Lisa Rowe

Oversaw team of 15 Offshore Contractors and 8 Onshore Employees. Planned and Directed daily workload. Oversaw and streamlined the billing and collections processes. Collaborated with both on and offshore teams to identify workflow issues, and instituted remedies for timely processing of medical claims. Subject Matter Expert (SME) in revenue management, and month end reporting. Routinely collaborated with upper management to identify servicing issues involving clients and providers-instituted remedies for resolution. Assisted with provider education. Trained in the areas of accurate CPT reporting, Modifier usage, ICD 10 mapping and the use of inpatient/worker’s compensation claim requirements. Trained staff to properly enter patient demographics, insurance and other pertinent information into EMR systems for accurate billing purposes. Audited procedures and staff for both efficiency and to ensure provider and client satisfaction measures were met or exceeded. Analyzed trends impacting charges, coding, collections and account management-collaborated with management to identify remedies. Kept up to date with carrier rule changes, and CPT/ICD10 changes, and distributed those accordingly. Worked closely with Finance Department to identify and remedy any provider payroll discrepancies. Maintained a working knowledge of all health information management issues including HIPAA compliance. Routinely worked clearinghouse claims errors to expedite claim release. Responded to inquiries from providers, patients, insurance companies and facilities in a timely, efficient manner. Provided backup for all staffing areas: RCM, charge entry, payment posting and accounts receivables as needed.

Verified, coded, and submitted insurance reimbursement claims for Neurology procedures through 20+ insurance companies, including Medicare, and handled Local Coverage Determinations.

Streamlined procedure for balancing monthly ledgers which saved six employees over five hours of work per week and reduced company expenses by $800 per month on average.
Designed and implemented process for targeted denial appeals letters.
Trained new staff in billing processes and office procedures and helped with software/clearinghouse trainings.

Managed all support functions for two Neurology accounts, promoted from previous specialist position. Compile end-of-month reports for each account with regards to billing and collections.

Reviewed patient charting for accurate coding and billing of all procedures
Liaised between the physician, insurance companies, and patients to resolve any issues pertaining to the provider credentials and payment for services rendered.
• Navigate multiple screens and software applications to identify solutions for customers.

Completed contracted medical coding and billing services through UpWork.com clocking over 3600 hours for various Providers and Contracts. Specialize in remote and telecommuting work and paperless

applications. Verify insurance benefits, co-pays, review patient accounts, collect payment, handling ERAs, and balancing accounts daily.