Lutricia Russell
Lithia Springs,GA
Summary
Courteous Denial Specialist with years of hands-on experience processing healthcare disputes and reviewing cases to determine facts of each case. Patient and helpful professional well-versed in reading and interpreting medical records and formulating clinical appeals and letters. Proficient in [Software] paired with expertise in [Area of expertise]. Commended for superb conflict resolution skills and calm approach while dealing with irate clients.
Overview
33
33
years of professional experience
Work History
Precert Denial Specialist/Scheduler
WellStar Paulding Hospital
Hiram, GA
11.2021 - 10.2023
- Examined medical treatment records and medical bills to gauge overall extent of liability.
- Maintained confidentiality of patient finances, records, and health statuses.
- Maintained up-to-date knowledge of industry trends and best practices in denial management, ensuring the organization''s processes remained competitive and effective.
- Optimized workflows within the team by assigning tasks based on individual strengths and expertise in particular payers or denial reasons.
Account Resolution Specialist
Wellstar Medical Group Business Office
Marietta GA
11.2012 - 11.2021
- Processed payments and applied to customer balances.
- Quantified debtor balances to avoid late payments and bad credit.
- Initiated repossession process or service disconnection upon failure of other collection methods.
- Negotiated re-payment plans by identifying causes of delinquent payments to assist in recovery of debt and meet realistic timeframes.
- Performed full research to check claims for hospital and possible solution
- Completed in-depth research to investigate claims and resolve problems.
Patient Account Representative
Wellstar Cobb Gynecologist Business Office
Austell, GA
08.2002 - 10.2012
- Maintained accurate records of customer accounts, payments and payment plans.
- Provided exceptional customer service, handling sensitive patient situations with professionalism and empathy.
- Reduced outstanding balances by implementing effective collection strategies tailored to individual patients'' needs.
- Maintained accurate records of all transactions, ensuring timely payments from patients and insurance providers.
- Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
- Entered client details and notes into system for interdepartmental access and review.
- Facilitated smooth communications between patients, providers, and insurers, fostering an atmosphere of trust and collaboration.
Sales Associate/Assistant Manager
The Pharmacy At Peachtree Center
Atlanta, GA
01.1991 - 08.2002
- Managed efficient cash register operations.
- Participated in team meetings and training sessions regularly for continuous professional development within the retail industry.
- Answered customer questions about products and services, helped locate merchandise, and promoted key items.
- Enhanced team productivity by fostering a positive work environment and providing support to colleagues as needed.
- Listened to customer needs and desires to identify and recommend optimal products.
Education
Medical Assistant
Btyman School of Nursing
Atlanta, GA04.1984
Luther Judson Price High
Atlanta, GA06.1983
Skills
- Documentation abilities
- ICD-10 Proficiency
- Documentation Review
- Recordkeeping Organization
- Denied claims identification
- Customer Service
- Eligibility Determination
Timeline
Precert Denial Specialist/Scheduler
WellStar Paulding Hospital
11.2021 - 10.2023
Account Resolution Specialist
Wellstar Medical Group Business Office
11.2012 - 11.2021
Patient Account Representative
Wellstar Cobb Gynecologist Business Office
08.2002 - 10.2012
Sales Associate/Assistant Manager
The Pharmacy At Peachtree Center
01.1991 - 08.2002
Medical Assistant
Btyman School of Nursing
Luther Judson Price High