Lisa Roughgarden
Wilbraham,MA
Summary
Dynamic Billing Specialist with a proven track record at RICBT-Rhode Island Cognitive Behavioral Therapy, enhancing client satisfaction and optimizing payment collections through expert relationship building and medical billing expertise. Excelled in claims processing and conflict resolution, achieving significant improvements in billing accuracy and compliance. Skilled in fostering teamwork and knowledge sharing, demonstrating exceptional customer service and billing system proficiency.
Successful at efficiently handling client inquiries, billing,scheduling and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements, and business correspondence.
Dynamic individual with hands-on experience in Front desk management and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
31
31
years of professional experience
Work History
Billing Specialist
RICBT-Rhode Island Cognitive Behavioral Therapy
03.2022 - 06.2024
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check proper billing information.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
- Improved customer satisfaction with prompt and clear communication regarding their billing inquiries.
- Optimized payment collection times by implementing effective follow-up strategies with clients.
- Maintained up-to-date knowledge of billing regulations and compliance requirements, ensuring adherence to legal standards.
- Negotiated with insurance companies to resolve disputed claims, securing rightful payments.
- Collaborated with customers to resolve disputes.
- Negotiated payment arrangements with delinquent clients, establishing mutually beneficial terms while minimizing losses.
- Analyzed aging reports to identify trends in late payments and develop targeted collection efforts.
- Processed payments and applied to customer balances.
- Trained new team members on scripts, company services, and collection strategies.
- Maintained high volume of calls and met demands of busy and productive group.
Front Office Manager/Medical Billing Specialist
Le Bel Chiropractic LLC
09.2008 - 12.2020
- Reconciled end-of-day reports to determine accurate billing and payment processing.
- Resolved guest complaints professionally, maintaining positive relationships with customers for future business opportunities.
- Managed files and records for clients and adhered to safety procedures to prevent breaches and data misuse.
- Implemented pre-arrival preparations such as assigning rooms based on specific requirements leading to seamless arrival experiences.
- Maintained a clean and organized work environment, promoting a professional image of the hotel to guests.
- Streamlined check-in and check-out processes for faster service, resulting in higher guest satisfaction scores.
- Developed procedures to establish accurate and organized check-in and check-out processes.
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence
- Managed Appointment scheduling effectively.
- Initial contact with clients during patient intake
- Verified Insurance & explained process to patients, as needed
- Processed online and paper appeal submissions and refund requests.
Chiropractic Assistant/Billing Specialist
Hampden County Chiropractic
04.1993 - 05.2005
- Answered phones to respond to customer questions, provide information and schedule appointments.
- Developed strong rapport with patients leading to high levels of trust and satisfaction, fostering long-term relationships.
- Prepared examination rooms with necessary equipment, promoting efficient appointment flow while prioritizing sanitation protocols.
- Educated patients on chiropractic care benefits, resulting in increased referrals and new client acquisition.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
Education
No Degree -
STCC
Springfield. MAHigh School Diploma -
Cathedral High Schhol
Springfield, MA06-1990
Skills
- Relationship building
- Claims processing
- Invoice processing
- Customer Service
- Denial management
- Payment posting
- Medical billing expertise including claim submission, claim scrubbing, insurance appeals, collections
- Patient scheduling
- Insurance verification
- Billing systems and software
- HIPAA compliance
- Conflict resolution
Timeline
Billing Specialist
RICBT-Rhode Island Cognitive Behavioral Therapy
03.2022 - 06.2024
Front Office Manager/Medical Billing Specialist
Le Bel Chiropractic LLC
09.2008 - 12.2020
Chiropractic Assistant/Billing Specialist
Hampden County Chiropractic
04.1993 - 05.2005
No Degree -
STCC
High School Diploma -
Cathedral High Schhol
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