Lindsay Yager
Kokomo,Indiana
Summary
Hardworking, highly motivated professional eager to lend combined knowledge and skills to enhance business performance. Operates well in both individual and team capacities, leveraging seasoned work ethic to quickly adapt to different processes and drive company objectives. Resourceful and results-driven with a passion for growth and efficiency to meet company needs and increase service value.
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
24
24
years of professional experience
Work History
Team Lead Account Resolution Specialist
Firstsource
Remote
06.2021 - Current
- Analyzed complex financial information in order to identify errors or inconsistencies in customer accounts.
- Monitored daily activity for assigned accounts ensuring compliance with established standards.
- Collaborated with other departments to ensure timely resolution of any outstanding account issues.
- Communicated regularly with external vendors regarding current account statuses.
- Facilitated internal meetings with other Account Resolution Specialists in order to review difficult cases.
- Identified billing and payment trends in order to minimize delinquent accounts receivable.
- Processed adjustments related to disputed charges, refunds and credits accurately.
- Conducted extensive research on customer accounts in order to resolve disputes or reconcile payments.
- Utilized problem-solving skills to quickly identify solutions that met both client and company needs.
- Worked closely with management to resolve or assist in customer delinquency issues.
- Resolved customer billing issues to expedite cash flow.
- Tracked and resolved discrepancies and past-due balances in accounts.
- Received payments and post amounts paid to customer accounts.
- Researched customer accounts to identify payment issues.
- Assisted with training new employees on billing procedures, account management processes, and best practices.
- Located and monitored overdue accounts, using computers, and variety of automated systems.
- Performed various administrative functions for assigned accounts, such as recording address changes and purging records of deceased customers.
- Persuaded customers to pay amounts due on credit accounts, damage claims, and nonpayable checks and to return merchandise.
- Checked on status of claims payments and wrote appeal letters for denial on claims.
- Identified opportunities for process improvements, implementing changes when required.
- Provided leadership and guidance to team members, ensuring that tasks were completed on time and to a high standard.
- Ensured compliance with industry standards and regulations.
- Delegated tasks appropriately according to individual skill sets.
- Ensured compliance with company policies and procedures throughout the team.
- Monitored team performance against targets, taking corrective action where necessary.
- Motivated staff through positive reinforcement techniques.
- Trained new staff in relevant processes and procedures.
- Supported the manager in developing plans for future projects, initiatives and objectives.
- Kept work areas clean, neat and free of safety hazards to maximize efficiency.
- Promoted to leadership position in recognition of strong work ethic and provided exceptional customer service.
Benefit Verification Specialist
Lash Group-AmerisourceBergen
Remote
11.2020 - 03.2021
- Verified medical necessity criteria for requested services using payer guidelines.
- Provided exceptional customer service to verify patient benefits and eligibility requirements.
- Used online benefits checklist process to determine eligibility to various entitlement programs.
Insurance Verification Specialist
St Vincent
Kokomo, Indiana
01.2014 - 10.2020
- Completing prior authorizations for outpatient chemotherapy drugs.
- Verifying patient insurance coverage for dates of service.
- Assisting with patient financial needs ie: drug copay cards, drug assistance, free drug or financial assistance.
- Reviewing nursing documentation and charging correct drug units and administration charges.
- Occasionally helping out with front desk duties such as check in and check out.
- Scheduling additional follow-up appointments for patients with other providers or additional testing.
- Assessed insurance policy terms to determine patient coverage and limitations.
- Utilized exceptional customer service skills to effectively communicate with insurance companies, providers, and patients regarding benefit information.
- Reviewed patient deductibles and copays and entered into billing system.
- Verified insurance coverage and eligibility prior to appointments and procedures.
- Followed established verification processes to confirm insurance benefits, medical necessity, and authorization.
- Developed detailed knowledge of insurance policies and procedures to ensure accurate verifications.
- Worked within EMR system to document results of patient insurance verification.
- Demonstrated expertise in verifying insurance coverage and eligibility for patients by utilizing various online databases, phone calls, and other resources.
- Completed tasks in claim edits and account work queues.
- Obtained information from patients for claims and updated patient records.
- Answered questions from patients and clerical staff regarding coverage.
- Responded promptly to inquiries from customers regarding their benefits coverage status or other questions about their policy provisions.
- Maintained accurate records of all patient information including demographic data and insurance verification details.
- Processed pre-authorizations for medical services according to established guidelines.
- Maintained open communication with management regarding any challenges encountered while performing duties.
- Calculated estimated patient financial responsibility via estimation tool.
- Scheduled and confirmed patient diagnostic appointments, surgeries, and medical consultations.
- Completed insurance or other claim forms.
- Assisted with coding procedures and billing processes while ensuring compliance with HIPAA regulations.
- Greeted visitors, ascertained purpose of visit and directed them to appropriate staff.
- Scheduled tests and procedures for patients, such as lab work and x-rays, based on physician orders.
Biller
Team Health
Kokomo, Indiana
08.2013 - 01.2014
- Worked remotely for company for ER physicians billing.
- Worked with physicians directly to help complete medical records timely for billing.
Health Information Management Clerk
St Joseph Hospital/ St Vincent
Kokomo, Indiana
07.2001 - 08.2013
- Assessed workflow processes and identified areas needing improvement or changes in order to increase productivity levels.
- Utilized computer systems to store, retrieve, and analyze patient health information.
- Assisted in developing training materials for staff regarding HIPAA privacy requirements.
- Developed excellent organizational skills through filing and maintenance of medical records.
- Managed patient records, ensuring accuracy and confidentiality of information.
- Reviewed physician orders for completeness prior to entering them into the system.
- Protected security of medical records to ensure that confidentiality was maintained.
- Retrieved patient medical records for physicians, technicians and other medical personnel.
- Trained medical records staff.
Education
High School Diploma -
Kokomo High School
Kokomo, Indiana06.2000
Skills
- Decision Making Competence
- Electronic Health Records Management
- Problem Solving Aptitude
- Computer Software Proficiency
- Medical Billing Familiarity
- Medical Terminology Proficiency
- Teamwork and Collaboration
- Data Entry Accuracy
- Information Security Awareness
- Patient Confidentiality Maintenance
- HIPAA Regulations Understanding
- Multitasking Capabilities
- Healthcare Compliance Knowledge
- Account reconciliation
- Team leadership
- Staff training
- Time management
- Attention to detail
References
References available upon request.
Timeline
Team Lead Account Resolution Specialist
Firstsource
06.2021 - Current
Benefit Verification Specialist
Lash Group-AmerisourceBergen
11.2020 - 03.2021
Insurance Verification Specialist
St Vincent
01.2014 - 10.2020
Biller
Team Health
08.2013 - 01.2014
Health Information Management Clerk
St Joseph Hospital/ St Vincent
07.2001 - 08.2013
High School Diploma -
Kokomo High School