Lisa Bell
Covington,GA
Summary
My career with Emory began October 1995, working at the front desk as a Patient Care Coordinator. After 11 months, I was promoted to a Front Desk Supervisor. My progression from there was because I was able to identify areas of opportunity and develop procedures and policies that enhanced our staff and patients' experience, which led to multiple promotions. There was a need in our section to develop a billing and coding team, which was a collaborative effort between me and my Manager. After obtaining my CPC in 2000, I was able to develop like minded PCC's into Coders. My belief is that in order to be an effective Leader on the revenue side, you must be able to follow a patient's experience from making an appointment until the Physician has been reimbursed.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Revenue Cycle Supervisor
Emory Healthcare
10.2012 - Current
- Responsible for training and leading a team of 4 Coders.
- Strengthened team relationships and effectiveness with hands-on and motivational approach.
- Served as a subject matter expert on reimbursement, insurance and compliance regulations.
- Conducted regular audits of Coders to identify potential issues or areas for improvement. By doing this it allowed me to have a more targeted approach to their individual needs.
- Collaborated with Training and Development team to create a SOP that is currently being used with new and existing PCC's and A/R staff on how to register Eyemed patients.
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Created SOP's for our top 10 edits on how to resolve them efficiently.
- Developed a separate training manual for outsourced coders that is used to resolve edits.
- Enhance team efficiency with regular training sessions on new coding updates and best practices.
- Attended Webinars offered by insurance companies to enhance my and my team's knowledge.
- Conducted monthly staff meetings to review performance metrics, address challenges, and foster an environment of continuous improvement within the team.
- Routinely collaborated with Physicians to address new changes and guidelines that will affect their bottom line.
- Because of my extensive knowledge and 30 years of experience, I was able to help a new Administration establish policies and procedures for their staff that has proven to be effective.
- Collaborated with our Coding Educator to develop a training manual for new Physicians and assist in their onboarding training involving Billing and Coding.
- Assisted Manged Care with a new contract for a separate vision plan that was being offered as part of our benefits package.
- Assisted with many recruiting sessions that were held to obtain new employees. I interviewed potential employees and was also involved in making the hiring decision.
- Identified a credentialing issue that lasted 2 years with an insurance company that was preventing our Optometrists from being paid for their services. I provided data from my research that proved that we were being denied erroneously. I also attended multiple meetings with them and our Managed Care team to ensure that we received reimbursement for improperly denied services.
- Worked with denials and A/R in resolving issues that they didn't know how to handle by providing them with training materials and in-service sessions.
Reimbursement Coordinator
Emory Healthcare
01.2005 - 12.2010
- Held quarterly in-service with Physicians that provided denial information, specific guidelines for each insurance companies, while also receiving feedback on complicated surgical procedures from the Physicians.
- Provided exceptional customer service by addressing patient concerns regarding billing issues promptly and professionally.
- Reduced billing errors by implementing a thorough review process, resulting in increased efficiency and accuracy.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance with all applicable laws and guidelines.
- Supported organizational growth through active participation in networking events and industry conferences.
- Managed high-volume workloads through effective prioritization and organization, consistently meeting deadlines with a staff of 2 Coders.
Sr. Certified Coder
Emory Healthcare
02.2003 - 12.2004
- Held weekly training sessions regarding ICD-9, CPT and medical terminology in order for my staff to become certified Coders.
- Provided monthly testing and audits for my new Coders to identify inaccuracies and increase their proficiency.
- Enhanced revenue cycle performance by accurately assigning appropriate codes to diagnoses and procedures for billing purposes.
- Conducted billing and coding training for physician and medical staff which included current procedural or coding updates.
- .Implemented edits within our system that prevented denials for coding related issues that were specific to an individual insurance carrier.
- Maintained and resolved denials specific to our section, which allowed me to identify trends and take corrective action needed.
Billing Coordinator
Emory Healthcare
09.2000 - 01.2003
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Developed charge entry process for my team for keying inpatient and outpatient charges.
- Audited their work weekly to ensure accurate keying of charges.
- Developed a process of compiling missing charges that significantly reduced the number of charges we were missing.
- Supervised and established a precert team of 7 that was responsible for obtaining authorizations for in office procedures, thus reducing denials and increasing collections.
- Developed along with leadership a process of having procedure only clinic days. This helped to distinguish patients requiring authorizations vs regular patients. We were able to decrease some of the wait times that the patients had to endure thus decreasing complaints regarding their wait times.
Skills
- Medical Billing
- Billing cycle expertise
- Teamwork and Collaboration
- Able to identify trends and provide resolutions involving denials
- Effective Communication
- Employee Supervision
- Attention to Detail
- Multitasking and Organization
- Problem-solving abilities
- Team Leadership
Certification
Certified Coder American Academy of Professional Coding 2000
Timeline
Revenue Cycle Supervisor
Emory Healthcare
10.2012 - Current
Reimbursement Coordinator
Emory Healthcare
01.2005 - 12.2010
Sr. Certified Coder
Emory Healthcare
02.2003 - 12.2004
Billing Coordinator
Emory Healthcare
09.2000 - 01.2003