Lyneisha Godwin
Bayshore,NY
Summary
Accomplished Healthcare Administrator with a passion for leading in the work field while taking on new challenges. 9+ years of experience impacting positive organizational outcomes through patient satisfaction, problem solving, and leadership.
Overview
10
10
years of professional experience
Work History
Physician Revenue Cycle Representative - Customer Service/Follow -up (Transfer)
Catholic Health Services of Long Island
2016.02 - Current
- Verify patient's insurance coverage
- Handle collections & unpaid accounts by setting up payment plans
- Work directly with insurance companies including but not limited to Medicare, Medicaid, Tri-care, commercial carriers, & Worker's Compensation/No-Fault carriers
- Answer any questions patients may have
- Work any denials from insurance companies
- Follow up on any claims that may be aging
- Work any correspondence that comes in via mail
- Train coworkers on following up with Medicare, Medicaid & Tri-care.
- Complete over 60 patient accounts every working day
Clerical Member & Medical Biller
Tritech Management
2019.11 - 2023.03
- Prepared medical documentation to go to arbitration
- Printed and scanned medical reports
- Mailed medical record requests to referring physicians
- Scanned EOBs, correspondence from insurance carriers
- Billed no-fault and workers compensation bills through online submission.
Collections Representative
Medical Arts Radiology
2017.06 - 2019.07
- Assisted in answering irate patients with questions
- Practiced patience with not only staff, patients and doctors
- Answered patients questions regarding outstanding balances
- Made phone calls to patients with outstanding balances
- Verified patient insurance
- Posted medical charges
- Insurance follow up for no-fault
- Special projects for month end
Physician Billing Representative
St. Francis South Bay Cardio
2015.11 - 2016.02
- Verified patient's insurance coverage
- Contacted insurance carriers to follow up on any outstanding claims
- Worked denials & any correspondence that would come in.
Medical Biller
Professional Medical Management
2014.08 - 2015.11
- Verified patients' insurance coverage
- Handles collections & unpaid accounts by setting up payment plans/following up with patients if or when there is a lapse in payment
- Worked directly with over 10 insurance companies
- Managed different providers accounts receivables
- Answered any questions that patients may have
- Submitted claims to secondary insurance companies if needed
- Reviewed patients bills before electronic or on paper submissions
- Worked any denials from insurance companies
- Trained co-workers on handling several providers accounts receivables.
Education
Bachelor of Science - Health Administration
DeVry University
Chicago06.2022
Health IT Certificate - IT
Suffolk County Community College
Brentwood, NY06.2019
Associate of Science - Medical Billing And Coding
Branford Hall Career Institute
Amityville, NY11.2014
Skills
- EPIC, ICD-9 & CPT Coding, HCPCS Level II Coding, Anatomy & Physiology,
- Payment Posting, Insurance Authorizations, Medical Billing & Reimbursement, Claim Appeals,
- HIPAA Compliance, Patient Needs Management, Administrative Support,
- Proficient in Microsoft Word, Microsoft Office, Excel, PowerPoint, Outlook & Internet Explorer
Additional Information
EPIC, ICD-9 & CPT Coding, HCPCS Level II Coding, Anatomy & Physiology, Payment Posting, Insurance Authorizations, Medical Billing & Reimbursement, Claim Appeals, HIPAA Complaint, Patient Needs Management, Administrative Support, Proficient in Microsoft Word, Microsoft Office, Excel, PowerPoint, Outlook & Internet Explorer, Highly organized, reliable, and independent; able to adapt to shifting priorities with a strong work ethic
Analytical, Detail-Oriented, and Flexible; expert at integrating and proofreading information to obtain overall objectives
High-energy, confident individual with a compelling enthusiasm
Known for time management; able to prioritize and complete complex problems and tasks efficiently before a given deadline
A dedicated individual; able to motivate self and teams to perform at their best
Creative and Resourceful; efficient in a fast-paced multitasking environment and able to prioritize effectively to obtain objectives
Timeline
Clerical Member & Medical Biller
Tritech Management
2019.11 - 2023.03
Collections Representative
Medical Arts Radiology
2017.06 - 2019.07
Physician Revenue Cycle Representative - Customer Service/Follow -up (Transfer)
Catholic Health Services of Long Island
2016.02 - Current
Physician Billing Representative
St. Francis South Bay Cardio
2015.11 - 2016.02
Medical Biller
Professional Medical Management
2014.08 - 2015.11
Bachelor of Science - Health Administration
DeVry University
Health IT Certificate - IT
Suffolk County Community College
Associate of Science - Medical Billing And Coding
Branford Hall Career Institute
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