Lucia Neves

Experience

• 

  Compass Savings Bank

  Jan 2001 - Jan 2002

  Senior Teller at Compass Bank

  • Maintained accountability of transactions including deposits and withdrawals. Learned and followed bank procedures for the BSA rules. Computed figures with speed and accuracy. • Maintained accuracy of customer accounts. Balancing of ATM. • Opened and closed accounts for customers. Resolve customer problems. • Supervise tellers and assist with overrides.

• 

  Southcoast Physicians Group

  Jan 2002 - Jan 2015

  Medical Billing Specialist at Internal Medicine and Cardiologist

  • Analyzing patient records to determine accurate coding and timely submission to bill insurance providers. Interacted with physicians and clinical staff to ensure accuracy and clarification of the documentation. Posted payments made by the insurance companies. • Worked on the claim denials to appeal and resubmit to receive payments from the insurance. Ran revenue reports and reviewed results to monitor payment and denials. Experience in billing office charges, hospital charges, lab work, and cardiac procedures. Tracked patient data over multiple visits. • Managed detailed, specifically coded information. • Cross-trained to support other office staff to complete registration, scheduling, check-in and collection of co-pays. Interacted with patients face to face and on the phone when they had concerns with their bill. Issued patients and the insurance companies refund checks when needed. • Balanced their daily deposit. Trained on Insurance guidelines, the claims submission process and procedures. Filled out complex insurance claim forms. • Analyzed Explanation of Benefits (EOB) forms to ensure insurance companies have paid for charges. Generated accounts receivable reports clients. Followed up with the appropriate parties (insurance companies and patients) to ensure bills are paid. • Trained new personnel on daily operations, problem-solving skills. Show less

• 

  Southcoast Health

  Jan 2015 - Jan 2017

  Hands-On Practice Emmisary (HOPE) Analyst

  • Perform diversified duties related to identifying and promoting optimization and standardization of front office operations, including, but not limited to, registration, scheduling, billing, coding, insurance, workflow, communications, support via phone, email, webinars, and in person. • Generate and keep workflow documentation, detailed notes and status reports. Provided to management summary reports, audits and practice rounding related to the patient experience. • Conduct and report on assessments/observations regarding referrals, environment care, and patient experience as well as regulatory programs and education. Serve as a resource for standardization and optimization of all front office activities including documenting registration and scheduling workflows. • Report to practice managers and SPG directors identifying deficiencies and develop in conjunction with Director of Operations team and Central Billing Office managers the improvement plans for the practices. • Participated in several process improvement/practice optimization workgroups to improve workflows and operations. Provide direction to practice management for new initiatives and training opportunities to enhance revenue collection, appropriate coding/data entry and patient experience. Show less

• 

  Southcoast Health

  Aug 2018 - May 2022

  Accounts Receivable Specialist

  • Manage and further reduce the Accounts Receivables by working backdated referrals and pre-authorizations as required for correcting denied claims.• Prepare, review and send claims to payor sources for payment processing.• Research and communicate with payors for any discrepancies in payments.• Identify and submit any secondary or tertiary insurance carriers.• Research and correct claims for appeal submission.• Review, verify and track payments/denials and follow-up as necessary for resolution.• Contact patients to obtain or request additional information necessary for reimbursement.• Answer patient or insurance telephone inquiries on assigned accounts.• Adept at analyzing, investigating and resolving any irregularities that would result in denials.• Developing a tracker to manage account discrepancies and follow-up on submitted claims to ensure prompt reimbursement.• Meet with leadership periodically analyzing referral related denials and areas for improvement to decrease claim denials and increase revenue.• Work with practices as well as facility authorization and billing departments regarding authorizations, retroactive referrals, and retroactive prior authorization requests.• Highly productive and results-oriented team member. Show less

• 

  Boston Children's Hospital

  May 2022 - now

  Physician Billing Specialist