Sheila Lyons Email & Phone Number

Waynesville, Mo, Us

Tumwater, Washington, United States

• Provide leadership and monitor the Resupply Team and Remote Patient Monitoring Program to ensure patient requests are completed before the due date. • Complete insurance benefit eligibility check (via online or telephone), counsel patients on health insurance benefits, deductible accumulation, and out-of-pocket expenses, and counsel patients on current eligibility for ordered services.• Create and oversee a Remote Patient Monitoring program for in-house patients to collect patient monthly downloads from the central data management system, analyze and evaluate data to determine if further treatment is needed, and create monthly insurance claims.• Develop, implement, and analyze department operational procedures.• Create an agenda, and conduct weekly DME technician conferences to discuss progress and any barriers to overcome with an action plan.• Conduct performance reviews, and set professional and attainable goals for each team member. • Receives branch supply orders, ensures timely delivery, forecasts future needs, and maintains inventory levels. Audit quarterly invoices and eliminate waste.• Compile daily, weekly, and monthly Excel spreadsheet reports. • Provide customer service, research, respond, follow-up on patient complaints, and draft any needed correspondence.• Ensure all DME employees receive proper training regarding equipment, compliance, insurance benefits, and patient care.• Conduct audits on In-House Provider documentation for completeness and accuracy justifying support for medical codes.• Network with DME suppliers and manufacturers to learn the most current knowledge and new products relating to sleep medicine • Follow current and new rules and regulations about insurance billing of services and equipment• Update patient health information, and submit for prior authorization as needed.• Schedule yearly follow-up appointments/document notes regarding appointments, create automated calls, texts, and/or emails for future contact.

Data entry of required information from patient (collect and scan insurance cards, identification, prescriptions, etc.)Screen and receive phone calls.Complete benefit check to determine patient insurance eligibility.Retrieve all necessary documentation from ordering providers.Complete sales order, prepare shipment and dispense order once patient has met all eligibility requirements.Learn HCPCS codes and follow HIPPA Guidelines.Follow up with nurse to ensure clinical documentation includes medical necessity justifying and supporting medical code being prescribed in referral.Schedule appointments for new and existing patients.Complete Med University courses.Receive deliveries from manufacturers.Input inventory into system and update quantities.Accurately complete quarterly inventory counts.Cross trained as customer service representative.Handled money from customers paying for retail items and durable medical equipment.Helped stock show room floor.

Greet customers upon arrival.Responsible for mastering equipment knowledge and communicate usage to patients.Data entry of required information from patient (collect and scan insurance cards, identification, prescriptions, etc.)Send and receive faxes to and from the doctor’s office.Research Medicare LCD and clinical documentation received from doctor’s office.Follow up with nurse to ensure clinical documentation includes medical necessity justifying and supporting medical code being prescribed in referral.Bill Medicaid when required.Track monthly patients to have supplies ready to dispense when time.Follow oxygen patients billing cycles to determine RUL billing.Learn HCPCS codes and maintain patient charts.Follow HIPPA Guidelines and federal laws pertaining to billing

Supervised team of 5 as well as create weekly employee schedules.Provided world-class customer service to walk-in/over the phone customers.Created weekly schedules for staff coverage.Delivered exceptional performance in retail-service environment.Packed & shipped items daily for local customers and corporate business accounts.Send & received faxes, emails, mail, and packages for customers.Managed and organized personal mailboxes. Sorted mail daily.Handled financial records for house accounts within the store.Placed orders for store retail.Open and closed store, make daily deposit.Completed local and government fingerprint for background checks through Cogent/Field Print.Filed guaranteed service refunds for late shipments, as well as filed claims for lost or damaged packages.

A.A., Business Administration

Course Completion, Microsoft Office

Course Completion, Pharmacy Technician

Certification