LOIS FINDLAY

Pembroke Pines

Summary

Motivated AR Claims Specialist with over 20 years of experience in Medical Collections, seeking to bring a continued, consistent track record of increasing revenue and reducing company debt by overturning denied claims. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.

Overview

years of professional experience

Work History

Collection Specialist

SOC- Spine and Orthopedic Center

Plantation Florida

02.2023 - 05.2026

Managed patient billing and collections for a large orthopedic practice, utilizing CareCloud to improve overall collection efficiency and revenue cycle performance.
Processed payments for surgical procedures and outstanding patient balances with accuracy, reducing payment errors and ensuring timely revenue capture
Communicated directly with patients to explain billing statements, payment options, and financial responsibilities, increasing patient understanding and satisfaction
Contacted insurance companies to verify claim status and resolve reimbursement delays, accelerating payment cycles
Followed up on denied claims by initiating appeals and submitting reconsideration requests with supporting documentation, increasing claim approval rates
Reviewed accounts receivable to identify overdue balances and implement appropriate collection strategies, reducing outstanding balances
Coordinated with clinical and administrative staff to ensure accurate coding and timely claim submissions, minimizing claim rejections
Maintained detailed records of patient interactions, payment activity, and insurance correspondence to ensure compliance and facilitate audits
Resolved billing discrepancies by investigating account issues and collaborating with insurers and internal teams, decreasing billing errors
Ensured compliance with healthcare regulations and confidentiality standards while handling sensitive financial information, maintaining patient trust

Claims Specialist

Infinity Behavioral Health

Ft. Lauderdale, FL

10.2014 - 11.2022

Extensive knowledge of Collaborate MD Software, EMR, Availity, Navinet
Managed billing and collections for multiple high dollar facilities across several states-increased revenue and reduced bad debt
Performed account audits/worked many projects under minimal supervision-all deadlines met
Utilized relevant expertise to ensure accuracy and timely completion of weekly financial/aging reports
Collaborated with caseworkers and authorization departments to obtain retro-authorizations
Identified trends and reported claims issues to supervisor
Filed appeals to insurances with medical records to have denials overturned
Met or exceeded production and quality standards
Conducted extensive research involving both web and office billing systems
Prioritize workload in order of importance to maximize productivity

Collections Coordinator

Dermpath Diagnostics

Pompano Beach, FL

02.2006 - 08.2014

Extensive knowledge of Centricity/IDX Software, Emdeon, Availity, Onbase
Contacted commercial and third party carriers for claims status/eligibility/follow up on denied or unresponsive claims
Managed multiple insurances-increased cash flow and reduced bad debt
Identified trends and reported claims issues to supervisor
Filed appeals to insurance with medical records or doctor notes for reconsideration
Analyzed and interpreted EOB's for appropriate follow up action
Met or exceeded production and quality standards
Conducted in-depth research involving both office billing systems and online portals
Worked correspondence from insurance and/or patient to resolve billing issues

Education

Insurance Coding Diploma - Medical Billing and Coding

National School Of Technology

North Miami Beach, FL

Skills

Proficiency in Billing Software: Care Cloud, Collaborate MD, Centricity/IDX, DDE, Webrims, and Labscope, Medical Manager, FACS, AS400
Microsoft Office (Word, Excel, Outlook)
Organizational skills
Automated Dialer Experience
Teamwork and Collaboration

Troubleshooting
Multitasking
Problem resolution
Goal-oriented mindset

Timeline