Lashay Backman
Charleston
Summary
Knowledgeable Medical Coder with background in revenue cycle management and proven track record of optimizing billing processes and enhancing payment collections. Successfully streamlined workflows and improved accuracy in claim submissions. Demonstrated analytical and problem-solving skills, utilizing effective communication and attention to detail.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Revenue Cycle Representative- Claims Processor I
MUSC Physicians
Charleston, SC
08.2022 - Current
- Perform claims resolution or medical billing and appeals or claims denials in Athena within the last two years.
- Obtain information from policyholders to verify the accuracy of their accounts.
- Research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, sequencing of charges, and non-payment of claims.
- Review patient records to ensure accurate documentation
- Implemented process improvements that reduced claim denials significantly.
- Analyzed patient accounts to identify trends and recommend actionable solutions.
- Audited patient accounts for discrepancies, resolving issues for timely reimbursement.
Precertification Specialist
Lowcountry Urology Clinics
North Charleston, SC
12.2021 - 08.2022
- Responsible for obtaining prior authorization for all procedural orders
- Ensure patients meet medical policy guidelines
- Collect all prepayments for surgery
Front Office Coordinator
Trident General Dentistry
Charleston, SC
06.2020 - 12.2021
- Greets dental patients and input demographic information on patients, schedule appointments, and perform other duties as assigned.
- Oversees the daily schedule and operations of the clinic
- Dental Charting and Treatment Planning.
- Completing and filing insurance forms and dental billing records.
Shipment Supervisor/ Key Holder Part time
The Gap Factory Outlet
Charleston, SC
06.2019 - 07.2020
- Supports and ensures execution of all shipment receiving and processing procedures to floor-ready standards
- Partners with appropriate manager to direct shipment placement on the sales floor
- Ensures floor is replenished to Company standard. Follows up with staff to ensure accuracy
- Performs audit and transfers of damaged and defective merchandise, completes re-tickets and charge sends according to guidelines
- Oversees and executes markdowns in a timely and accurate manner. Audits markdowns to ensure accuracy.
- Tracks productivity and ensures team meets merchandise handling standards
- Provides feedback to manager regarding merchandise handling concerns
- Role models and leads the Outlet's customer promise behaviors when on the sales floor
- Communicates staffing requirements to management
- Communicates daily goals and priorities to stock employees; redirects activities as necessary to achieve productivity standards
- Trains, directs and coaches stock employees in the moment to meet productivity standards
- Trains, directs and coaches stock employees in the moment to perform customer service standards and behaviors when in the sales floor
- Coordinates stock employees' breaks and shift change schedules to maximize productivity
Insurance Coordinator/Receptionist
Dr. Middleton Family and Cosmetic Dentistry
Charleston, SC
12.2018 - 06.2020
- Prepares accurate claims for timely submission to the appropriate third party payers
- Posts third party payments received to appropriate patient accounts; files Explanation of Benefits (EOBs) according to clinic procedure
- Monitors, reviews and tracks all correspondence from insurers regarding claims
- Investigates all denied claims, corrects any errors and resubmits the claims for payment
- Greets dental patients and input demographic information on patients, schedule appointments, and perform other duties as assigned.
- Prepares and mails statements to patients with unpaid balances
Front Office Manager
Charleston Oral and Facial Surgery
Charleston, SC
04.2018 - 12.2018
- I am responsible for all of the administrative duties in a dental office also to include budget office expenses, schedule patient appointments, staff schedules and perform billing and bookkeeping duties, ordering supplies, discussing treatment plans, and verifying insurance.
Mobile Tech Tier I
Xfinity Mobile
Charleston, SC
07.2017 - 04.2018
- Assist customers with activations, bill review, add a line purchases and general account concerns.
Customer Financial Service Representative
Verizon Wireless - Cellular & More
Charleston, SC
10.2014 - 07.2017
- Responsibilities
- Assisting customers with setting up payment arrangements to secure their services.
- Assisting customers with plan changes and upgrades
Dental Assistant
U.S. Army Dental Clinic
04.2013 - 01.2014
- Prepares treatment room for patient
- Provides instrumentation by sterilizing and delivering instruments
- Documents dental care services by charting in patient records
- Maintains safe and clean working environment by complying with procedures, rules, and regulations
Small Business Collection Agent
Iqor- Capitol One bank
Charleston, SC
01.2012 - 02.2013
- Providing customer service
- Assist customers with their accounts
Medical Office Assistant
Rearden Internal Medicine & Geriatrics
North Charleston, SC
01.2011 - 12.2011
- Assisting with triaging patients and charting
- Completing medical referrals
- Operated multi-line system
- Supervised all medical staff
Sales Associate
Charlotte Russe
Charleston, SC
11.2009 - 10.2011
- Provided outstanding customer service
- Point-of-end sales
- Maintained an organized and clean store
- Inventory and stocking duties
Dietary Aide
Bishop Gadsden Retirement Home
Charleston, SC
02.2007 - 08.2008
- Served meals in a formal dining atmosphere
- Assisted elderly residents with meal consumption
- Escorting elderly residents
Education
Bachelor of Science - Health Science
Kaplan University Online
01-2015
Associate's - Medical Office Management
Virginia College
Charleston, SC12-2011
Skills
- Excellent verbal and written communication skills
- Great organizational and leadership skills
- Knowledge of Microsoft office
- Goal oriented
- Time management skills
- Knowledge of administrative tasks and procedures
- Decision-making skills
- Highly dependable
- Patient monitoring
- Customer Service Management
- Team Leadership
- ICD-10
- CPT coding
- Medical office experience
- Customer service
- Data collection
- Documentation review
- Typing
- Analysis skills
- EMR systems
- EPIC
- Medical billing
- Insurance verification
- Medical terminology
- Medical records
- Medical coding
- Accounts receivable
- HCPCS
- Medical documentation
- Medicare
- Denial management
- Medical billing expertise
- Revenue cycle management
- Payment posting
- Managing records
Accomplishments
Achieved my certification as a Medical coder and as a certified revenue cycle specialist in 2025
Certification
- Certified Revenue Cycle Representative- HFMA MAY 2024
- Certified Professional Coder- Apprentice- AAPC March 2025
Timeline
Revenue Cycle Representative- Claims Processor I
MUSC Physicians
08.2022 - Current
Precertification Specialist
Lowcountry Urology Clinics
12.2021 - 08.2022
Front Office Coordinator
Trident General Dentistry
06.2020 - 12.2021
Shipment Supervisor/ Key Holder Part time
The Gap Factory Outlet
06.2019 - 07.2020
Insurance Coordinator/Receptionist
Dr. Middleton Family and Cosmetic Dentistry
12.2018 - 06.2020
Front Office Manager
Charleston Oral and Facial Surgery
04.2018 - 12.2018
Mobile Tech Tier I
Xfinity Mobile
07.2017 - 04.2018
Customer Financial Service Representative
Verizon Wireless - Cellular & More
10.2014 - 07.2017
Dental Assistant
U.S. Army Dental Clinic
04.2013 - 01.2014
Small Business Collection Agent
Iqor- Capitol One bank
01.2012 - 02.2013
Medical Office Assistant
Rearden Internal Medicine & Geriatrics
01.2011 - 12.2011
Sales Associate
Charlotte Russe
11.2009 - 10.2011
Dietary Aide
Bishop Gadsden Retirement Home
02.2007 - 08.2008
Associate's - Medical Office Management
Virginia College
Bachelor of Science - Health Science
Kaplan University Online
Military Service
- Branch: Army Reserves
- Service Country: United States
- June 2008- July 2018