Oletha Lyte
St Louis,MO
Summary
Dynamic healthcare professional with extensive experience over 30 Years in medical billing and coding. 9 Years with Conifer Healthcare Solutions. Excelled in denied claims resolution and efficient payment posting, Remittance Advise leveraging skills in ICD 10/CPT coding and Medical Billing Programs . Proven ability to enhance collections by identifying trends and implementing solutions, demonstrating exceptional analytical and communication abilities.
Overview
10
10
years of professional experience
Work History
Senior A/R Denials Rep
Conifer Healthcare Solution
02.2016 - Current
- Responsibilities for all aspects denied claims, writing appeals, follow up and collections, including making telephone calls, accessing payer websites. Identify issues or trending and provide suggestions for resolution. Accurately and thoroughly documents the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity. Medical Billing of HCFA1500 and UB Claims.Skills. Daily payment posting of un-applied cash and adjustments. from remittance advise.
Insurance Denial Claim Follow-up Rep (A/R) Special
Healthcare Scouts-Winter Park, FL
09.2015 - 01.2016
- Responsibilities for all aspects denied claims, writing appeals, follow up and collections, including making telephone calls, accessing payer websites. Identify issues or trending and provide suggestions for resolution. Accurately and thoroughly documents the pertinent collection activity performed. Review the account information and necessary system applications to determine the next appropriate work activity. Medical Billing of HCFA1500 and UB Claims.Skills. Daily payment posting of un-applied cash and adjustments. from remittance advise.
Claims Specialist II
Magellan Healthcare
10.2014 - 09.2015
- Responsibilities Claims Specialist is responsible and accountable for functions including the accurate and timely claim processing of Behavioral Health claim types. Claims must be processed with a high level of quality and in accordance with claims payment policy and the terms of customer/provider contractual agreements Skills. Posting of un-applied payments and adjustments.
Education
St. Louis College of Health Careers
St. Louis, MO07.1993
High School Diploma -
Health Careers High School
St Louis, MO06.1991
Skills
- Medical Billing
- Medical coding
- Payment Posting
- ICD 10 Coding/CPT coding
- Hospital and HCFA 1500 claim forms
- Medical Terminology
- EOB Review
- Remittance Advice
- Billing Systems Programs
- Ace, Epic, Cerner, EMR Systems
Timeline
Senior A/R Denials Rep
Conifer Healthcare Solution
02.2016 - Current
Insurance Denial Claim Follow-up Rep (A/R) Special
Healthcare Scouts-Winter Park, FL
09.2015 - 01.2016
Claims Specialist II
Magellan Healthcare
10.2014 - 09.2015
High School Diploma -
Health Careers High School
St. Louis College of Health Careers
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