LISA REECE

Healthcare Administrator with proven to deliver exemplary level of healthcare service delivery to patients. Coordinate admission and discharge of patients. Plan and implement strategies for developing improved health care management. Proven problem solver and excellent communicator. Strong organizational skills, superb understanding of data collection and performance metrics. Recognized for staff development leading to high performing teams.

• Office Manager, Reece Quality Auto Detailing, Fayetteville, NC, 11/2020, Present, Recording Keeping, Onboarding, Payroll, Conduct interviews, Data entry, Inventory
• Workers Compensation/No Fault Billing Specialist, CityMD, New York, NY, 07/2013, 11/2020, Submitted claims to insurance for patients in New York, New Jersey, and Washington State., Accounts Receivable, Verified information listed on forms against other sources and by inquiring directly with claimants, insurance carriers, providers, and clients., Drafted detailed reports outlining findings of investigations for use in official recordkeeping, settlements, and litigation., Investigated questionable claims, interviewing agents and claimants to resolve issues., Escalated questionable claims to investigators or claims adjusters for investigation or settlement., Obtained optimal legal outcomes for legitimate injury claims across various industries.
• Workers’ Compensation/ Commercial Insurance Billing Specialist, Transcare, Brooklyn, NY, 08/2008, 07/2013, Advocated for patients by contacting insurance companies to ensure timely payments and resolve errors on rejected claims., Account Receivable, Prepared all required claims documentation, including referrals, treatment plans, or other required correspondence to reduce the incidence of denials., Maintained accountability and accurate records by entering adjustments and denials into EMR and forwarding information to management to be applied., Audited and monitored in-process visits and follow-up visits for adherence to policies and procedures., Developed and analyzed program metrics, then created and distributed reports on the progress of each initiative.
• Medical Billing Specialist, Metropolitan Diagnostic, Rego Park, NV, 06/2006, 08/2008, Reviewed diagnostic and procedural terminology for consistency with acceptable medical nomenclature., Retrieved and applied diagnosis codes from transcribed medical reports provided by the provider based on clinical findings., Retrieved physician correspondence from the dictation service and made edits when necessary., Examined diagnosis codes for accuracy, completeness, specificity, and appropriateness according to services rendered to the clients., Verified patient's insurance verification and demonstrated an understanding of advocacy and resource management., Corresponded with patients, providing excellence in customer care and service.
• Medical Billing Specialist, YORK AVE GASTRO, New York, NY, 03/2004, 06/2006, Printed and reviewed monthly patient aging reports and collected past-due payments., Trained and mentored new team members and managers on accounts payable systems and policies to build cohesive groups and promote operational performance., Oversaw account payment posting as well as providing information on outstanding balances., Applied my skills and knowledge to complete monthly closing processes, extensive notes, and accruals on time and accurately., Created financial statements and reports that detailed the status of all accounts., Corresponded with insurance carriers regarding claim status and appeals filed.