Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tericka Tenice Lemon

Savannah

Summary


Professional in medical billing with proven track record of optimizing revenue cycles and ensuring accurate claims processing. Strong ability to collaborate with teams and adapt to changing requirements while maintaining high standards. Skilled in coding, insurance verification, and resolving billing discrepancies. Reliable and results-driven, with focus on achieving efficient and compliant billing operations.

Overview

21
21
years of professional experience

Work History

AR/Medical Billing Representative

Conifer Health
09.2021 - Current
  • Managed patient accounts, ensuring accurate billing and timely follow-up on outstanding balances.
  • Reviewed insurance claims for completeness and accuracy, resolving discrepancies with payers promptly.
  • Reduced outstanding accounts receivables through assertive follow-up on unpaid claims and diligent negotiations with insurance companies.
  • Monitored daily claim submissions to identify errors or potential issues, taking corrective action as needed for timely processing.
  • Verified insurance of patients to determine eligibility.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Assisted patients in understanding their bills, providing clear explanations of charges and payment options.

Patient Accounts Department

Central Billing St Joseph’s Candler
09.2020 - 08.2021
  • Working AR follow up on unpaid claims electronically or by receiving correspondence, resolving issues related to repayment terms, and tracking patient payments who are delinquent in bill payments.
  • Updating patient demographics, providing basic administrative task daily and providing excellent verbal and communication skills, also completing 45 accounts per day as required to meet productivity.

Insurance Rep/Coding Specialist

Cardiology Associates of Savannah
01.2015 - 09.2020
  • Charge entry/billing entered daily for nine physicians in office as well as for several satellite locations.
  • Answers billing questions from patients, setting patients up with payment arrangements as needed, resolves any patient billing complaints, updating demographics for New/Established patients daily, also billing outpatient charges when seen by the cardiologist or at St Joseph’s hospital.
  • Prepare and submit corrected claims to several insurance companies either electronically or by paper.

Mental Health Assistant

Costal Harbor Treatment Center
11.2004 - 06.2015
  • Monitoring patient’s physical behaviors and emotional habits daily
  • Documenting all behaviors, eating habits, and assisting with medications
  • Taking vital signs daily.

Education

Diploma -

Jenkins High School
06.1999

Medical Coding/ Billing Insurance Data Specialist

Savannah Technical College
12.2015

Skills

  • ICD-10 knowledge
  • Continuous learning attitude
  • Medical billing software proficiency
  • Organizational growth
  • Claims processing proficiency
  • HIPAA compliance
  • Patient confidentiality practices
  • Denial resolution techniques
  • Conflict resolution
  • Customer service
  • Claims review
  • Critical thinking
  • Accounts receivable
  • Insurance verification

Timeline

AR/Medical Billing Representative

Conifer Health
09.2021 - Current

Patient Accounts Department

Central Billing St Joseph’s Candler
09.2020 - 08.2021

Insurance Rep/Coding Specialist

Cardiology Associates of Savannah
01.2015 - 09.2020

Mental Health Assistant

Costal Harbor Treatment Center
11.2004 - 06.2015

Medical Coding/ Billing Insurance Data Specialist

Savannah Technical College

Diploma -

Jenkins High School

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