Lois Goad
Port Richey,FL
Summary
Dynamic AR Specialist and CPC Certified Coder with proven expertise at Medenet in coding accuracy and dispute resolution. Adept at optimizing receivable management processes, I effectively engaged clients to resolve discrepancies, enhancing operational efficiency. Skilled in analyzing aging reports, I consistently delivered timely results while maintaining a professional demeanor in high-pressure situations.
Overview
33
33
years of professional experience
1
1
Certification
Work History
AR Specialist & CPC Certified Coder
Medenet
05.2002 - Current
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Correctly coded and billed medical claims for various multi specialist physicians
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Generated reports to identify coding trends and discrepancies.
- Followed exact procedures for handling transfers and other releases of medical records.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Used classification manuals to gain additional knowledge of disease and diagnoses processes.
- Followed up with medical staff regarding missing information in patient records.
- Scanned and uploaded medical records into electronic medical records system.
- Accomplished multiple tasks within established timeframes.
- Maintained professional, organized, and safe environment for employees and patrons.
- Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
- Maximized performance by monitoring daily activities and mentoring team members.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
- Defined clear targets and objectives and communicated to other team members.
Insurance Claims Specialist/Medical Office Manager
Springer Group
03.1996 - 06.2002
- Followed up with customers on unresolved issues.
- Evaluated and settled complex insurance claims in strict timeframes.
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Generated, posted and attached information to claim files.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Modified, updated and processed existing policies.
- Coordinated with contracting department to resolve payer issues.
- Maintained confidentiality of patient finances, records, and health statuses.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Posted payments to accounts and maintained records.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
- Oversaw accounting, budgeting, and financial reporting.
- Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
- Developed close working relationships with front office and back office staff.
- Completed bi-weekly payroll for 12 employees.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Negotiated and executed contracts on behalf of department.
- Created organized filing system to manage department documents.
X-Ray Technician, Physical Therapy Assistance
Wood And Nickel Chiro
03.1992 - 05.1996
- Completed x-rays safely by correctly using shielding equipment following OSHA requirements.
- Positioned patients for optimal comfort and set up effective sterile fields before procedures.
- Checked equipment each day and reported major malfunctions to supervisor for attention.
- Maintained examination rooms and restocked medical and radiologic supplies.
- Developed and processed radiologic film to aid in diagnostics and patient monitoring with high-quality imagery.
- Managed admissions forms, patient instructions and consent documentation.
- Assisted doctor during procedures, helping to run machinery and keep patients comfortable and still.
- Instructed patients on proper positioning for imaging.
- Assisted radiologist in performing special imaging procedures.
- Sanitized scanning machines after each patient to prevent spread of germs and illnesses.
- Followed radiation safety measures and used protection devices to prevent harm to patients or staff.
- Operated radiologic equipment to obtain images of body structures.
- Explained imaging procedures to patients, offering comfort and assistance.
- Upheld high level of service to patients by assisting in different ways, displaying professionalism, and responding appropriately to questions and concerns.
- Complied with HIPAA and company regulations to maintain confidentiality regarding patient health data and medical records.
- Performed radiographic imaging procedures according to established protocols.
Education
No Degree - CPC Certification
AAPC
Dallas, TX05-2022
Basic X-ray Tech - Radiology
Santa Fe College
Gainesville, FL03-1990
GED -
Hawthorne High
Hawthorne, FL07-1981
Skills
- Process improvements
- Month-end closing procedures
- Receivable Management
- Dispute resolution
- Analysis of Aging Reports
- Payment plan negotiation
- Audit Assistance
- Effective Client Engagement
- Research and due diligence
Accomplishments
- Achieved [coding ] by completing coding with accuracy and efficiency.
- Documented and resolved insurance dispute which led to reimbursement .
- Achieved provider insurance portal access by introducing registering for AR and payment access tasks.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
Certification
- Licensed AR manager - 20 year's
- CPC certification Training - 3 years certified but coding 17 years before certification
Timeline
AR Specialist & CPC Certified Coder
Medenet
05.2002 - Current
Insurance Claims Specialist/Medical Office Manager
Springer Group
03.1996 - 06.2002
X-Ray Technician, Physical Therapy Assistance
Wood And Nickel Chiro
03.1992 - 05.1996
No Degree - CPC Certification
AAPC
Basic X-ray Tech - Radiology
Santa Fe College
GED -
Hawthorne High
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