Summary
Overview
Work History
Education
Skills
Timeline
Generic

Louwana Rogers

2501 Saturday Street North Port ,FL

Summary

Dynamic Revenue Cycle Specialist with a proven track record at Eyecare Medical Group, enhancing revenue through meticulous billing audits and effective dispute resolution. Proficient in CPT and ICD coding, I excel in fostering patient trust and optimizing reimbursement rates, while training teams to uphold best practices in a fast-paced environment.

Overview

12
12
years of professional experience

Work History

Revenue Cycle Specialist

Eyecare Medical Group
09.2017 - Current
  • Increased revenue by identifying and resolving billing errors in a timely manner.
  • Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
  • Ensured accurate billing with thorough audits of patient accounts and insurance claims.
  • Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
  • Reached out to insurance companies to verify coverage.
  • Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery.
  • Streamlined the revenue cycle process for improved efficiency and faster payment collection.
  • Identified and resolved payment issues between patients and providers.
  • Assisted patients in understanding complex billing statements, leading to increased trust between patients and healthcare providers.
  • Maximized reimbursements by staying current on payer requirements and maintaining strong relationships with insurance providers.
  • Maintained clear documentation of all activities related to unpaid claims or denied services.
  • Improved patient satisfaction by providing clear, concise explanations of billing procedures and insurance coverage.

Life Claims Specialist

Aetna Life Insurance Company
03.2016 - 09.2017

Analyze & approve Group Life Insurance claims

Approve or deny of life claims involving limits risk to management issues

Effectively use of outside vendors according to guidelines to obtain information

Prepare denials with approval from Consultant or Manager

Make claim decision recommendation in accordance with terms fo the contract

Interpret Insurance contract to determine liability

Review Daily report to process new, miscellaneous mail, pend claims

Review & work emails received

Follow up on claims pended for missing or additional documentation

Complete 15 courses yearly for compliance

Organize team building activity for monthly meeting

Patient Account Representative Team Lead

Rheumatology Associates
12.2013 - 03.2016

Review practice bank account Daily for EFT payments

Download all EOB's from Website for all EFT payments

Posting of EFT, insurance and personal payments

Balance end of day

Run financial procedure reports requested by accountant

Process end of month, end of quarter and end of year for practice

Collections

Follow Up on outstanding account receivable

Completing insurance appeals

Process & post insurance & patient refunds

Research insurance recoupment request

Answer incoming calls to billing department

Meet with patients

Contact with provider representatives

Education

Thornton Academy
Saco

Skills

    License in Cosmetology/Maine State Hair Academy 1992

    Knowledge of several software programs, ICP, Nextech, IDX, GPMS, EPIC, therapy source system, Windows, Microsoft word, Excel, Outlook, ESW

    Medical terminology, proficiency with CPT, ICD9 & ICD10 coding

    Typing (90WPM)

Timeline

Revenue Cycle Specialist

Eyecare Medical Group
09.2017 - Current

Life Claims Specialist

Aetna Life Insurance Company
03.2016 - 09.2017

Patient Account Representative Team Lead

Rheumatology Associates
12.2013 - 03.2016

Thornton Academy
Louwana Rogers