Experience

Northern Medical Group
• Account Service Representative

NYS Department of Transportation
• United States
• Civil Engineering
• 700 & Above Employee
• Administrative Assistant

  • Feb 2023 - Present
• Team Lead AR Specialist

  • 2017 - Present

  LASHAN MATTHEWS (917) 293-8875 lcolematthews@live.com _______________________________________________________________________ PROFESSIONAL EXPERIENCE Accounts Receivable Clerk/ Team Lead – Northern Medical Group 2017 – Present • Posts Customers payments by recording cash, checks, and credit card transactions. • Verifies validity of account discrepancies by obtaining and investigating information from customers and insurance companies. • Maintained work operations by following policies and procedures: reporting compliance issues. • Maintains quality results by following standards. • Protects medical office value by keeping collection information confidential. • Process in excess of 100+ CMS claims per day. • Legal Compliance, Quality Focus, Productivity, Time Management, Attention to detail, Documentation Skills, Analyzing Information, General Math Skills, Resolving Conflicts. • Responsible for staff following departmental protocols and policies. • Generated A/R aging reports and ensure staff adhere to deadlines. Conduct phone and in person interviews • Conducting weekly staff huddles. • Train new hires and current employees Monitor PTO adherence policies COMPUTER SKILLS Proficiency in Microsoft Office , Google Chrome, Knowledge of Various EMR technology , Web and PC literate



EmblemHealth

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Program Specialist

  • Jul 2000 - Nov 2015

  Program Specialist – EmblemHealth – 2007 – 2015 • Identified opportunities for medical group administrative practices through data analysis to promote cost effectiveness of health programs which resulted in a 30% increase in satisfaction rates and a 15% decrease in waste. • Coordinated with medical group staff in facilitating compliance with QI measures resulting in a 20% increase in consumer engagement. • Provided members and caregivers with linkages to internal and external resources which produced best medical outcomes for various health and social conditions. • Assisted group in finding new opportunities of recruitment and retention of Health plan member enrollment resulted in 30% increase and exceeding departmental goals. Care Specialist/Case Management – EmblemHealth 2004 - 2007 • Developed and implemented a health program that resulted in a 20% increase in vendor satisfaction, • Utilized engagement strategies, to invite and enroll health plan members for Case Management resulting in 15% decrease in high utilization, while increasing productivity standards by 50%. • Provided statistical analysis for the departmental monthly report. • Interacted positively with members, physicians and departmental staff on a regular basis. Customer Service Representative/ Call Center – EmblemHealth 2001 – 2004 • Handled high number of customer service calls relating to authorizations for various health care services. Ascertained the appropriate medical coding and provider data needed to processes an authorization and educated members on claims process and procedures and benefit clarification. • Assisted colleagues on customer service related issues and provide resolutions. • Expedited communication between upper level management and general personnel. • Performed a variety of administrative tasks pertinent to the departmental needs. • Maintain accuracy of all data for the purpose of generating reports from proprietary company software.