Health Information Management & Medical Billing and Coding

Lisa R. Benson
P.O Box 802 Snellville Ga 30078- 470-991-0799 –bensonlr46@gmail.com
Over the course of 17 years I have progressively been accountable and responsible in the operations and management of a group of healthcare providers while monitoring and auditing data for inpatients. Keeping up with yearly changing in new enrollment providers with licensing to assist in the re-credentialing process.
A self-motivated professional with extensive experience in customer service for third-party payors and health information management. Comprehensive understanding of healthcare delivery systems, advance knowledge of the healthcare industry standards as it relates to electronic medical records.
Essential Skills and Knowledge
 Self-Starter, strong organizational skills, independent worker
 Great knowledge and understanding of healthcare practices, laws and regulations
 Strong work ethic, strong drive, and initiative for quality and great customer service
 Capability to utilize computer technology, including Microsoft Office Suite
 Resolve operation matters resulting in bottleneck situations to assure business results are not negatively affected by operational problems

Professional Experience
Inpatient/Outpatient Billing Coordinator & Chart Auditor
Emcare, Jeanes Hospital Philadelphia, PA 2007-2011
Emcare-Envision Health Care Snellville Ga 2011-Present

 Proficient knowledge of medical terminology, medical billing and coding (ICD 9 & ICD-10) Clinical Modification, CMS, CPT (HPF, Allscripts, NextGen, 3M Encoder, Meditech, Ingenious Meds) in patient health records as an abstractor, qualitative & quantitative medical records analysis, medical record documentation requirements. Analyzer for inpatient/outpatient encounter’s
 Expertise in Data Analysis, Accounts Receivable, Daily Census Reporting, Daily Charting, Auditing. Chart auditor, Chart capturing (inpatient orders, consultation, direct admit, detailed attention for all documents making sure the verbiages are indicated.

 Efficiently manage the operations and processes of the day to day operations of a hospitalist group program to all viewers including healthcare organization, corporate managers, medical staff, billing supervisors and hospital vendors and patients.

 Keeping clinical and administrative staff abreast with all operational changes to assure business results are not negatively affected by operational issues. While working alongside Site Medical Director and Assistant Director.

 Identifies and resolves matters to promote efficient and a good quality patient care environment by assigning physicians to geographical locations, serve and fulfill the needs of each patient.

 Utilizes all the correct coding initiatives for each and every patient billed by each provider. Reviewing E&M Codes for inpatient billing and consultations; monitoring observation coding within a timely fashion by the Medicare Two-Midnight Rules.

Provider Enrollment Specialist, EMSC 2003-2007
EmCare-Corporate Office Horsham, PA

 Coordinated enrollment applications for all new providers for 13 assigned regional contracted sites in various states. Worked directly with government agencies to coordinate and complete open accounts for reimbursement.

 Countless knowledge of managed care programs, commercial, Medicare and Medicaid and use of payor policies and requirement for various states.

 Sustained and worked various reports of non-compliant providers held accounts, improvised, improve procedures to meet demanding deadlines.

 Verified credentials and licensures for provider’s to maintain privileges to remain on staff.

 Verify coverage and benefits, provided advocacy for provider services and referrals.

 Research and correct then re-submit rejected and denied claims

 Report to Senior Management for ensuring completion of account received

 In 2007 Lead the enrollment specialist team in collecting 7.6 million dollars in accounts/receivable

Additional skills
Notary Signing Agent for Legal Documents on Site 08/2016-9/2024
• Enrollment Forms
• Renew Clinical Licensing
• Paternity Acknowledgement Forms
• Power of Attorney
• Bank Statements
• Affidavits
• Certification of Medical Records
• Third Party Payers re-enrollment forms

Education
Devry University, Decatur GA
Associates Degree of Applied Science in RHIT, 2017
With ICD-10 Training

Colorado Technical University, Online
Associates Degree of Science in Medical Billing & Medical Coding 2011

The Thompson Institute, Philadelphia PA
Medical Office Manager Diploma in Medical Billing & Medical Coding 2003

Notary Training Completion 02/2021
Newton County, State of Georgia

Significant Abilities
Demonstrated a track record of success over the years, while setting and achieving aspiring goals, with unique communication and interpersonal skills. Detailed oriented and able to prosper in a fast-paced environment while providing great customer service, and adhering to policies and procedures.