Lisa Winkel Email and Phone Number

Highly diverse remote position working within three practices: St. Joseph Surgical Specialists, St. Joseph Vascular Services, and Saint Joseph Wellness & Weight Management.• Attain prior authorizations for hospital, bariatric, vascular, and general surgeries as well as medical procedures, and numerous tests. • Assists in insurance billing; work to reverse denials and increase revenue.• Verify medical benefits for specialty services. • Releasing patients to the bariatric program.• Training and mentoring new employees. • Network with insurance company contacts to ensure authorizations go through and are not denied. • Analyzing medical records, dissecting appropriate data in order to achieve bariatric surgery releases. • Conflict resolution between physicians and insurance companies. • Utilizes work queues to safeguard all patients’ needed tests are provided.

• Claim recouperation; worked to increase revenue and decrease liability. • Pre certification denials dispute.• Posted insurance payments.• Explanation of benefits. • Patient billing.

• Increased revenue by successfully disputing high volume claims.• Claims adjusting and reprocessing.• Patient protocols. • Insurance provider relations.• Financial reporting to physician group.

• Claims adjuster for self-funded insurance companies• Processing claims. • COBRA specialist. • Re-insurance. • Risk management.