Open to opportunities

Amy Lawson

@amylawson

Message

I’m a dynamic reimbursement specialist improving claims accuracy and preventing denials through precise verification.

United States

Message

What I'm looking for

I’m looking for a healthcare billing/claims role where I can use ICD-10, HIPAA-compliant insurance verification, and payment posting to reduce denials, support prior authorizations, and collaborate with providers and payers.

I’m a Dynamic Reimbursement Specialist with expertise in claims processing and insurance verification at Virginia Commonwealth University Health System. I prevent claim denials through meticulous attention to detail, strong communication, and confident follow-up on denied and unpaid claims.

I use ICD-10 coding to enhance billing accuracy and ensure compliance with HIPAA regulations. I input patient data regarding claims and prior authorizations into systems accurately, coordinate with insurance providers to verify policy benefits, and generate and post information to claim files.

On the front lines, I prepare denial letters detailing reasons for denial and possible appeal measures, and I support physicians, healthcare providers, and patients in accordance with payer guidelines. Earlier experience as a Certified Pharmacy Technician strengthened my claims and payment reconciliation instincts, third-party billing problem-solving, and patient-focused service—skills I bring to every reimbursement workflow.

Experience

Work history, roles, and key accomplishments

Current

Reimbursement Specialist

Current

Virginia Commonwealth University Health System

Mar 2021 - Present (5 years 3 months)

Prevented delays and claim denials by correcting information before submission. Coordinated with insurance providers for policy verification, followed up on denied/unpaid claims to obtain payments, and supported prior authorizations while maintaining HIPAA-compliant documentation.

Claims Processing Payment Posting Insurance Verification HIPAA compliance ICD 10 Coding Prior Authorizations Denials Management Medical Billing Medical Coding

Certified Pharmacy Technician

Virginia Commonwealth University Health System

May 2014 - Mar 2021 (6 years 10 months)

Resolved non-routine third-party billing, computer system, and customer service issues by completing claims processing, reconciling payments, and addressing provider/customer questions. Supported dispensing workflows by entering prescription data, maintaining patient profiles, and managing medication inventory with accuracy and service quality.

Pharmacy Operations Insurance Claims Processing Payment Reconciliation Customer Service

Certified Pharmacy Technician

CVS Pharmacy

Mar 2007 - Apr 2014 (7 years 1 month)

Handled third-party billing and insurance-related claims by consulting insurance representatives, resolving concerns, and reconciling payments. Supported pharmacy operations through prescription entry and processing, collecting co-payments, and assisting customers and healthcare providers with inquiries and dispensing tasks.

Pharmacy Operations Insurance Claims Processing Payment Reconciliation Patient Profile Updates Customer Support Data Entry

Certified Pharmacy Technician

Garland Drug

Aug 2002 - Oct 2006 (4 years 2 months)

Processed prescriptions and supported pharmacy operations while handling third-party billing and insurance claim resolution. Maintained controlled-drug storage procedures and records, counted and labeled prescriptions accurately, and managed medication inventory to ensure consistent service quality.

Counting Medications Insurance Claims Processing Payment Reconciliation Customer Service Pharmacy Recordkeeping Dispensing Workflow

Certified Pharmacy Technician

Walgreens

Jan 1999 - Aug 2002 (3 years 7 months)

Resolved insurance and billing issues by consulting carriers, reviewing and verifying customer and insurance information, and reconciling third-party billing concerns. Managed inventory ordering and supported accurate prescription processing by counting, labeling, and completing dispensing-related documentation.

Pharmacy Operations Insurance Claims Processing Insurance Verification Inventory Management Customer Service Data Entry

Clerk

Garland Drug

Jul 1994 - Jan 1999 (4 years 6 months)

Provided clerical support through data entry, document management, email correspondence, and office equipment coordination. Maintained filing systems, handled and routed incoming communications, and tracked office budgets and expenses.

Clerical Support Data Entry Document Management Office Administration Budgeting Coordination