Lisa Coker
Simpsonville,SC
Summary
High-impact, detail oriented professional with solid foundation in medical office, who can complete complex scheduling duties in a fast-paced environment, skilled at determining urgency and completing follow up-appointments. Specialize at adjusting quickly to changes in availability and timing to ensure accurate scheduling. Consistently recognized for successful handling of complicated assignments, conflict resolution and account reconciliation. Highly competitive with proven budgetary and collection skills balanced with exemplary interpersonal skills and teamwork facilitation. Self-starter with drive to streamline and improve efficiencies where possible. Outstanding communicator experienced in interoffice and public relations, partnership building and office and account management. Quality-focused Medical Biller offers strong track record over more than 12 years in settling and resolving complex patient billing accounts. Thoroughly experienced in handling medical charges and invoicing. Tech-savvy approach to understanding and resolving difficult areas of dispute.
Overview
17
17
years of professional experience
Work History
Medical Billing Specialist
Inspirium
Greenville, SC
10.2021 - Current
- Process patient overpayment refunds, insurance refund and vendor refunds
- Responsible for verification of charges to doctor charts; assign ICD-9 to physician's diagnosis and ensure correct level of service and other CPT codes
- Accurately apply payments to patient accounts; post and reconcile insurance and patient payments
- Account receivables for 4 internal medicine physicians with 44 years combined practice
- Research and resolve incorrect payments, EOB rejections and other queries
- Maintain AR of 14% or under over 90 days.
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Provided customer service support to patients who had questions about their bills or payments due.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Generated monthly invoices for patients based on services provided according to established fee schedules.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Processed credit card payments from patients in accordance with office policy.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
Call Center Coordinator
Interim Home Health Care
Greenville, SC
09.2019 - 10.2021
- Triage all incoming calls after hours
- Pull referrals and process in timely manner
- Assign and schedule visits as needed
- Work closely with all weekend managers.
Home Health Scheduler
Interim Home Health Care
Greenville, SC
05.2018 - 09.2019
- Schedule all disciplines in HCHB program
- Constant contact with field disciplines
- High volume fast-paced environment.
Referral Coordinator
Internal Medicine Associates
Greenville, SC
10.2014 - 05.2018
- Obtain authorization for services all insurance
- Appointment scheduling
- Medical history analysis
- Documentation
- Status assessment
- Follow up
- Flexible
- Dedicated.
Registration Specialist
Internal Medicine Associates
Greenville, SC
11.2006 - 05.2007
- Responsible for patient check-in
- Input new patient data; maintain MedInformatix database
- Update current patient information as needed.
Education
High School Diploma -
Tustin Union High School
Tustin, CA06-1981
Skills
- Hiring and Retention
- Obtain authorization
- Data Entry
- HIPPA Compliance
- Employee Training
- Payroll
- Excellent Communication Skills
- Team Leader
- Accounts receivables
- Epic
- Quality-Oriented Team Player
- Bill Payment
- Files and Records Management
- Collections Management
- Payment Posting
- HIPAA Compliance
- Insurance Verification
- Patient Billing
- Claims Review
- Account Reconciliation
- Claims Processing
- Teamwork and Collaboration
- Billing and Collection Procedures
- Commercial and Private Insurance
- Multitasking and Organization
- ICD-10 Coding
- Patient Collections
- Insurance Claims
- Insurance Billing
- Medical Terminology
- Critical Thinking
- Insurance Collections
Highlighted Achievements
- Referral Coordinator- Experienced in obtaining authorization, scheduling and processing referrals for Internal Medicine doctors.
- Interoffice and Customer Relations - Successful in balancing collection and problem resolution skills with exemplary customer service abilities and management relations. Skilled in philanthropy and fundraising, serving on office social committees and assisting in all fundraising projects. Staff photographer.
- Account Receivables - Consistently in top 3 of medical billing specialists in one of largest practices in Greenville, with minimum requirement of under 14% over 90 days met or exceeded monthly. Proven customer retention rates and strong collections skills.
References
Available Upon Request
References
References available upon request.
Timeline
Medical Billing Specialist
Inspirium
10.2021 - Current
Call Center Coordinator
Interim Home Health Care
09.2019 - 10.2021
Home Health Scheduler
Interim Home Health Care
05.2018 - 09.2019
Referral Coordinator
Internal Medicine Associates
10.2014 - 05.2018
Registration Specialist
Internal Medicine Associates
11.2006 - 05.2007
High School Diploma -
Tustin Union High School