Samira Lyons
Chicago,IL
Summary
Revenue Cycle, Patient Access, and Business Office professional with 10+ years of experience in collections, admissions, Medicaid/Medicare billing, and medical office operations. Strong background in insurance verification, AR management, resident admissions, marketing support, and supervising office workflows. Demonstrates excellence in patient communication, compliance, and accurate financial processing in fast-paced healthcare environments.
Overview
11
11
years of professional experience
4
4
years of post-secondary education
1
1
Certification
Work History
Medicaid & Benefits Engagement Specialist
MyOwnDoctor
Chicago, IL
01.2025 - Current
- Conduct high-volume Medicaid outreach using RingCentral auto-dial systems to introduce patients to telehealth services and new program benefits.
- Verify Medicaid insurance, confirm demographics, and update all patient details within EHR systems.
- Schedule primary care, behavioral health, and therapy telehealth visits based on provider availability.
- Complete PHQ-9, GAD-7, SDOH, and HRS assessments to support social work-aligned care coordination.
- Manage digital documentation, update patient records, and maintain HIPAA confidentiality.
- Perform follow-up outreach, complete encounter documentation, and track patient engagement outcomes.
Remote Patient Access Representative
Evolent County Care
, IL
11.2024 - 01.2025
- Verified patient eligibility, demographics, and Medicaid coverage while ensuring HIPAA compliance.
- Managed inbound and outbound calls, resolving patient issues and completing appointment scheduling.
- Educated patients on coverage options and assisted with benefit navigation for Medicaid programs.
- Created and updated patient accounts in the EMR system; scanned and indexed all documentation.
- Identified eligibility issues and collaborated with state Medicaid systems to resolve coverage barriers.
- Maintained call scripts, productivity metrics, and strong customer service performance.
- IL Medicaid
Business Office Manager
Ahva Care of Stickney
Chicago, IL
01.2019 - 11.2024
- Oversaw all business office operations, including accounts receivable, census management, billing, admissions, and collections.
- Processed weekly/monthly AR statements, reconciled payments, and coordinated with collection agencies on delinquent accounts.
- Performed Medicaid/Medicare insurance verification using PCC, ABE, Medi, and multiple payer systems.
- Completed and submitted public aid applications, admit packets, and income change reports for residents.
- Led resident admissions orientation, coordinated with nursing and social work teams, and supported marketing efforts through family meetings and facility tours.
- Managed resident trust funds in RFMS, including rep-payee applications and annual SSA reporting.
- Handled facility mail distribution, mobile check deposits, and daily census balancing.
- Communicated with patients and families regarding billing, financial responsibilities, and payment plans.
- Maintained regulatory compliance and ensured confidentiality of financial and medical records.
Business Office Assistant
Warren Barr South Loop
Chicago, IL
02.2015 - 12.2018
- Assisted with billing, AR reconciliation, and resolving discrepancies between billed charges and payments received.
- Verified insurance coverage, collected copays, and supported front-desk patient admissions.
- Processed public aid applications, admit packets, income changes, and rep-payee reports for residents.
- Worked aging reports, managed resident RFMS accounts, and balanced the facility's daily census.
- Scanned, indexed, and maintained confidential medical and financial documents.
- Coordinated physician travel arrangements, prepared meeting materials, and assisted leadership with administrative tasks.
- Monitored EMR documentation, organized filing systems, and ensured HIPAA-compliant handling of resident information.
- Identified patterns in inquiries or complaints and worked with management to improve workflow efficiency.
Education
Associate of Arts - Early Childhood Care And Education
University of Arizona Global Campus
Tucson, AZ 12.2025 - 11.2025
HIPPA Certificate - Hippa For Medical Office Staff
360training.com
06.2025 - 11.2025
General Certificate - Elder Abuse
Mandated Reporter Training
06.2025 - 06.2027
General Certificate - Child Abuse
Mandated Reporter Training
06.2025 - 06.2027
Skills
- Insurance Verification (Medicaid & Medicare)
- Patient Admissions & Intake
- Resident Trust Fund Management
- Accounts Receivable & Collections
- Telehealth Coordination
- EHR/EMR Systems (EPIC, PCC, Medi, ABE, Waystar)
- Census Balancing & Financial Reporting
- Call Center Operations
- Marketing & Outreach Support
- HIPAA Compliance
- Appointment Scheduling
- Documentation & Data Entry
Certification
- HIPAA Certified
- Mandated Reporter Certified
Timeline
Associate of Arts - Early Childhood Care And Education
University of Arizona Global Campus
12.2025 - 11.2025
HIPPA Certificate - Hippa For Medical Office Staff
360training.com
06.2025 - 11.2025
General Certificate - Elder Abuse
Mandated Reporter Training
06.2025 - 06.2027
General Certificate - Child Abuse
Mandated Reporter Training
06.2025 - 06.2027
Medicaid & Benefits Engagement Specialist
MyOwnDoctor
01.2025 - Current
Remote Patient Access Representative
Evolent County Care
11.2024 - 01.2025
Business Office Manager
Ahva Care of Stickney
01.2019 - 11.2024
Business Office Assistant
Warren Barr South Loop
02.2015 - 12.2018