Summary
Overview
Work History
Education
Skills
Timeline
Generic

MICHELE LANE

Decatur,IL

Summary

Dedicated professional with strong organization and communication skills. Well-versed in healthcare practices, compliance standards, privacy laws and operations. Excellent problem-solver with positive and upbeat personality.

Overview

7
7
years of professional experience

Work History

Physical Therapy Technician

Grover C. Dils Medical Center
07.2021 - 01.2023
  • Maintained patient records in compliance with security regulations and 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.
  • Submitted VA medical claims, faxed records and maintained VA authorizations.
  • Executed interventions of modalities or exercise as directed by therapist.
  • Monitored patient's safety and response to exercise intensity to discuss with therapist.
  • Reception duties: scheduling patients, phone calls, insurance, authorizations, completing follow up calls and collecting any payments due.
  • Inventoried supplies and ordered more for office and patient rooms.
  • Followed all HIPAA rules and regulations regarding patient confidentiality.
  • Offered friendly and efficient service to customers, handled challenging situations with ease.
  • Assisted Physical Therapists to initiate different patient care plans in outpatient setting.

Patient Service Register

HSHS St. Mary's Hospital
07.2020 - 07.2021
  • Ensure completion of paperwork, sign-in and security procedures.
  • Interview incoming patients and gather demographic, insurance and emergency information
  • Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
  • Explain facility procedures and gain patient consent forms.
  • Collect/nasal swab patient for Covid-19 testing and take temperatures.
  • Collected copayments and compiled daily financial records.
  • Explained plans for treatment and payment options.
  • Balanced deposits and credit card payments each day.
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
  • Offered friendly and efficient service to all customers, handled challenging situations with ease.

Billing Specialist

Vision Source
07.2018 - 07.2020
  • Carefully evaluate claims processes and complete audit projects to increase productivity.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Prepared billing correspondence and maintained database to organize billing information.
  • Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.
  • Conducted monthly pre-billing review and data quality analysis to verify complete accuracy of invoices delivered to customers and providers.
  • Updated accounts with latest personal details and payment information.
  • Generated and submitted invoices based upon established accounts receivable schedules and terms.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Prepared itemized statements and bills and invoices, recording amounts due for purchases or services rendered, while contacting clients with past due accounts to formulate payment plans and discuss restructuring option.
  • Checked insurance eligibility by making appropriate phone calls and verified all benefits.
  • Maintained confidentiality of all medical records and sensitive information to comply with HIPAA regulations. As well as printing and photocopied documents to provide patients with copies of medical records.

Billing Representative

Cancer Care Specialists Of Central Illinois
07.2016 - 07.2018
  • Complete audit and coding of nurse documented administrations and infusions.
  • Submit HCFA-1500 Billings and pursued timely reimbursement from insurance companies.
  • Research prior authorization and complete insurance reconsideration's.
  • Reviewed and solved account and billing discrepancies.
  • Dealt with problems with calm and professionalism to deliver optimal resolutions.
  • Accepted payments for any services and discussed remaining balances with customers to take accounts to zero.
  • Answered phone calls and provided friendly, knowledgeable service regarding outstanding balances due for chemotherapy and treatments.
  • Maintained confidentiality of patient information to comply with HIPAA regulations and protect patient privacy.

Education

Associate of Applied Business - Paralegal

Bradford College
Columbus, Ohio

Skills

  • Patient services
  • HIPAA Compliance
  • Medical Records Management
  • Multitasking abilities
  • Verbal and written communication
  • Customer Service
  • Compassion
  • Teamwork

Timeline

Physical Therapy Technician

Grover C. Dils Medical Center
07.2021 - 01.2023

Patient Service Register

HSHS St. Mary's Hospital
07.2020 - 07.2021

Billing Specialist

Vision Source
07.2018 - 07.2020

Billing Representative

Cancer Care Specialists Of Central Illinois
07.2016 - 07.2018

Associate of Applied Business - Paralegal

Bradford College

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MICHELE LANE