Lea Carson Email & Phone Number

Worked extensively in the healthcare industry for; , Specialty and Hospital practices using my considerable experience in collections to recover the maximum payment and reduce accounts receivable in an expeditious manner. Working knowledge of CPT & ICD9 codes. I have used Verssys, Medisoft, Centricity and Epic programs.Core strengths and competencies:•Manage monthly accounts receivable reports, billing, collections, charge/payments •Insurance verification, knowledge of Insurance contracts, policy benefits & timely filing requirements.•Data entry and maintenance of patient, insurance carrier and provider demographics.•Extensive contact with WC, AUTO, HMO/PPO, Medicare, Medicaid carriers.•Auditing accounts, insurance denials, appeals and authorizations. Patient/customer service and rapport with Insurance carriers and other Professional entities.•Dependable, self motivated, strong problem solving and resolution skills. Courteous and personable, work well independently or as part of a team. •Exemplify core values of Integrity, Honesty, Respect and Confidential handling of information.; Charge entry of CMS and UB claims ranging from $10.00 to $500,000.00.•Accuracy essential in this position. •Charge entry for Member reimbursement requests which included foreign claims •Claim rejection letters which included reasons why claims could not be processed, ex: errors in the recent ICD10 changes.

A/R Collections and follow up. Includes Ins correspondence and Eob’s, •Working with UB’s making any corrections needed for rebilling of corrected claim.•Attaching any requested information, such as med records needed for processing •Insurance Company communication. Insurance appeals•Entering Physician charges and maintaining correct billing info•Working refunds and adjustment transactions•Customer service and communication with patient/patient families and physicians •Update Insurance info, correct address, process hardship discounts requests.

Collections of old A/R including other assigned duties for the Denver Hospice. See description of duites above.

Audited Hospital accounts for correct contractual payments, adjustments and patient responsibility.•Corrected billing issues for rebills or appeals. Submitted records or other documentation when necessary.•Worked eob’s, Insurance correspondence, denials. Worked Patient return mail.•Contacted Insurance carriers for claim status, Requested claim reprocessing. Provided necessary information to escalate claim processing and payment.

High volume incoming and outgoing Insurance and Patient calls. •Assisted Patients with account balances, insurance coverage, denials and appeal issues. Set up payment plans. •Processed bankruptcy as well as death certificate discharges, credit card payments, Insurance and Patient refunds.•Worked monthly Insurance, Patient and Credit A/R reports, denials, eob’s, leins and Insurance correspondence.•Extensive contact with Insurance carriers for correct claim payment processing. •Obtained Authorizations or extensions for rehab equipment. •Heavy appeals for CPM and water circulating pumps. Wrote Collectors job description requested by the CEO. Also helped write our abbreviation list for consistency in noting patient accounts.for the billing and collections departments.