Lisa Thomas

• Managed patient account inquiries, ensuring accurate and timely responses to billing questions.
• Processed insurance claims, utilizing Medmetrix systems to verify coverage and resolve discrepancies.
• Collaborated with healthcare providers to obtain necessary documentation for claim submissions.
• Assisted patients in understanding their financial responsibilities and available payment options.

• Submitted claims to insurance companies.
• Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
• Answered customer questions to maintain high satisfaction levels.
• Developed strong professional rapport with vendors and clients.
• Developed relationships with insurance companies to facilitate timely payments.
• Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
• Researched rejections, investigating problems to appeal claims.
• Analyzed patient data to ensure accuracy of reimbursement information.
• Reviewed engine assigned codes and modifiers to update and verify accuracy.
• Responded to customer inquiries regarding the status of their reimbursement requests.

• Review open packages, making decisions on whether the product should be donated or repacked,and shipped to the customer.
• Reprint damaged shipping labels
• checking open boxes for bio chemicals for damage and safety control trouble shooting on what location they belong to

• Reviewed claims for coding accuracy.
• Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
• Submitted claims to insurance companies.
• Monitored customer account details for non-payments, delayed payments, and other irregularities.
• Collected, posted and managed patient account payments.

• Making outbound follow up phone calls on ACO & HEDIS audits and receiving inbound calls
• Clerical duties scanning, faxing, copying
• Follow up working in queue with eligibility and registration correcting and updating insurance effective dates and
  termination dates
• Experience with Navinet Xperian and all local and national health insurance websites

• Generated daily report to count how many emails and faxes that was received the prior day from different email
  accounts
• While generating reports updating and maintaining spreadsheets to email the entire teams
• Answer incoming phone calls from healthcare insurance members, assisting with password resets, registration, and signing into accounts.
• Assisted with navigating once signed on website

• Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
• Determined accurate prices for customer services, consistently searching for deals and best prices.
• Ensured all provider contracts were properly executed before initiating services or payment arrangements.
• Identified discrepancies between invoices received from providers versus payments made by the company.
• Utilized job-related software to prepare change of address records and issue service discontinuance orders.
• Provided customer service to clients regarding their insurance coverage and billing inquiries.
• Engaged in conversation with customers to understand needs, resolve issues and answer product questions.
• Collaborated with team members to identify process improvement opportunities that could increase efficiency or reduce costs.
• Answered incoming calls from clients and routed them to appropriate personnel for further assistance.

Updated and coordinated benefits researched and reprocessed claims