Robin Lawrence

Empathetic insurance professional experienced in investigating and processing insurance claims.

Diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating complex DME, professional and Orthopedic claims. Ready to help the team achieve company goals.

• Medicaid Account Representative II, Froedtert & Medical College of Wisconsin, Milwaukee, WI, 08/01/18, Present, Analyze multiple sources of remittance to determine proper allocation of rejections, payments and /or adjustments, subject to individual carrier guidelines and contractual fee schedules., Respond to carrier requests for additional information or documents., Review carrier denials and /or unacceptable reimbursement to (a) challenge the determination or (b) adjust appropriately., Communicate via phone with various representatives, both internally and externally as necessary., Apply extensive knowledge of multiple contracts, agreements and government guidelines/regulations to submit, post, research and/or resolve accounts and claims.
• Patient Account Specialist, Blount Orthopaedic Associates, Glendale, WI, 04/01/21, 12/01/22, Processing Electronic and Manual Patient and insurance payments in Centricity and Practice Plus., Analyze multiple sources of remittance to determine proper allocation of rejections, payments and /or adjustments, subject to individual carrier guidelines and contractual fee schedules., Respond to carrier requests for additional information or documents., Review carrier denials and /or unacceptable reimbursement to (a) challenge the determination or (b) adjust appropriately., Communicate via phone with various representatives, both internally and externally as necessary., Apply extensive knowledge of multiple contracts, agreements and government guidelines/regulations to submit, post, research and/or resolve accounts and claims.
• Medical Billing Specialist II, EMS, Wauwatosa, WI, 02/01/22, 09/01/22, Processing Electronic and Manual Patient and insurance payments in Imagine., Analyze multiple sources of remittance to determine proper allocation of rejections, payments and /or adjustments, subject to individual carrier guidelines and contractual fee schedules., Respond to carrier requests for additional information or documents., Review carrier denials and /or unacceptable reimbursement to (a) challenge the determination or (b) adjust appropriately., Communicate via phone with various representatives, both internally and externally as necessary., Apply extensive knowledge of multiple contracts, agreements and government guidelines/regulations to submit, post, research and/or resolve accounts and claims., Answering external patient calls, account review.
• Medical Billing Specialist II, North Shore Health Care, LLC, Milwaukee, WI, 09/01/20, 04/01/21, Processing Electronic and Manual Insurance payments using PointClickCare and Way star., Analyze multiple sources of remittance to determine proper allocation of rejections, payments and /or adjustments, subject to individual carrier guidelines and contractual fee schedules., Respond to carrier requests for additional information or documents., Review carrier denials and /or unacceptable reimbursement to (a) challenge the determination or (b) adjust appropriately., Communicate via phone with various representatives, both internally and externally as necessary., Apply extensive knowledge of multiple contracts, agreements and government guidelines/regulations to submit, post, research and/or resolve accounts and claims.
• Claims Cash Appl Rep, Aurora Health Care, Milwaukee, WI, 03/01/17, 09/01/17, Processing Electronic and Manual Insurance payments using Epic., Processing secondary payments., Distributing payments and zero pays to patient accounts., Enter total cash posted to Excel spreadsheets, Process ERA payments for Dean Insurance., Create and work on Errors created due to invalid payors.
• Customer Care Rep II, Aurora Health Care, Milwaukee, WI, 01/01/16, 03/01/17, Answer inbound patient calls., Answer insurance company's calls., Verify patient account information., Process payments in Epic and Ehealth., Establish payment arrangements, Create CRM's and route them appropriately., Return patient calls with results and resolution.
• Billing & Collections Specialist, Joints In Motion Medical, Pewaukee, WI, 09/01/14, 01/01/16, Process claims, scan medical notes and save to patients files, Call insurance companies verify claims, Call Attorney's office verify case status, Process payments using Transaction central, Generate Invoices and Statements using Bonafide, Resubmit claims, process and scan checks into company file and patients files, Call patients to set up payment plans
• Access Service Representative, Froedtert & Medical College of Wisconsin, Milwaukee, WI, 11/01/13, 01/01/15, Serve as the first point of contact for clinic by checking in patients, Verify and enter patient demographics, collect co-pays and obtain necessary signatures for HIPAA and Medicare documents, Utilize Amcom and Epic when handling patients' accounts and schedule appointments, Professionally answer calls, triage calls, page doctors and transfer calls

 I love reading self help books, books about cooking. I have a 7 yr old male AmStaff, he loves  to play frisbee. I also love art museum as well as going to the zoo with my family.