LouElla Clark-Hannon
Birmingham,AL
Summary
I have worked in the Medical field for over 30 years. I have experience with every aspect of Medical Billing and Coding in hospital and clinic settings. Expertise includes verifying insurance coverage, records reviews, customer service, filing insurance claims by paper and electronic. CPC/CPC-H Certification CPAR Knowledge of Insurances. Billing experience including but not limited to Hospital and professional services. Strong work ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised while maintaining confidentiality and following HIPPA rules. I have a strong work ethic, adaptability and exceptional interpersonal skills.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Transplant Financial Coordinator
University of AL Hospital
Birmingham, AL
04.2014 - Current
- Verifies patient eligibility for insurance coverage prior to procedures or appointment scheduling by communicating with insurance carriers via online websites, telephone and or fax to obtain the necessary authorization.
- Review medical records to ensure accuracy of required information needed for pre-authorization requests.
- Provide timely follow up with insurance regarding status of approvals.
- Identifies discrepancies in patient's insurance coverage or benefits, ensuring authorization is obtained.
- Communicates with clinical staff to ensure correct information is obtained for authorization requests
- Adhere to HIPAA requirements to safeguard patient confidentiality.
- Maintain compliance with internal policies and external regulations.
- Provides patient status update to insurance via phone, email or fax.
Patient Account Representative
UAB Hospital Business Office
Birmingham, AL
10.2013 - 04.2014
- Responsible for Medicare insurance follow-up including reconciling balances after Medicare has paid
- Contacting Medicare to follow-up on payments
- Reconciling Medicare charge denials
- Verifying insurance information with the patient and/or insurance company if there is a coordination benefits issue at Medicare
- Updating registration with the correct insurance information
- File appeals or reconsideration to Medicare to try to obtain payments on denied charges
- Bill recurring claims monthly and Medicare secondary claims as needed.
Medical Call Center Supervisor
University of AL Health Service Foundation
Birmingham, AL
05.1999 - 11.2011
- Duties includes supervising the Telephone, Collection Agency and the Correspondence Representatives
- Responsible for the day to day operations of the department which includes but not limited to interviewing and hiring employees
- Analyze AR reports and employees' monthly production reports
- Handle major incidents that cannot be resolved by agents
- Analyze call statistics and customer satisfaction scores
- Communicate via telephone and in writing with other departments including Doctor's offices to ensure customer billing is correct
- Communicate with collection agencies to ensure they receive the correct patient information.
- Developed and implemented customer service policies and procedures.
- Conducted performance reviews of call center staff and documented results.
- Handled escalated customer service concerns to preserve customer satisfaction and maintain long-term business relationships.
- Coached team members on metrics and consumer experience behavior identification to improve satisfaction ratings.
- Trained and supervised new employees to promote overall team productivity and consistent service.
- Collaborated with other departments to develop solutions for customer needs.
- Participated in hiring interviews and selection process for new team members.
- Reviewed customer complaints to determine appropriate methods for resolution.
Education
Business Administration, Undergraduate -
University of Alabama in Birmingham
Medical Billing and Coding, Certification -
Ultimate Medical Academy
CPAR, Certification -
HFMA
Skills
- Coding
- Verifying insurance coverage
- Records reviews
- Schedule maintenance
- Customer service
- Filing insurance claims
- CPAR Knowledge
- Billing knowledge of several insurance including but not limited to HMOs, Medicaid, BCBS,Commercial carriers
- HIPAA compliance
- ICD-10
- CPT
- HCPCS
- ASC coding
- Impact/Power Chart
- TransChart
- Healthquest Trac
- Stockcamp
- IDX HHM
- Medisoft billing systems
- Medical billing software
- Electronic Medical Record
- EMR software
- Medical Manager Software
- Technical expertise
- Maintains strict confidentiality
- Strong work ethic
- Proficient in Microsoft software
Certification
- CPC/CPC-H Certification
- CPAR Knowledge of HMOs, Medicare, Medicaid, BCBS and Commercial carriers
Timeline
Transplant Financial Coordinator
University of AL Hospital
04.2014 - Current
Patient Account Representative
UAB Hospital Business Office
10.2013 - 04.2014
Medical Call Center Supervisor
University of AL Health Service Foundation
05.1999 - 11.2011
Business Administration, Undergraduate -
University of Alabama in Birmingham
Medical Billing and Coding, Certification -
Ultimate Medical Academy
CPAR, Certification -
HFMA