Whitney Lambert
Repton,AL
Summary
Highly qualified, career driven professional with several years of successful experience in a position of increasing responsibility and duties. Operates with a strong sense of urgency and thrives in a fast paced environment. Seeking a challenging and stimulating position which offers plenty of scope for initiatives and career advancement. Successfully completed a rigorous Associate's program in Health Administration, demonstrating strong understanding of healthcare operations and management.
- Earned a specialized certificate in Medical Billing and Coding, showcasing proficiency in accurate coding, claims processing, and healthcare billing practices.
Overview
7
7
years of professional experience
Work History
Medical Claims Analyst
Elevance Health
01.2022 - Current
- Appropriately document claim files, systems and all communication in an approved format in a clear, prompt, consistent and professional manner
- Consistently adhere to the documented workflow guidelines and established procedures
- Demonstrate high quality work by meeting or exceeding quality audits
- Achieve 100% on-time reporting and quality compliance rating that led to being awarded increased responsibility of handling claims in different departments
- Maintain claimant information on administration systems to ensure claims are processed in compliance with legal and statutory requirements as well as customer agreements
- Conduct regular and timely follow-up for pending claim information on all incomplete claims
- Send written communication regarding the information needed.
Health Administrative (Medical Billing & Coding)
University of Southern Alabama
10.2017 - 12.2023
- Performed a wide variety of administrative and clerical duties as a member of the healthcare team
- Utilized multiple computer applications, as well as the integrated electronic medical record system
- Obtained knowledge of medical terminology and administrative and department procedures for the management of records and forms, information security and exchange, management of reports and data, scheduling of patient appointments, telephone care, and public relations/customer service
- Prepared and submitted billing data and medical claims to insurance companies
- Prepared bills and invoices, and documented amounts due for medical procedures and services
- Collected and reviewed referrals and pre-authorizations
- Maintained billing software by updating rate change, cash spreadsheets, and current collection reports.
Benefits/Medical Records Specialist
Sykes Enterprises Inc
01.2018 - 05.2019
- Implemented and administered employee benefits programs, including health, dental, vision, and retirement plans
- Communicated benefits information to employees, including new hires and existing employees
- Processed enrollments, changes, and terminations of employee benefits
- Managed billing and payments for employee benefit programs
- Resolved issues related to employee benefits, including claims and eligibility
- Maintained accurate employee benefits records and files
- Managed medical records and documents, inputted information into internal databases, retrieved and relayed information to practitioners.
Education
Medical Billing and Coding Certificate -
University of South Alabama
Mobile, ALAssociate of Science in Health Administration -
Ultimate Medical Academy
Clearwater, FLSkills
- Communicative
- Time Management
- Organization
- Record-Keeping
- Eligibility Verification
- Data Analysis
- Strategic
- Critical Thinking
- Complaint Resolution
- Software Programs/Technology(Zendesk, Teams, MSO)
- Collaborative
- Team Building
- Live Chat Achievement
- Payment Processing
- Email Support
- Quality Assurance
- Claims Processing Proficiency
- HIPAA Compliance Understanding
- Medical Terminology Familiarity
Timeline
Medical Claims Analyst
Elevance Health
01.2022 - Current
Benefits/Medical Records Specialist
Sykes Enterprises Inc
01.2018 - 05.2019
Health Administrative (Medical Billing & Coding)
University of Southern Alabama
10.2017 - 12.2023
Medical Billing and Coding Certificate -
University of South Alabama
Associate of Science in Health Administration -
Ultimate Medical Academy
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