BROOKE LASSITER
Wilmington,NC
Summary
Seeking a position that utilizes previous experience and skills to meet organizational objectives, while supporting commitment to the community. Seeking an opportunity for diverse learning and growth with my community.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Revenue Recovery Senior Specialist
Ensemble Health Partners
09.2023 - Current
- Disputed underpayments with payers, including BCBS, Aetna, UHC, and Cigna.
- Reviewed contracts to substantiate payment disputes and ensure accurate claims processing.
- Analyzed reimbursement reports to identify underpayment trends and patterns.
- Managed Epic workqueues, ensuring timely underpayment identification in compliance with client expectations.
- Maintained follow-up rate on past-due accounts below 10%, achieving monthly recovery goals.
- Participated in JOC meetings with Provider Representatives to address escalated account issues.
- Trained new hires on Epic Workque, EIQ processes, prediction rules, and daily workflows.
Practice Manager
Therapy Works of Wilmington
Wilmington, NC
01.2023 - 01.2024
- Worked with Director, front office staff, billing, and therapist on daily office issues.
- Credentialed new speech, occupational, and physical therapist through CAQH and payer portals.
- Communicated with provider representatives regarding claims, authorizations, and TIN issues until resolved.
- Billed claims daily through Clinic Source and corrected errors through clearing house Office Ally.
- Reviewed payments through PaySpan and payer portals to verify correct posting in Clinic Source.
- Calculate therapist's weekly billing with appointment's and cancelations for weekly bonuses.
- Submit authorizations through payer portals.
- Created standard work for billing.
- Communicate with provider offices to obtained plan of care and orders for new and existing patients.
- Managed employees paid time off.
- Maintained office policy and procedures.
- Run weekly reports for outstanding balance, un-invoiced treatments, and upcoming authorizations.
- Work on Medicare, Medicare Advantage, Veteran Affairs, Tricare, Managed Medicaid and Medicaid claims, denials, authorizations, and appeals for timely processing of claims.
Revenue Recovery
Novant Health
Wilmington, NC
01.2014 - 01.2023
- Trained new and current employees on policy, procedures, Epic, databases, and program updates.
- Worked directly with other organizations for solutions on account issues.
- Reviewed payer updates and supplied updated information to team members.
- Analyzed denials and located negative patterns, researched corrective actions for positives outcomes, created standard work for departments.
- Research and implemented office workflow for remote work including e-fax, uploading information to payer portals, and office assignments.
- Work with IT on ServiceNow tickets, reviewing account to build functions, and determine if system is working properly.
- Work on Medicare, Medicare Advantage, Veteran Affairs, Tricare, Managed Medicaid and Medicaid claims, denials, authorizations, and appeals for timely processing of claims.
Patient Financial Services
Novant Health
Wilmington, NC
01.2011 - 01.2014
- Collections on non-government and government insurances.
- Reviewed CPT's, HCPCS, and Revenue codes that have denied.
- Researched coding issues including revenue codes, HCPCS, and modifiers.
- Filed appeals with Medicare and commercial insurances, located trends in Medicare denials, overall analysis of patient accounts to ensure maximum reimbursement.
- Researched new drug charge and billing requirements for correct claim processing, communication with various departments to resolve claim and denial errors.
- Participated in peer panel interview for open positions, participated in LEAN projects.
- Assisted customer service with patient bills, special projects from fiscal services, correct billing errors to include patient member numbers, names revenue codes, HCPCS, occurrence and value codes in claims administrator, and with Medicare FISS system.
- Correct EPIC errors for clean claims to file.
Administrative Assistant
Coastal Horizons
Wilmington, NC
01.2011 - 12.2011
- Answer multi line phone, check in clients, enter new client information, upload assessments into Note Builder.
- File, label, and maintain client charts, schedule meetings, order supplies, made and confirmed travel arrangements.
- Data entry into the Criminal Justice Records system, process drug UA, process payments, enter UDS results into screen log, create excel programs used to keep track of client information.
- Research and manage client data for New Hanover County TASC.
Medical Office Management
Killeen, TX
01.2010 - 12.2011
- Billed, coded and appeal behavioral health and internal medicine physician offices.
- Review claim denials, filed corrected claims, appealed claims, and contact payers for claim follow up.
- Posted payments for all providers, made bank deposits, and collected payments from physicians office when short staffed.
- Answered phone in front office when short staffed.
Education
Public Administration -
University of North Carolina @ Pembroke
04.2025
Skills
- Healthcare management and administration
- Physical and speech therapy
- Occupational therapy services
- Financial services expertise
- Claims resolution and processing
- Document preparation skills
- Self-motivation and initiative
- Coder certification proficiency
- Event planning and coordination
- Office management strategies
- Epic and EMR systems
- Effective communication skills
- Appeals management
- Public administration knowledge
- Credentialing processes
- Clearing house operations
Accomplishments
The Artillery Order of Molly Pitcher is bestowed by the U.S. Field Artillery Association (USFAA) and the Air Defense Artillery Association (ADAA) to recognize wives who have voluntarily contributed in a significant way to the improvement of the U.S. Field Artillery
Certification
- Certified Revenue Cycle Representative (CRCR)
E-Learning Certificates
Managed Care Reimbursement Methodologies
Medicare Inpatient Reimbursement Fundamentals
Medicare Outpatient Reimbursement Fundamentals
References
References available upon request.
Timeline
Revenue Recovery Senior Specialist
Ensemble Health Partners
09.2023 - Current
Practice Manager
Therapy Works of Wilmington
01.2023 - 01.2024
Revenue Recovery
Novant Health
01.2014 - 01.2023
Patient Financial Services
Novant Health
01.2011 - 01.2014
Administrative Assistant
Coastal Horizons
01.2011 - 12.2011
Medical Office Management
01.2010 - 12.2011
Public Administration -
University of North Carolina @ Pembroke
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