formulate plan for professional development
Attends educational in-services as appropriate
Received and assemble charge forms and performs charge entry into system
Coordinates with patient information system to access/review information necessary for charge sheets and submits them to the system
Prepares regular reports; prepares daily charge and encounter reports.

EMORY SPINE CENTER

01.2005 - 10.2008

Provided positive first contact with patients
Verify patient insurance coverage and obtain patients referral information
Collected and reviewed all demographic data for each patient
Collected charge slips and co-payments and batch them appropriately
Scheduled follow up, CT/MRI appointments
Facilitated use of electronic notebook used to collect new patient intake information
Keyed daily charges for ICD-9 and CPT codes electronic claim filing
Organized and maintained departmental files according to establish procedures.

U.S. AIR FORCE TRAFFIC MANAGEMENT JOURNEYMAN

11.2000 - 12.2003

Performed, planned, and organized direct and manages traffic management activities
Used military and commercial transportation to move personnel, eligible dependents, material, and property in excess of 6,345
Packaged and arranged personal property and cargo for shipment or storage
Maintained and issues transportation documents
Used carrier tariffs and rates to determine mode and cost of commercial transportation to move personal property in excess of over 1 million dollars
Counseled personnel and eligible dependents on passenger and personal property movements.