Veronica Lester Email & Phone Number

Knowledgeable Senior Medical Professional specializing in insurance verification, pre-authorization, and third party billing seeks position as a Medical Biller and Insurance Verification Specialist. • 99% reimbursement on claims and prior authorizations filed on behalf of Grady billing • Certified Patient Account Representative (CPAR) through Healthcare Financial Management Association• Advanced Certified Patient Account Representative through HFMA,• Skilled in utilizing Medicaid verification and customer databases such as Georgia Health Partnership and Passport• Proficient in use of ICD-9 and CPT coding• Knowledgeable of Medical Terminology • Nominated and Selected by the Directors of Grady Health System as a Grady Great 100 out of 5,000 employees

Listed skills include Medicare.

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  Senior Preaccess Rep

  Grady Health System

  1978 - 2014

  EXPERIENCEGrady Health Systems Atlanta, GA 1978-2014Senior Insurance Verification Representative 2006 -2014• Verify Commercial insurance, Medicare and Medicaid • Utilized Passport and Georgia Health Partnership (GHP) databases• Appropriately coordinate all benefits (COB) according to payer requirements• Enter appropriate comments, updated information for patients scheduled for Outpatient Patient Diagnostic Radiology procedures, OB and Cancer Center.• Obtain pre authorizations/pre-certification for Outpatient Diagnostic Radiology• Notified patients of Grady Card eligibility status via telephone• Informed patients of co-pays, deductibles• Provided quotes for the cost of Diagnostic Radiology tests from Charge Master and Federal Poverty Guideline Policies. Senior Credit and Collections 1999-2006 Grady EMS/Ambulance Specialist • Precise collection of Medicaid and Medicare, all Third Party and Patient Liability Accounts.• Productive interaction with insurance companies, third party agencies, and patients always obtaining maximum reimbursement.• Effectively assist and resolve third party and patient collection problems and issues, while coordinating work flow in collection area and answering questions as needed. • Posting payments for self-pay, third party insurance (commercial, Health Maintenance Organizations and Preferred Provider Organizations, as well as Exclusive Provider Organizations