Lisa Simmons

I’m a seasoned claims and customer support professional with 16 years of experience handling inbound calls, verifying insurance, and driving accurate claims and referral workflows. I’m known for resolving customer issues quickly while maintaining high-quality service standards.

In claims and medical billing roles, I’ve managed patient accounts by posting charges, submitting insurance claims, reconciling payments, and coordinating pre-authorizations to support smooth revenue cycle execution. I also process and analyze cases to determine authorization needs and ensure data is accurate and complete.

I bring a strong compliance mindset, including HIPAA and regulatory requirements, supported by precise documentation, confidentiality, and system-based data integrity. I’ve worked with tools like Athena, Plexis Claim Manager, Epic, ADT, LifePro, and industry claim standards including ICD-9-CM and ICD-10-CM.

Across customer support settings, I focus on productivity and quality—handling escalations, resolving payment discrepancies, managing refunds and reshipments, and contributing to continuous improvement through issue analysis and quality assurance goals.