Lisa Felix
Maricopa,AZ
Summary
Hardworking employee with excellent customer service, multitasking and organizational skills. Devoted to giving every customer a positive and memorable experience.
Overview
18
18
years of professional experience
Work History
Medical Claims Specialist
Connections Health Solutions
Phoenix, Arizona
08.2023 - Current
- Resolved issues related to denied or underpaid claims in a timely manner.
- Maintained accurate records of all claim activities for audit purposes.
- Processed appeals on rejected or partially paid claims, including filing additional paperwork as needed.
- Adhered to HIPAA regulations while managing confidential patient information.
- Verified patient eligibility for medical claims and determined benefit coverage.
- Submitted and tracked medical claims to insurance companies via electronic or paper methods.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
Medical Biller and Coder
My Dr Now
Chandler, AZ
07.2022 - 07.2023
- Assessed medical codes on patient records for accuracy.
- Expertly assigned charges and payments for medical procedures.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Quickly responded to staff and client inquiries regarding CPT codes.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Medical Biller
Pioneer Cardiovascular Consultants
Tempe, AZ
10.2021 - 07.2022
- Took billing calls, questions and concerns from patients and third party carriers.
- Entered patient charges and payments into electronic health records.
- Identified discrepancies and carrier issues regarding billing and reimbursements.
- Protected medical office operations and integrity by keeping patient information confidential.
- Processed refund requests and reconciled deposit and patient collections.
- Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
- Answered customer questions regarding account discrepancies or problems.
- Spoke with customers to learn reasons for overdue payments and to review terms of credit contract.
- Advised delinquent customers on strategies for debt repayment.
Customer Service/Escalation Specialist
Macys Inc.
Tempe, AZ
10.2006 - 02.2020
- Resolved customer inquiries, questions and concerns to consistently offer quality service and meet performance benchmarks.
- Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
- Assisted customers with making payments or establishing payment plans to bring accounts current.
- Answered incoming calls and emails, providing frontline customer support.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Consulted with customers to resolve service and billing issues.
- Maintained knowledge of current promotions, exchange guidelines, payment policies and security practices.
- Set up and activated customer accounts.
- Engaged in conversation with customers to understand needs, resolve issues and answer product questions.
Education
Medical Billing and Coding -
Arizona College
Chandler, AZ10.2021
GED -
College of The Desert
Palm Desert, CA05.1993
Skills
- ICD 10 Coding
- Medical Record Security
- Data Entry
- Medical Terminology
- Customer Service
- Patient Health Information Access
- Insurance Verification
- Attention to Detail
- Inbound and Outbound Calling
- Positive and Professional
- 10-Key
- Critical Thinking
- Customer Consulting
- Courteous Demeanor
- Problem-Solving Abilities
Timeline
Medical Claims Specialist
Connections Health Solutions
08.2023 - Current
Medical Biller and Coder
My Dr Now
07.2022 - 07.2023
Medical Biller
Pioneer Cardiovascular Consultants
10.2021 - 07.2022
Customer Service/Escalation Specialist
Macys Inc.
10.2006 - 02.2020
Medical Billing and Coding -
Arizona College
GED -
College of The Desert
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