Lisa Laiderman Email & Phone Number

St Louis, Mo

St Louis, Mo

• Enter provider demographic information into claim payment system and tie to the appropriate contract so claims pay correctly.• Maintain provider 1099 information.• Serve as first point of contact for regional and site staff, accounting and other central office employees on any issues related to on site services, provider appeals, provider relations and reimbursement.• Manage third party pricing vendor reconciliations to insure accuracy of payments and tracking of charges to the appropriate accounts.• Manually price specialty claims.• Serve as liaison between utilization management, eligibility and claims examiners for special agreements.• Serve as back-up to key department staff.• Work weekly report of claims pending for approval to pay and contact the appropriate people to resolve the issues.

• Acted as point person between management and IT during implementation of electronic claims submissions.• Reviewed pended electronic claims and determined what was needed to resolve issues.• Adjusted claims paid in error.

St Louis, Mo

• Processed hospital, physician and dental claims from entry through final adjudication.• Maintained knowledge of provider contracts, fee schedules and claims processing systems. • Assisted in completion of special projects on an as needed basis within the department.

Greater St. Louis Area

• Selected to work on a special team investigating claims for a Fortune 500 company which had strict audit and production standards.