LAKITA STERLING
Charlotte,NC
Summary
Knowledgeable Medical Billing and Coding Professional that is seeking a career opportunity in the Revenue Cycle Management sector that have experience in Healthcare Administrative. Well trained in submitting claims, preparing patients' charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical records information to obtain prior authorizations from insurance companies and ensure payments.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Referral Coordinator
Atrium Health Carolinas Medical Center
06.2019 - Current
- Facilitated on-going assessment of patient and family needs and oversaw implementation of interdisciplinary team plan of care.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Input all patient data regarding claims and prior authorizations into system accurately.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Scheduled appointments with specialists on behalf of 1clients.
- Called insurance companies to get pre-certification and other benefits information on behalf of patients.
- Demonstrated strong attention to detail and organizational skills in managing a high volume of referrals while maintaining exceptional levels of patient care.
PATIENT SERVICE SPECIALIST
East Charlotte Family Medicine
06.2017 - 06.2019
- Maintained detailed records of patient information, including insurance details, medical history, and billing information.
- Improved patient satisfaction by providing efficient and friendly service during check-ins, registrations, and scheduling appointments.
- Ensured HIPAA compliance by maintaining strict confidentiality of patient information while handling sensitive documents.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Updated patient records with accurate, current insurance policy information.
MEDICAL SCREENER
CSL Plasma
05.2015 - 06.2017
- Maintained a high level of professionalism while interacting with patients, medical staff and visitors.
- Ensured compliance with all safety protocols regarding the use of personal protective equipment.
- Responsible for greeting donors.
- Performs finger stick for hematocrit and total protein levels.
- Assisted approximately 200 customers each day.
- Registered new and current donors and conducted series of screening procedures to determine suitability for Plasma donations.
- Conducted basic screening procedures to verify compliance with donation criteria.
- Record patients' medical history, vital statistics or information such as test results into medical records.
Education
Diploma - Medical Billing and Coding
Cambridge College of Healthcare And Technology
Atlanta,GA05-2025
Medical Assistant -
ECPI University
Charlotte, NC06.2020
Skills
- Time management
- Knowledgeable in ICD-9, ICD-10, CPT, HCPCS coding
- Electronic Claim Submissions
- Rejected Claim follow-up
- Medical Terminology
- Analyzing and Validating Patient Information, Diagnoses, and Billing
- Charge Sheet Review
- Ability to process high volumes of patient information
- Data Entry at 55 WPM
- Patient Summary
- HIPAA Guidelines
- Dedicated to maintaining strict patient confidentiality
- Medical Font Desk
- Insurance verification
- Appointment scheduling
- Electronic health records management
Certification
- CPR Training
- Peer Support
- Blood Borne pathogens
Timeline
Referral Coordinator
Atrium Health Carolinas Medical Center
06.2019 - Current
PATIENT SERVICE SPECIALIST
East Charlotte Family Medicine
06.2017 - 06.2019
MEDICAL SCREENER
CSL Plasma
05.2015 - 06.2017
Diploma - Medical Billing and Coding
Cambridge College of Healthcare And Technology
Medical Assistant -
ECPI University
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