Lisa Jones Bryant
Miami,FL
Summary
Highly skilled and detailed-oriented professional with extensive experience and expertise in managing medical insurance claims, billing, and collections. Expert in formulating and submitting clean claims to various insurance companies either electronically or by paper. Adept at verifying all required information necessary to file all insurance claims and ensure that there are submitted timely and correctly. Renowned for identifying and resolving patient billing complaints as well as checking insurance payments for accuracy and compliance with contracts or discounts. Ability to collaborate with cross-functional departments and teams to develop best practices and achieving assigned tasks effectively and timely. Articulate communicator with exceptional analytical, interpersonal, organizational, management, and leadership skills.
Overview
13
13
years of professional experience
Work History
Remote Claims Adjuster
Americlaims Billing Inc.
01.2021 - 02.2025
- Manage daily operations, including medical billing, accounts receivable collections, and cash posting for Medicare/Medicaid and commerical accounts. Interpret and follow up on insurance contracts regarding rates, discounts, and filing instructions, ensuring compliance with established standards and guidelines. Address all requests for additional information and perform account reconciliation for late fees, denials, missing codes, and other critical data absent during the initial billing process
- Successfully reviewed Explanations of Benefits (EOBs) and Remittance Advices (RAs) to ensure accurate payment posting.
- Effectively collected 90% of accounts while managing over 80 accounts daily and identifying patterns in billing errors.
- · Reduced the account receivable to $323,000 from $3 million with 70% of payments by employing innovative business models and practices.
Claims Representative II
Generali Global Assistance
06.2021 - 05.2023
- Process all assigned claims in a timely, efficient, and accurate manner, ensuring that all relevant policies, procedures, and standard best practices are followed.
- Review information on claim forms, Physician Statements, and other documentation to ascertain the completeness and validity of claims.
- Investigate 80+ claims and direct activities of outside adjusters and investigators.
- Issue denial of benefits letters when appropriate.
- Review and respond to Department of Insurance complaint letters and calls.
- Issue payments in a timely and accurate manner.
- Ensure that current Federal and State insurance claims regulations, laws, and best practices are being employed consistently for all jurisdictions.
Remote, Inpatient Rehab Facility Bill Specialist I
Serenity Oaks Wellness Center
01.2019 - 04.2021
- Converted diagnosis and procedure codes for inpatient and outpatient drug rehab facilities at several facilities.
- Preparing, reviewing, and transmitting claims for inpatient and outpatient drug rehab facilities using billing software, including electronic and paper claim processing.
- Maintained 99-100 % above-average production and exceeded minimum quality requirements
- Processed 110 specialty claims (Medicaid,Medicare,Self-Funded, Commercial) requiring expert knowledge of claims and provider contracts.
Account Receivable Collector II- Temp
CSI CAREGIVER/ AEROTEK HEALTHCARE
03.2019 - 01.2020
- ·Resolved financial discrepancies by identifying and resolving billing errors, claim processing, and reimbursement issues in a healthcare environment within 30 days.
- Responsible for the consistent follow-up of the Home Healthcare Claims greater than 45 days
- Aged from the invoice date and resolution in a timely and cost-effective manner.
- Forming relationships with the individual insurance payers/clients to achieve cooperation for full payments
Medical Claims Analyst II
SIMPLY HEALTHCARE; MIAMI, FL 2015-2019
02.2012 - 12.2018
- Processed 90+ various product lines such as PPO, HMO, and Indemnity, as well as Medicare, Medicaid, and Self-Funded claims.
- Provided exceptional customer service, addressing inquiries regarding coverage, benefits, and claim statuses promptly and professionally.
- Collaborated with healthcare providers to clarify billing discrepancies and negotiate payment terms.
- Participated in cross-functional teams to develop strategies for improving overall department performance metrics.
Education
Certification - Medical Insurance Billing
NATIONAL SCHOOL OF TECHNOLOGY
North Miami Beach, FL 03.1991
Certificate - Medical Insurance Coding
SCHOOL OF ADMINISTRATION
06.1990
Skills
- Claims Investigation
- Microsoft Office Suite(Excel, Word, Outlook) CPT HCPCS ICD-10 Medical Terminology Eligibility and Claim Status Plus Emdeon EDI
- Experienced with Government and Commerical claims such as Medicaid Medicare
- Appeals Specialist
Timeline
Claims Representative II
Generali Global Assistance
06.2021 - 05.2023
Remote Claims Adjuster
Americlaims Billing Inc.
01.2021 - 02.2025
Account Receivable Collector II- Temp
CSI CAREGIVER/ AEROTEK HEALTHCARE
03.2019 - 01.2020
Remote, Inpatient Rehab Facility Bill Specialist I
Serenity Oaks Wellness Center
01.2019 - 04.2021
Medical Claims Analyst II
SIMPLY HEALTHCARE; MIAMI, FL 2015-2019
02.2012 - 12.2018
Certification - Medical Insurance Billing
NATIONAL SCHOOL OF TECHNOLOGY
Certificate - Medical Insurance Coding
SCHOOL OF ADMINISTRATION
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