Renee Lyon
St Elizabeth Healthcare
Dry Ridge,KY
1
Certification
15
years of professional experience
Dedicated Medical Billing Specialist with over 10 years of experience in insurance verification and claims processing. Known for exceptional customer service and collaborative efforts that streamline operations and increase efficiency in billing practices.
Work History
Medical Billing Specialist
3 Years 7 Months- Processed insurance claims with accuracy, ensuring compliance with healthcare regulations and policies.
- Reviewed patient accounts to identify and resolve discrepancies in billing statements.
- Collaborated with healthcare providers to obtain necessary documentation for claim submissions.
- Trained junior staff on best practices for medical coding and billing procedures.
- Implemented process improvements that enhanced billing efficiency and reduced claim denials.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Precisely evaluated and verified benefits and eligibility.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Filed and updated patient information and medical records.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
- Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
- Managed end-to-end medical billing processes, ensuring accurate claim submissions and timely follow-ups.
- Trained and mentored junior staff on billing systems and compliance regulations to ensure accuracy.
- Reduced claim denials by diligently reviewing patient records for correct coding and billing information.
- Prevented unnecessary loss of revenue due to late or incomplete billing by meticulously tracking all accounts and ensuring timely submission of accurate claim forms.
- Promoted a positive work environment by consistently demonstrating professionalism, mutual respect, and cooperation with fellow team members.
Patient Registration Specialist
11 Years 4 Months- Streamlined patient registration processes, enhancing workflow efficiency and reducing wait times.
- Coordinated with healthcare providers to ensure accurate patient information collection and processing.
- Trained new staff on software systems and best practices for patient data management.
- Implemented strategies to improve data entry accuracy, supporting overall operational goals.
- Managed patient inquiries, ensuring timely resolution of issues and maintaining high service standards.
- Managed high-volume patient traffic during peak hours, prioritizing tasks to maintain efficient workflow.
- Provided exceptional customer service, addressing patient concerns and answering questions promptly and professionally.
- Improved patient satisfaction by efficiently registering patients and verifying their insurance information.
- Collaborated with other departments to ensure a seamless transition from registration to treatment for patients.
- Assisted in training new staff members on best practices for patient registration, improving overall team performance.
- Verified insurance eligibility for patients quickly and accurately, reducing financial discrepancies between patients and providers.
- Reduced registration errors through meticulous data entry and attention to detail.
- Contributed to a decrease in wait times by expediting the check-in process with effective multitasking skills.
- Maintained strict compliance with HIPAA regulations while handling sensitive patient information.
- Promoted a positive work environment through active participation in team meetings and continuous process improvement initiatives.
- Verified insurance coverage to confirm patient coverage for necessary medical services.
- Provided counseling to help patients navigate financial assistance programs for uncovered bills.
- Gathered demographic and insurance information to register patients for medical appointments.
- Imaged and scanned patient and registration documentation into electronic patient records.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Maintained clean and organized workspaces to promote smooth operation and easy access to patient information.
- Explained financial responsibilities to patients as well as payment options and potential collection procedures imposed upon patients and other responsible parties.
- Secured patient privacy by learning and following HIPAA regulations to keep organization compliant with relevant laws.
- Collected payments and co-pays from customers using large variety of insurance programs, adjusting amounts based on specific plan directives.
- Upheld HIPAA regulations and standards for protecting patient information.
Education
Billing And Coding Certificate - Billing And Coding
Skills
HIPAA compliance
Claim submission
Insurance verification
Patient billing
CRCR Certification
Insurance billing
Data entry
Medical billing
Insurance claims
Medical terminology
Claims review
Billing and collection procedures
Insurance claims processing
Critical thinking
Customer service
Electronic claims
Teamwork and collaboration
Medical claims submission
Electronic health record software
Commercial and private insurance
Medicare and medicaid proccess
Certification
Certified Revenue Cycle Representative-HFMA.
Timeline
Medical Billing Specialist
St Elizabeth Healthcare
01.2023 - CurrentRead More
Patient Registration Specialist
St Elizabeth Healthcare
09.2011 - 01.2023Read More
South Western University
Billing And Coding Certificate from Billing And Coding
Read More