WINDETTA LEE
BIRMINGHAM,Alabama
Summary
Diligent Account Resolution Specialist successful at operating in demanding, high-volume environments. Proficient in research, claims issues, and setting up remittance plans.
Experienced team player adept at account reviews, customer service, and solution management. Positive and upbeat individual skilled in relationship-building and customer retention.
Experienced team player adept at account reviews, customer service, and solution management. Positive and upbeat individual skilled in relationship-building and customer retention.
Experienced team player adept at account reviews, customer service, and solution management. Positive and upbeat individual skilled in relationship-building and customer retention.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Account Resolution Specialist
Palmetto Infusion Services
05.2023 - Current
- Resolved complex billing discrepancies to ensure accurate account reconciliation.
- Collaborated with healthcare providers to obtain necessary documentation for claims processing.
- Analyzed patient accounts to identify trends and prevent future billing issues.
- Trained new staff on account resolution processes and best practices for efficiency.
- Streamlined workflows by implementing process improvements in the claims review procedure.
- Negotiated arrangements to manage defaults, payment plans, or full remittance of balance owed.
- Created detailed documentation for each case handled, ensuring proper record-keeping for future reference or audits purposes.
- Completed in-depth research to investigate claims and resolve problems.
- Improved account reconciliation accuracy by implementing new tracking systems and tools.
- Resolved account discrepancies by analyzing financial data and collaborating with internal departments.
- Documented all actions performed and interactions with customers.
- Prevented revenue loss by promptly identifying and addressing potential payment delinquencies.
Billing Coordinator
ENHABIT HOME HEALTH & HOSPICE
08.2021 - 05.2023
- Interact with multiple branches, facilities, and the VA Administration to obtain verifications for benefits and coverage regarding hospice.
- Responsible for account follow-up for all assigned accounts, resolving billing problems.
- Uses collection techniques to keep accounts receivable current.
- Responds to insurance companies requests for information in a prompt and professional manner.
- Reviews account aging monthly basis and reports inconsistencies and correct errors an appropriate.
- Follows up on insurance billing to ensure timely receipt of payments.
- Review EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to supervisor.
Patient Financial Service Representative
BRADFORD HEALTH SERVICES
10.2015 - 08.2021
- Prepare documents for admissions, verify patient benefits, financial consultant, collection of payments, and co-payments, document all billing and collections activity, patient accounts and patients transfer service.
- Managed patient billing inquiries, resolving issues efficiently to enhance customer satisfaction.
- Processed insurance claims accurately, ensuring timely reimbursement and compliance with regulations.
- Collaborated with healthcare providers to verify patient eligibility and benefits for services rendered.
- Trained new staff on financial protocols, improving onboarding efficiency and knowledge retention.
- Analyzed account discrepancies, implementing corrective actions to minimize errors and improve accuracy.
- Developed streamlined processes for patient payment plans, enhancing accessibility for patients seeking care.
- Led initiatives to optimize revenue cycle management, driving operational efficiencies across departments.
- Maintained compliance with industry regulations, ensuring proper handling of sensitive patient data during the billing process.
Business Office Specialists
ALABAMA PSYCHIATRIC
09.2013 - 02.2015
- Verify patients’ insurance(s) and coverages, data entry of patient demographics and other pertinent information, handle large volume inbound and outbound calls, scheduling of patient appointments, collects and discussions of delinquent accounts, EOB with patients regarding denial of claims and general office task as assigned.
- Managed patient scheduling and coordinated appointments to optimize office workflow.
- Streamlined billing processes, ensuring accuracy in insurance claims and patient payments.
- Assisted in maintaining electronic health records, enhancing data integrity and compliance with regulations.
- Developed training materials for new staff, improving onboarding efficiency and knowledge retention.
- Implemented process improvements that reduced administrative errors, increasing overall office productivity.
- Conducted audits of financial documents, ensuring adherence to organizational policies and operational standards.
Legal Collections Specialists
COMER & UPSHAW LLP
10.2011 - 11.2013
- Contact debtors due to unpaid paramedical and medical insurance payments, contact insurance carriers to obtain payments, process & collect payments with regards to workman compensation payments, data entry, loading and data entry of new patient accounts.
- Managed collections processes to ensure timely recovery of outstanding debts.
- Analyzed account statuses and implemented effective strategies for resolution.
- Coordinated with legal teams to prepare cases for court proceedings.
- Developed and maintained relationships with clients to facilitate payment agreements.
- Conducted regular audits of accounts to identify discrepancies and improve accuracy.
- Led initiatives to streamline workflows, enhancing overall operational efficiency.
- Mentored junior specialists, providing guidance on complex collections cases.
- Worked in call center environment handling manual and automatically dialed outbound calls.
- Negotiated to collect balance in full.
Education
Certificate - Medical Billing and Coding
Tri-State College
Birmingham, Alabama12-2011
Certificate - Date Entry
Rutledge College
Birmingham, Alabama12-1987
Skills
- Homecare Homebase
- Waystar
- Medical Coding & Billing Procedures
- Verify Coverage and Eligibility for Hospice Benefits
- Research and Due Diligence
- Inbound and Outbound Calls
- Answer emails & multi-task with Multiple Branches
- Records Organization and Review
- Month End Closing Procedures
- Process and Transmit Claims
- Audit Procedures
- Submit Billing Data to Insurance Providers
- Payment Plan(s) and Negotiation
- Medical Hospice Billing
- Claims processing
- Goal-oriented mindset
- Documentation skills
- Client relationship building
- Data entry proficiency
- Information gathering
- Documentation
- Business correspondence
- Claim handling
- Financial collections
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Documented and resolved billing which led to great result.
- Resolved product issue through consumer testing.
Certification
- Medical Billing and Coding, Tri State College - December 2010-December 2011
Timeline
Account Resolution Specialist
Palmetto Infusion Services
05.2023 - Current
Billing Coordinator
ENHABIT HOME HEALTH & HOSPICE
08.2021 - 05.2023
Patient Financial Service Representative
BRADFORD HEALTH SERVICES
10.2015 - 08.2021
Business Office Specialists
ALABAMA PSYCHIATRIC
09.2013 - 02.2015
Legal Collections Specialists
COMER & UPSHAW LLP
10.2011 - 11.2013
Certificate - Date Entry
Rutledge College
Certificate - Medical Billing and Coding
Tri-State College