Lisa Edgerly
Charlotte
Summary
Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
28
28
years of professional experience
Work History
Billing Specialist
Calais Community Hospital
Calais, ME
08.2001 - Current
- Delivered timely and accurate charge submissions.
- Collaborated with customers to resolve disputes.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Promptly work denials and appealing if necessary
- Was directly involved in the implementation of our current billing software
- Developed a bank reconciliation process for the posting accountant
- Assisted former directors analyzing data for KPI and creating reports
- In the past, reviewed accounts ready for collection and was responsible for sending files to the collection agencies
Patient Service Representative
Maine Coast Memorial Hospital
Ellsworth, ME
08.1996 - 07.2001
- Scheduled appointments for patients of a very busy physician practice
- Was responsible for obtaining authorization for referred services
- Engaged with patients to provide critical information.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Processed medical records requests efficiently, safeguarding patient privacy while ensuring timely information access for healthcare providers.
- Used Meditech to schedule appointments.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
Education
No Degree - Nursing
Husson University
Bangor, MECertificate in Medical Office Technology - Medical Office Technology
Washington County Community College
Calais, ME05.1996
High School Diploma -
Calais High School
Calais, ME06.1989
Skills
- Commercial and Private Insurance
- Use of Excel to create reports, Adhoc reporting
- Microsoft Word
Timeline
Billing Specialist
Calais Community Hospital
08.2001 - Current
Patient Service Representative
Maine Coast Memorial Hospital
08.1996 - 07.2001
No Degree - Nursing
Husson University
Certificate in Medical Office Technology - Medical Office Technology
Washington County Community College
High School Diploma -
Calais High School
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