Luzviminda Payne
PO Box 1365,Keaau
Summary
Adept Medical Billing Specialist with a proven track record at Clinical Labs of Hawaii, LLP, showcasing expertise in insurance claims submission and denial management. Skillfully enhanced insurance claim reprocessing, achieving significant reductions in patient account errors. Known for meticulous attention to detail and a collaborative spirit,
Overview
24
24
years of professional experience
Work History
Medical Billing Specialist
Clinical Labs of Hawaii, LLP
33 Lanihuli St Hilo, HI 96720
02.2001 - Current
- I communicated with providers to obtain additional information needed to have denied claims reprocessed by the insurance for payment.
- Posted insurance adjustments into patient accounts to ensure correct patient responsibility.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and timely refiled rejected claims.
- Review claims and denials for accuracy for all insurances.
- Appealed denied Medicare claims on the Noridian website.
- Verified patient insurance on the website to determine eligibility.
- Review collection accounts for accuracy before forwarding them to a third-party collection agency.
Education
Associate Degree - Accounting
Hawaii Community College
Hilo, HIAssociate Degree - Data Processing
Hawaii Community College
Hilo, HISkills
- HIPAA compliance
- Insurance verification
- CPT knowledge
- Denial management
- Medicare and medicaid process
- Medical terminology
- Billing and collection procedures
- CMS-1500 billing forms
- Quality-oriented Team Player
Languages
Filipino(Tagalog and Ilocano)
Native or Bilingual
Timeline
Medical Billing Specialist
Clinical Labs of Hawaii, LLP
02.2001 - Current
Associate Degree - Accounting
Hawaii Community College
Associate Degree - Data Processing
Hawaii Community College