Lisa Greene
East Syracuse
Summary
Detail-oriented professional with a proven track record at Target, excelling in customer service and problem-solving. Have been adept at navigating complex insurance requirements and fostering teamwork, I have successfully streamlined processes, enhancing efficiency and guest satisfaction. Committed to maintaining high standards while training staff and optimizing operational performance.
Experienced with delivering exceptional customer service to enhance guest satisfaction. Utilizes effective communication and problem-solving skills to address and resolve guest concerns. Track record of fostering welcoming and efficient service environment. Successfully addressed customer inquiries and resolved issues to enhance guest satisfaction. Demonstrated strong problem-solving skills and effective communication in fast-paced environment.
In my past jobs as medical biller and coder I worked directly with insurances and did all of the coding, billing, and collections for the places of employment.
Although I no longer have my certifications I do have the past knowledge of what the certifications hold to apply to my work.
Overview
37
37
years of professional experience
Work History
Guest Advocate
Target
10.2020 - Current
- Delivered exceptional customer service, addressing inquiries and resolving issues efficiently.
- Assisted guests with product selection, enhancing overall shopping experience and satisfaction.
- Processed transactions accurately using point-of-sale systems, ensuring smooth checkout operations.
- Collaborated with team members to maintain store cleanliness and organization, improving visual merchandising standards.
- Trained new staff on customer engagement techniques and operational procedures to enhance team performance.
- Assisted in training new team members on operational procedures and customer engagement techniques.
- Delivered exceptional customer service by addressing inquiries and resolving issues efficiently.
- Maintained accurate inventory levels through regular checks and stock organization.
- Implemented process improvements that streamlined checkout procedures, reducing wait times for guests.
Clerk
SUNY HSC Research Foundation
12.1995 - 10.1998
- Processed and organized research documentation to ensure compliance with institutional standards.
- Coordinated data entry tasks, maintaining accuracy and consistency in record-keeping systems.
- Assisted researchers with administrative support, facilitating smooth project execution and communication.
- Developed training materials for new clerical staff, enhancing onboarding effectiveness and knowledge transfer.
- Processed medical claims using electronic billing systems to ensure timely reimbursements.
- Reviewed patient records for accuracy and completeness prior to submission of claims.
- Resolved discrepancies by collaborating with healthcare providers and insurance companies.
- Trained new staff on billing software and compliance regulations to enhance team performance.
- Managed follow-up communications with payers regarding unpaid claims to expedite resolutions.
- Updated patient financial information to guarantee accuracy.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Filed and updated patient information and medical records.
- Managed high volume of daily billing tasks, prioritizing work efficiently in order to meet tight deadlines without compromising accuracy.
- Navigated complex billing situations, working with healthcare providers, insurance companies, and patients to resolve issues in a timely manner.
- Handled sensitive patient information with utmost discretion, maintaining strict confidentiality in accordance with HIPAA regulations.
- Maintained accurate patient records, updating demographic information and insurance details as needed for a seamless billing process.
- Assisted patients with inquiries regarding bills, providing clear explanations of charges and answering questions related to insurance coverage or payment options.
- Developed strong working relationships with insurance companies, fostering effective communication for swift resolution of claim issues.
- Reduced outstanding account receivables with diligent follow-up on unpaid claims, negotiating payment plans when necessary for patient satisfaction.
- Conducted regular audits of patient accounts, identifying inaccuracies or discrepancies that required correction or adjustment.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Verified insurance of patients to determine eligibility.
- Liaised between patients, insurance companies, and billing office.
- Delivered timely and accurate charge submissions.
- Handled account payments and provided information regarding outstanding balances.
- Audited and corrected billing and posting documents for accuracy.
- Collaborated with customers to resolve disputes.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
Medical Coding and Billing Specialist
Pierre T. Rizk, M.D.
07.1988 - 12.1995
- Analyzed medical records to ensure accurate coding for insurance claims.
- Reviewed and resolved billing discrepancies to enhance revenue cycle efficiency.
- Collaborated with healthcare providers to clarify documentation and coding guidelines.
- Trained junior staff on coding procedures and compliance regulations.
- Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
- Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Maintained patient confidentiality by adhering to strict HIPAA regulations during all aspects of the coding and billing processes.
- Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
- Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
- Monitored trends in medical billing denials, implementing corrective actions to prevent future occurrences of similar issues.
- Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.
- Improved overall reporting quality by working closely with the clinical team to ensure accurate and complete documentation.
- Assisted in maintaining smooth office operations by managing essential administrative tasks such as recordkeeping and data entry.
- Established positive relationships with insurance companies, facilitating open communication lines for efficient claim processing.
- Resolved coding discrepancies through in-depth analysis and collaboration with physicians, ensuring appropriate reimbursement for services rendered.
- Achieved timely reimbursements from payers by submitting clean claims that adhere to payer-specific guidelines.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Followed exact procedures for handling transfers and other releases of medical records.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Tracked and monitored requests for medical records release.
- Sorted and distributed incoming and outgoing medical records.
Education
AAPC Coding Certificate A - Certified Professional Coder A
Bryant & Stratton College
ClayAMBA Certificate - Certified Medical Reimbursement Specialist
Bryant & Stratton College
Clay, NYCertificate - Medical Secretarial
Bryant & Stratton College
Syracuse, NY06-1988
High School Diploma -
C. W. Baker High School
Baldwinsville, NY06-1987
Skills
- Exceptional communication
- Stress tolerance
- Detail-oriented
- Customer service
- Insurance requirements
- Teamwork and collaboration
- Problem-solving aptitude
- Self motivation
Accomplishments
During the time I did not have full time employment I volunteered and had part time work while raising my family.
Timeline
Guest Advocate
Target
10.2020 - Current
Clerk
SUNY HSC Research Foundation
12.1995 - 10.1998
Medical Coding and Billing Specialist
Pierre T. Rizk, M.D.
07.1988 - 12.1995
AAPC Coding Certificate A - Certified Professional Coder A
Bryant & Stratton College
AMBA Certificate - Certified Medical Reimbursement Specialist
Bryant & Stratton College
Certificate - Medical Secretarial
Bryant & Stratton College
High School Diploma -
C. W. Baker High School