Mary Lamb
Cottonwood,AZ
Summary
Enthusiastic and eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of Customer service and Medical Insurance field. Motivated to learn, grow and excel in any position.
Overview
33
33
years of professional experience
Work History
Senior HIM Processor
Northern Arizona Healthcare
08.2022 - Current
- Received and reviewed incoming documents and materials
- Examined incoming materials and compared to documentation for accuracy and quality
- Reviewed charts and flagged incomplete or inaccurate information
- Maintained patient records in compliance with security regulations
- Processed medical records requests from outside providers according to facility, state, and federal law
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers
- Communicated effectively with staff, patients, and insurance companies by email and telephone
- Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations
- Maintained patient confidence by keeping patient records information confidential
- Developed and maintained organized filing system for medical records to adhere to HIPAA regulations
- Supported medical staff by providing organized and accurate medical records
- Printed and photocopied documents to provide patients with copies of medical records
- Maintained patient records systems by archiving, scaning and indexing important documents and files
- Scanned medical records in digital format for easy retrieval and accessibility
- Followed up with medical staff regarding missing information in patient records
- Maintained accuracy, completeness, and security for medical records and health information
- Tracked and monitored requests for medical records release
- Utilized electronic medical record systems to store, retrieve and process patient data
- Assisted in training new staff on medical record processing and filing procedures
- Assisted in preparation of medical reports for external parties
- Processed and tracked requests for medical records from external organizations
- Followed exact procedures for handling transfers and other releases of medical records
- Sorted and distributed incoming and outgoing medical records
- Researched and resolved medical record discrepancies
- Analyzed complex medical records to identify discrepancies in accuracy and completeness.
Medical Billing Specialist
Amazing Acupuncture
04.2022 - 10.2025
- Communicated with insurance providers to resolve denied claims and resubmitted
- Located errors and promptly refiled rejected claims
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable
- Identified and resolved patient billing and payment issues
- Posted and adjusted payments from insurance companies
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Managed patient billing inquiries, providing clear explanations and support.
- Processed insurance claims with accuracy, ensuring timely submission and resolution.
Claims Processor
Hawaii Mainland Administrators
07.2002 - 07.2022
- Processed and evaluated claims for accuracy and compliance with company policies.
- Implemented improvements in claims handling procedures to enhance efficiency and reduce processing times.
- Collaborated with team members to resolve complex claims issues, ensuring timely resolutions for clients.
- Trained new staff on claims processing systems and best practices to maintain high standards of service.
- Oversaw claims processing workflows to ensure timely and accurate claim adjudication.
- Mentored junior processors, enhancing team performance and knowledge retention.
- Reviewed complex claims to ensure compliance with regulatory requirements and company policies.
- Expedited payment processing by promptly resolving outstanding issues or discrepancies related to submitted claims.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Led claims processing team to ensure timely resolution and adherence to quality standards.
Customer Service Representative
Hawaii Mainland Administrators LLC
07.2001 - 07.2022
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
- Responded to customer requests for products, services and company information
- Answered customer telephone calls promptly to avoid on-hold wait times
- Answered constant flow of customer calls with up to 100 calls in queue per day
Lead Research and Adjustment Coordinator
Hawaii Mainland Administrators LLC
07.2001 - 07.2022
- Maintained excellent attendance record, consistently arriving to work on time
- Determined and developed algorithms to improve and optimize operational processes
- Developed program plans, goals, objectives, and milestones for evaluating and measuring effectiveness of operations.
Sales Associate
Walmart
08.1993 - 06.2001
- Organized racks and shelves to maintain store visual appeal, engage customers and promote specific merchandise
- Maintained organized, presentable merchandise to drive continuous sales
- Prepared merchandise for sales floor by pricing or tagging
- Supported efficient and timely replenishment of sales floor merchandise
- Prioritized helping customers over completing other routine tasks in store.
Department Manager
Walmart
08.1993 - 06.2001
- Managed inventory and receiving operations to maintain optimal stock levels and meet expected demands
- Increased efficiency and team productivity by promoting adherence to operational best practices and company policies
- Rotated merchandise and displays to feature new products and promotions
- Managed overstocking, restocking and inventory control procedures during my shift.
Customer Service Manager, Front
Walmart
08.1993 - 06.2001
- Trained and regularly mentored associates on performance-oriented strategies and customer service techniques
- Oversaw employee performance, corrected problems and increased efficiency to maintain productivity targets
- Established and optimized schedules to keep coverage and service in line with forecasted demands
- Responded to customer concerns with friendly and knowledgeable service and remedied issues promptly and effectively.
Education
No Degree - Engineering
Embry Riddle Aeronautical University Prescott
AzNo Degree -
Yavapai College
Cottonwood, AZHigh School Diploma -
Mingus Union High School
Cottonwood, AZ05-1990
Skills
- Problem resolution
- Supervision
- Project organization
- Claims review
- Claims Processing
- Claims Adjustments
- Highly motivated
- Reviewing Patient Information
- File and Records Management
- Customer Service
- Time Management
- Medical Records Security
- Payments Posting
- Medical Billing
- Patient Identification
- Medical Coding Knowledge
- Medical Billing Technology
- CMS-1500 Billing Forms
- Claims Review
- Benefits Verifications
- Insurance Claim Requirements
- Electronic Health Record Software
- ICD-10 Coding
- Medical Claims Submission
- 10-Key Data Entry
- Data Entry
- Attention to detail
- Teamwork and collaboration
- Customer service
- Data entry experience
- Multitasking and organizing
- Critical thinking
- Employee training
- Document review
- Discrepancy research and resolution
- Accuracy and precision
- Claims
- Claims processing
- Insurance coverage verification
Timeline
Senior HIM Processor
Northern Arizona Healthcare
08.2022 - Current
Medical Billing Specialist
Amazing Acupuncture
04.2022 - 10.2025
Claims Processor
Hawaii Mainland Administrators
07.2002 - 07.2022
Customer Service Representative
Hawaii Mainland Administrators LLC
07.2001 - 07.2022
Lead Research and Adjustment Coordinator
Hawaii Mainland Administrators LLC
07.2001 - 07.2022
Sales Associate
Walmart
08.1993 - 06.2001
Department Manager
Walmart
08.1993 - 06.2001
Customer Service Manager, Front
Walmart
08.1993 - 06.2001
No Degree - Engineering
Embry Riddle Aeronautical University Prescott
No Degree -
Yavapai College
High School Diploma -
Mingus Union High School