Vanassa Lemons
El Campo
Summary
Dedicated healthcare support professional with over 10 years of experience in Medicaid, Medicare, and commercial payer workflows. Expertise in benefits verification, authorization tracking, and documentation accuracy, ensuring compliance with HIPAA and payer guidelines. Proven ability to manage high-volume environments while coordinating with teams and providers to resolve coverage issues.
Overview
33
33
years of professional experience
Work History
Administrative Specialists II
Texana Center
09.2014 - 09.2025
- Improved patient inquiry resolution by effectively managing inbound calls.
- Achieved timely service authorizations through accurate application processing.
- Ensured data integrity by meticulously scrutinizing forms and documentation.
- Maintained comprehensive client records with detailed, compliant activity notes.
- Resolved patient eligibility issues by conducting informative outbound calls.
- Verified insurance coverage to facilitate accurate billing of Medicaid services.
- Monitored databases and updated records in Electronic Visit Verification system.
Medical Records Specialists
Texana Center
03.1999 - 09.2014
- Ensured HIPAA compliance, protecting patient confidentiality and safeguarding sensitive information.
- Transitioned paper medical records to electronic systems, enhancing accessibility and retrieval speed.
- Conducted audits to verify documentation accuracy and adherence to patient care plans.
- Managed retrieval and release of medical records per confidentiality protocols.
- Facilitated paper-to-electronic records conversion, improving data integrity and efficiency.
- Assisted staff with documentation requests for billing and patient coordination support.
Houseparent II
WHAMCO-Texana Center
01.1993 - 03.1999
- Enhanced patient support by assisting with daily living activities and transportation.
- Monitored vital signs, documenting patient status per established care plans.
- Completed thorough documentation for residents, ensuring safety and care continuity.
- Implemented behavior management strategies to encourage positive resident interactions.
- Facilitated positive interactions among residents through tailored training programs.
Education
Texas School of Business
Houston, TXWharton County Junior College
Wharton, TXSkills
- Benefits Investigation
- Insurance Verification
- Medicare (A,B,C,D)
- Prior Authorizations & Appeals
- Coverage Determination
- Payer Policy Compliance
- Patient Financial Assessment
- Application Enrollment Processing
- Inbound & Outbound Patient Calls
- High-Volume Production Support
- Microsoft Word, outlook, Excel
- Databases & EMR systems
Timeline
Administrative Specialists II
Texana Center
09.2014 - 09.2025
Medical Records Specialists
Texana Center
03.1999 - 09.2014
Houseparent II
WHAMCO-Texana Center
01.1993 - 03.1999
Texas School of Business
Wharton County Junior College