Lisa Lefevre
CORONA,CA
Summary
Results-driven Medical Biller and Coder with expertise in ICD-10 coding and insurance verification at Enhanced Dermatology. Achieved a significant reduction in claim denials through meticulous patient eligibility checks and effective communication. Proven ability to manage patient accounts while maintaining high customer satisfaction and ensuring timely reimbursements.
Overview
26
26
years of professional experience
Work History
Medical Biller and Coder
ENHANCED DERMATOLGY
02.1999 - Current
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
- Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
- Safeguarded practice revenue by diligently following up on outstanding account balances and initiating collection efforts when necessary.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Maintained high levels of customer satisfaction through prompt resolution of disputes related to charges on patient accounts or insurance claims.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Dining Crew Member
Chic-Fil-A
02.2018 - 12.2018
- Contributed to friendly and professional dining environment by communicating politely and effectively with guests to assess and meet needs.
- Took customer orders and relayed to kitchen staff with accuracy, circulating dining room to identify service opportunities.
- Assessed plated meals for adherence to presentation standards and verified food items against guests' orders prior to delivery.
- Coordinated with food preparation staff for time plating and delivery of meals to dining room guests to guarantee freshness and acceptable temperature.
- Stocked prep areas by refilling silverware trays, stacking cups, folding napkins, and refilling condiments.
- Received praise from customers regularly due to exceptional service provided throughout their meal.
- Operated cash register and handled payment processing.
- Set up tables according to restaurant guidelines, presenting a welcoming ambiance for diners upon arrival.
- Resolved customer concerns promptly, fostering a positive dining atmosphere.
- Maintained cleanliness of dining room and food stations.
- Maintained clean and sanitary dining areas for an enjoyable dining experience.
- Provided attentive service and proactively assessed guest needs.
- Assisted with bussing tables and cleaning up spills.
- Monitored food and beverage supplies, assisting with restocking when needed.
- Checked dining area supplies of linens, wrapped silverware, and replenished low stock.
Education
BILLING AND CODING CERTIFICATE -
UEI
ANAHEIMHigh School Diploma -
ESPERANZA
Anaheim, CA06-1996
Skills
- HIPAA compliance
- Payment posting
- Insurance verification
- ICD-10 proficiency
- CMS-1500 form completion
- Patient account management
- Medicare and medicaid billing
- Claim submission
- Medical coding expertise
- Diagnostic coding
- Procedural coding
- Appeals processing
- Commercial insurance billing
- Workers' compensation billing
- Denial management
- CPT coding
- Claims processing
- Data entry
- Medical billing
- Coding error resolution
- Insurance coding (ICD-9 and CPT)
- Medical claims coding
- Clinical documentation
- Coding appeals
- Customer service
- Insurance and coding specialist
- Insurance billing
- ICD-10 coding
Timeline
Dining Crew Member
Chic-Fil-A
02.2018 - 12.2018
Medical Biller and Coder
ENHANCED DERMATOLGY
02.1999 - Current
BILLING AND CODING CERTIFICATE -
UEI
High School Diploma -
ESPERANZA
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