Leslie Hicks
Albany
Summary
To continue my career within the organization and use the experience a knowledge that have been obtain to enhance the continued growth of the company.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Coding Supervisor
PHOEBE Physicians Group,
08.2024 - Current
- Ensured adherence to organizational policies regarding patient privacy and confidentiality while handling sensitive medical information during the coding process.
- Monitored coder productivity to ensure timely completion of assignments while maintaining high-quality standards.
- Increased efficiency within the department by delegating tasks strategically based on coder expertise and workload capacity.
- Managed a team of coders, providing guidance, support, and mentorship to enhance their professional growth and development.
- Maintained up-to-date knowledge on ICD-10-CM/PCS codes as well as CPT-4 procedural codes through ongoing education efforts and certifications renewals when applicable.
- Served as a liaison between the coding department and other hospital departments, addressing any concerns or discrepancies related to medical coding or reimbursement matters.
Radiology Biller
Phoebe Physician Group
01.2003 - Current
- Perform posting charges
- Perform completion of claims to payers
- Conduct duties in a professional and timely fashion
- Submit billing data to the appropriate insurance providers
- Process claims
- Resolve denial instances
- Achieve maximum reimbursement for services provided
- Assisting in training new employees
Collector
Phoebe Physician Group
01.2003 - Current
- Ensures the collection of patient delinquent accounts are managed in a timely and tactful manner.
- Reviews all outstanding insurance and self-pay balances in their assigned work-files to determine the necessary action to take in order to have the claim fully processed and paid.
- Reviews the denials on a daily basis to ensure claims will be timely processed.
- Offers support of the ppg medical practices by identifying trends that cause errors, denials and decrease in reimbursement
Insurance Collector
Phoebe Physician Group
01.2003 - Current
- Follow-up on all outstanding insurance claims, which include correspondence, denials and rebills
- Understanding of insurance explanation of benefits and other insurance correspondence
- Make necessary arrangements for medical records requests, additional information request, etc. to be sent to appropriate location based on client/insurance instructions
- Provide excellent customer service
- Perform additional duties as assigned
- Resolve customer issues and complaints concerning billing
Refund Representative
Phoebe Physician Group
01.2003 - Current
- Validates and tracks credits due to insurance companies, patients and other payers.
- Conduct audits of account to ensure refund request were accurate and disputed if necessary.
- Refiled corrected claims or referred for follow for appeals.
- Post payments and perform essential cash management duties
Certified Medical Coder
PHOEBE Physicians Group,
08.2023 - 08.2024
- Improved accuracy of medical coding by thoroughly reviewing patient records and assigning correct codes for diagnoses and procedures.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Maintained compliance with industry regulations by staying up-to-date on the latest changes in medical coding guidelines and conventions.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Supported continuous improvement initiatives within the coding department by actively participating in team meetings, trainings, and sharing best practices with colleagues.
- Verified, coded and added modifiers to diagnoses.
- Protected patient confidentiality by adhering strictly to HIPAA regulations when handling sensitive information related to medical records, treatments, and diagnoses.
- Aided in reducing backlogs of incomplete charts or unassigned codes through focused efforts during periods of high volume or staffing shortages.
- Demonstrated commitment to ongoing professional development by participating in relevant industry conferences, workshops, and webinars to stay current with emerging trends in medical coding best practices.
Various clerical jobs
Man Power Temporary Agency
01.2002 - 01.2003
- Various clerical jobs including data entry receptionist
Data Entry
Soleus healthcare
01.2001 - 01.2002
- Entered data entry for billing including Physical Therapy, Nurse evaluation and home health aides
- Obtain new doctors’ orders for visits
Office manager
Harold L Martin, MD
01.1999 - 01.2000
- Performed all duties checking in gathering patient demographics, insurance verification, referrals posting charges and insurance follow up, applying payments received and patient statement billing.
- Collecting and processing all payments.
- Answering phones and scheduling surgeries.
Accounts receivable
Albany Area Primary health care
01.1993 - 01.1999
- Follow-up on all outstanding insurance claims, which include correspondence, denials and rebills
- Understanding of insurance explanation of benefits and other insurance correspondence
- Make necessary arrangements for medical records requests, additional information request, etc. to be sent to appropriate location based on client/insurance instructions
- Provide excellent customer service
- Perform additional duties as assigned
Self pay collections
Albany Area Primary health care
01.1993 - 01.1999
- Responsible for daily generation of patient statements and be responsible for answering patient calls and correspondence while providing timely, accurate, professional responses and resolution.
- Main Responsibilities: Accurate and timely follow up and resolution for all accounts receivable.
- Refund any patient overpayments.
- Process any applicable claims to insurance for payment.
Cashier
Albany Area Primary health care
01.1993 - 01.1999
- Screens and refers all incoming calls and customers and or patients, manages customer and or patient flow, maintains current medical records, files secondary insurance, enters charges and payments, files secondary insurance, workers compensation claims and corporate services claims, pursues collections daily, investigates patient billing inquiries, orders supplies and prepares mandatory computer generated reports.
- Performs business office functions within a medical clinic related to appointment scheduling, registration, claims management, cash collection and medical records maintenance
Receptionist
Albany Area Primary health care
01.1993 - 01.1999
- Completes sign-in of patients documenting arrival time, updating patient demographics and insurance carrier, printing encounter and tracking chart.
- Gathers data for patient registration, prints registration form, obtains consent for treatment, copies insurance and identification cards and files all documentation in medical record.
- Verifies coverage and eligibility on new patients by calling third party payors.
- Communicates with patient about correct co-pays and deductibles with expectation of payment at the time of service.
- Verifies enrollment eligibility and obtains PCP authorization as needed on Georgia Better Health Care members.
- Updates sliding fee scale applications and/or assists patient in completion of new application and documents in off-bill comments.
- Processes cancellation and no-show charts according to protocols.
- Answers incoming calls for adding or canceling appointments to provider schedules.
- Verifies phone number, date of birth and insurance information.
- Verifies and reviews next day provider schedules for errors in scheduling.
- Prepares and mails recalls and notifies patients of schedule changes according to protocols.
- Prints and distributes provider schedules daily.
- Prepares provider monthly manual productivity reports indicating encounters, cancellations and no-shows.
- Prints weekly patient register.
- Prints next day schedules.
- Assists patients with requests for their medical records following release of medical record policy and procedure.
- Performs other duties as assigned.
Education
BS - Healthcare, Administration
Albany State University
05.1991
Skills
- Ability to train and see potential in employees
- Ability to motivate to access the goal in hand
- Training to each individual need
- Listen with empathy but guiding as well
- Lability to assign task as needed to accomplish company goal
Certification
CPC
Activities
Volunteered for numerous activities—jingle bell jog, women’s health fair and snicker’s marathon
Timeline
Coding Supervisor
PHOEBE Physicians Group,
08.2024 - Current
Certified Medical Coder
PHOEBE Physicians Group,
08.2023 - 08.2024
Radiology Biller
Phoebe Physician Group
01.2003 - Current
Collector
Phoebe Physician Group
01.2003 - Current
Insurance Collector
Phoebe Physician Group
01.2003 - Current
Refund Representative
Phoebe Physician Group
01.2003 - Current
Various clerical jobs
Man Power Temporary Agency
01.2002 - 01.2003
Data Entry
Soleus healthcare
01.2001 - 01.2002
Office manager
Harold L Martin, MD
01.1999 - 01.2000
Accounts receivable
Albany Area Primary health care
01.1993 - 01.1999
Self pay collections
Albany Area Primary health care
01.1993 - 01.1999
Cashier
Albany Area Primary health care
01.1993 - 01.1999
Receptionist
Albany Area Primary health care
01.1993 - 01.1999
BS - Healthcare, Administration
Albany State University
Similar Profiles
Wakeelah McIntyreWakeelah McIntyre
Medical Center Representative II at PHOEBE Physicians GroupMedical Center Representative II at PHOEBE Physicians Group
Ivori PriceIvori Price
LPN Office Nurse at PHOEBE Physicians Group,LPN Office Nurse at PHOEBE Physicians Group,
Sheryl WinbushSheryl Winbush
Medical Assistant at PHOEBE Physicians Group,Medical Assistant at PHOEBE Physicians Group,