Raheem Lamidi
Garner,North Carolina
Summary
Customer-oriented Supervisor with 10 years of hands-on experience overseeing employee performance and offering knowledgeable guidance and support. Expert in the Health and benefits industry best practices and principles of employee management. Blends superb time management and organizational skills to drive group success. Analytical professional with technical knowledge and critical thinking skills to thrive in data-driven environments. Tackles challenges with positivity and drive to overcome. Works great alone or with others and consistently exceeds expectations.
Overview
19
19
years of professional experience
Work History
Secretary And Recruiter
Board of Elections
06.2005 - Current
- Contact info..
- Brian Johnson 919-395-0814, Responsible for ballads development and monitoring of assigned departments
- Ensure that policies & procedures and applicable laws are adhered to at all times
- Recruit, train and supervise required staff in the administration department
- Serves as first line of support for customers
- Scheduled Appointments For Visitors To Meet Mayor
- Maintains accurate and complete scheduling database
- Obtains or verifies complete visitors demographic information from Visitors
- Adjusts, rearranges, and schedules daily procedure schedule according to block scheduling guidelines and policy to obtain the greatest efficiency and optimal use of OR space and associated resources
- Provides printed and faxed schedules to designated recipients
- Face to face interactions with different congress and ballad holders
- Conduct staff meetings in a professional manner
Supervisor
McKesson
08.2012 - 03.2020
- Analyze insurance coverage and benefits for service to ensure timely reimbursement
- Obtain all PAC and/or authorizations as appropriate
- Call patients to remind them to bring balances due, co-pays, co insurance and deductible
- Setting budgets and/or agreeing them with senior management
- Responding to customer complaints
- Helping members Find The Best Plan For Them In A Respectful manner
- Resolve insurance claim rejections/denials and remedy expediently
- Coordinates audits of patient accounts for all customers including external and internal audits
- Appeals insurance denials and gathers the necessary financial and clinical data to work directly with the insurance representatives
- Responds to customer inquiries, telephone and correspondence
- Explaining billing to patients according to credit and collection policies, when discussing insurance with patients
- Determining necessity of third party sponsorship and processing patients per policy and procedure
- Examine insurance policies and other third party sponsorship materials for sources of payment
- Dealing With Pharmacy Claims And Medical Billing With Customers
- Coding, DRG assignment, collection of predefined indicators and abstracting medical records
- Provide timely and accurate ICD-9-CM and CPT codes for reimbursement and specific information for statistical purposes
- Abstracting and data entry of coding information and other statistical data from medical record; review of medical record for appropriate outpatient diagnostic orders and abstracts information for use by The Accounting department to ensure appropriateness of billing
- Perform duties necessary to ensure all accounts are processed accurately and efficiently
- Promote and maintain excellence in customer service
- Directed and supervised team of 15 employees in daily operations.
- Maintained accurate records of employee performance, attendance, leave requests, and disciplinary actions.
- Recruited, hired, trained, mentored, coached, evaluated, and terminated staff as necessary.
Patient Accounts, Customer Service Specialist
CGA International
06.2008 - 02.2012
- Reviewed and verified accuracy of patient accounts, ensuring compliance with all applicable regulations.
- Monitored and maintained account balances, processed payments, and reconciled discrepancies in a timely manner.
- Assisted patients with questions regarding their accounts and billing information.
- Provided customer service to patients by responding to inquiries via telephone or email.
- Analyzed financial data to identify trends or patterns related to billing practices.
- Developed strategies for improving the overall efficiency of the department's operations.
- Conducted audits on patient accounts to ensure accuracy of charges and payments.
- Trained staff on proper procedures for handling patient accounts, including coding and collections processes.
- Created detailed reports for management summarizing monthly activity within the department.
- Collaborated with other departments within the organization to resolve any issues related to patient accounts.
Education
Pharmacy Claims Specialists Humana Certified Data Abstracter Humana Data Collection Specialist -
Skills
- Relevant Experience & Accomplishments:
- Administrative Skills
- Experience with ICD-9, CPT-10, MS Word and MS Excel
- Well versed in the following: Medical Terminology, Medical Insurance, Online Claim Submission, Medical Software, Keyboarding, Medical Billing, Internet, Confidentiality
- Recruit, train and supervise required staff in the administration department
- Serves as first line of support for customers
- Manage human resources, payroll and accounts payable functions
- five years experience as QA specialist
- Able to create and manage QA activities
- In-depth knowledge of quality control / assurance
- Excellent in communication and presentation skill
- Good in computer knowledge
- Comfortable with computers, using phones, consulting with clients and assisting their needs
- Highly experienced with Customer Service and Technical Support over the phone and through emails
- Able to type 40-50 words per minute
- Great math, analytical, and problem solving skills
- Experienced with billing, payment processing, quality control, trouble shooting, and general customer service inquiries
- Technologies and Application Software:
- TestDirector 70i, Bug Collector 40, FrontPage, CorelDraw etc
- Modeling Solution: Rational Rose Enterprise
- Programming Languages: Java, PL SQL, HTML, Perl
- Schedule Development
- Process Improvement
- Business Development
- Staff Management
- Training and Development
- Training and Mentoring
- Processes and Procedures
- Contract Management
- Business Administration
Timeline
Supervisor
McKesson
08.2012 - 03.2020
Patient Accounts, Customer Service Specialist
CGA International
06.2008 - 02.2012
Secretary And Recruiter
Board of Elections
06.2005 - Current
Pharmacy Claims Specialists Humana Certified Data Abstracter Humana Data Collection Specialist -
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