Lisel Laslie

Experience

• 

  HCA

  Jul 1990 - Jan 1997

  Several positions

  Admissions interviewer;PBX Operator,Scheduling Clerk; Registered patients into the hospital for admission/out-patient tests. Collected payments & insurance information.Answered calls to the central switchboard.Scheduled/pre-admitted patients for in and outpatient procedures.Finance Counselor; Reviewed 350+ accounts weekly for appropriate insurance payment,secured information through telephone calls to carriers,patients,nursing home,attorneys,physicians offices and other medical facilities;submitted corrective billing;worked third party correspondence regarding denied or pending claims,submitted explanation of benefits to secondary payers.Successfully secured insurance reimbursement on accounts with balances in excess of $100,000.00 Admissions Coordinator Supervised staff of 25-30 employees in the Admissions Office/ Emergency Room Admitting.Training Coordinator Interviewed and hired staff. Wrote departmental procedures and developed a training program for new employees. Show less

• 

  Unisys

  Oct 1996 - Jun 1999

  Worked in conjunction with local area AHCA office to train providers on how to correctly file claims with Medicaid. Installed billing software and trained providers on how to use. Averaged more than 400 contacts per month within the 3 county area that I served. Increased reimbursement time for some providers from 45 days to 7 days. Supervised call center team of approx 60 employees in conjunction with 2 other supervisors. Worked with manager to implement training program, new phone system. Worked with adjudications and banking to resolve past due claims totaling over $3 million.

  • Provider Field Representative

    Oct 1997 - Jun 1999

  • Customer Service Supervisor B

    Oct 1996 - Oct 1997
• 

  HCA

  Jul 1999 - Oct 2000

  Reimbursement Manager

  Supervised staff of 10-12 employees within the insurance billing and reimbursement areas. Prepared deposits for the bank on a daily basis, worked closely with the Patient Accounting Department, Asst. Controller and Controller on adjustments, accruals, Medicare and Medicaid issues and end of month balancing and reconciliation. Also performed PBX operator duties from 09/01/2000-10/01/2005.

• 

  Gentiva Health Services

  Oct 2000 - Nov 2002

  Records Coordinator I

  Maintained all client records, worked in conjunction with the central billing office to ensure claims were filed correctly and in a timely manner, ordered supplies, performed HR duties, accounts payable management, payroll and all other general office functions. Assisted the marketing/community nurse with projects within the community to obtain recognition for the company and market our services.

• 

  Sallie Mae

  Jan 2002 - Oct 2002

  Financial Reconciliation Analyst

  Reconciled multi-million dollar accounts on a daily basis, researched discrepancies, worked in Excel, Access and Word and company's proprietary software. Performed month end reconciliation of accounts and submitted reporting to supervisor for checks/balances. Other duties as assigned

• 

  Florida Department of Financial Services

  Oct 2002 - now

  Review contractual services with managed care, medical bill review re-pricing, and claims services to insure that claims related aspects of the contracts are properly administered. Make recommendations regarding solutions to problems of non-compliance. Educate staffMonitor IS and methods of data entry and storage. Make recommendations for modifications. Review changes in the workers’ comp laws, rules and policies and make recommendations to insure compliance. Write policies & procedures. Conduct queries, and research to collect data and information for analysis of data elements and quality. Make recommendations to solve problems improve operational/managerial practices and reduce claim costs. Provide educational and consultative services to state agencies regarding the workers’ comp program. Perform special projects or administrative tasks.Review legislative changes, Division of Workers’ Compensation rules and court decisions to analyze the impact on the bureau’s program. Show less Conducted claims investigations of workers’ compensation claims submitted on state employees, applied appropriate laws and made determination of compensability. Evaluated medical reports, authorized treatment, authorized compensation payments and settlements. Calculated and maintained proper monetary reserves on claims. Trained and supervised the activities of a Senior Workers’ Compensation Examiner. Supervised claims that were assigned to defense counsel by directing defense activity to conform to sound claims handling. Attended formal mediations and hearings when necessary. Assisted and advised Claims Coordinators from various state agencies, departments, divisions, bureaus and sections with questions concerning workers’ compensation claims, including but not limited to; coverage, compensability, treatment and reporting work related accidents. Supervised the activities of Risk Management’s prior service companies. Show less Examined medical bills to ensure all information was correct, reviewed codes for accuracy, refer bills to MCO or Financial Section for payment after approved. Assisted the Workers’ Comp Specialist in handling claims, reviewed first report of injury forms and edited information on the AS400 and imaging systems. Retrieved batches from the First Report of Injury Que and Workflow, indexed documents, and indexed faxes from the fax queues. Answered questions and addressed problems regarding workers compensation, timely mailed information to employees, returned calls promptly. Processed in-house bills in accordance with the Bureau’s Policy and Procedures. Show less

  • Chief, Bureau of Employee Assistance and Ombudsman

    Oct 2002 - now

  • Senior Management Analyst Supervisor

    Jun 2010 - Jan 2015

  • Management Review Specialist

    Mar 2006 - Jun 2010

  • WC Claims Specialist

    May 2003 - Mar 2006

  • WC Claims Examiner

    Oct 2002 - May 2003