LISA CARLISLE
Medical Billing Specialist
Brewerton,NY
Summary
Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Medical Billing/Payment posting position. Ready to help team achieve company goals.
Overview
15
15
years of professional experience
Work History
Medical Billing Specialist
Med-Metrix
01.2022 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely evaluated and verified benefits and eligibility.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Filed and updated patient information and medical records.
- Prepared billing correspondence and maintained database to organize billing information.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
Credit Representative
Medi-Centrix
08.2021 - 01.2022
- Applied problem-solving skills to resolve disputes and facilitate payments.
- Improved understanding of financial statements, which helped in assessing risk.
- Performed credit reviews on corporations to assess financial conditions.
Billing Specialist/Payment Specialist
Trinity
10.2018 - 03.2020
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Used data entry skills to accurately document and input statements.
- Audited and corrected billing and posting documents for accuracy.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Claims Representative
Aspen Dental
06.2015 - 10.2018
- Worked productively in fast-moving work environment to process large volumes of claims.
- Maintained accurate and up-to-date records of claim information for future reference.
- Examined reports, accounts, and evidence to determine integrity and accuracy of information.
- Generated, posted and attached information to claim files.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Team Leader/Billing Specialist/Payment Poster
North Medical Billing Services
06.2008 - 06.2014
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Worked with team to identify areas of improvement and devised solutions based on findings.
- Supervised team members to confirm compliance with set procedures and quality requirements.
- Conducted training and mentored team members to promote productivity, accuracy, and commitment to friendly service.
Education
High School Diploma -
Fowler High School
Syracuse, NY06.1985
Skills
- Database Systems
- Time Management
- Reviewing Patient Information
- Critical Thinking
- Bill Payment
- Medical Billing
- Insurance Claim Requirements
- Medical Claims Submission
- Electronic Health Record Software
- Obtaining Authorizations
- CMS-1500 Billing Forms
- Claim Verifications
- Customer Service
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Medical Billing Specialist
Med-Metrix
01.2022 - Current
Credit Representative
Medi-Centrix
08.2021 - 01.2022
Billing Specialist/Payment Specialist
Trinity
10.2018 - 03.2020
Claims Representative
Aspen Dental
06.2015 - 10.2018
Team Leader/Billing Specialist/Payment Poster
North Medical Billing Services
06.2008 - 06.2014
High School Diploma -
Fowler High School