LISA VANLANDUIT
Retired
Ocala,FL
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.
Overview
15
15
years of professional experience
Work History
Claims Processor
UF Health Shands Hospital
Gainesville , FL
03.2007 - 07.2022
- Researched and reviewed claims for accuracy to ensure payer specific guidelines are met for correct billing to third party payers.
- Make payer calls and/or utilized payer portals to pursue payments.
- Make appropriate determination for contractual adjustments, verifies system balances, calculates and posts payments.
- Maintained confidentiality of patient finances, records and health statuses
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt
- Checked documentation for accuracy and validity on updated systems
Education
High School Diploma -
Riverdale High School
Port Byron, IL05.1978
Skills
- Research Medical claims for accuracy for billing to payers
- Call payers or use payer portals to verify information is accurate on claims and if adjustments are needed for processing
- Post adjustments, verify account balances, calculate and post adjustments,
- Highly Proficient in 10 Key Data Entry
- Calculating and determining accuracy of financial data
Additional Information
I have retired from UF Health and would like to proceed in a different direction to work part time in a different field. Early in my working career I was a bank teller for several different banks and would like to pursue that again.
Timeline
Claims Processor
UF Health Shands Hospital
03.2007 - 07.2022
High School Diploma -
Riverdale High School