Erica Lane
Arvada,CO
Summary
Organized and focused healthcare professional with a proven track record in audit analysis and revenue recovery. Seeking a role to leverage skills and experience for leadership development in healthcare finance. Strong attention to detail and deep understanding of financial processes within the healthcare industry, confident in ability to contribute to organizational success.
Overview
5
5
years of professional experience
Work History
Payer Integrity - Coordinator
UC Health
02.2022 - Current
- Manages a data entry and denial coordinator team to successfully see through the claims audit process
- Trains both teams, as well as reports metric data and payer data via excel spreadsheets, utilizes these for process improvement and continued training
- Communicates payer issues between the Payer Audit and Denials Analysts teams
- Utilizes contacts with payers to understand claims processing, contractual denials, and audit denials
- Escalates any further issues to directors for possible goal development to overcome discrepancies
- Develops team goals and strategic initiatives to preserve insurance denials, and utilizes root cause analysis to educate clinical staff to avoid future denials
Revenue Recovery Analyst
UC Health
09.2021 - 02.2022
- Monitors and analyzes claims submitted by insurers to ensure payment for the hospital
- Communicates with clinicians to develop and submit appeals to payers and insurers to overturn denials
- Writes and delegates denials that are submitted from insurers, and subsequently sends the denials for an appeal or for further review
- This includes noticing trends, and contracting errors, as well as analysis of common errors in billing or coding of the claim
Data Entry Specialist (Payer Audit Management)
UC Health
05.2019 - 09.2021
- Managed comprehensive audits through the life of the audit from start to finish utilizing Epic, Excel, Microsoft Word, Teams, and an audit management platform (C360)
- Required to use various problem solving techniques to resolve claim issues with the ultimate outcome of preserving revenue
- Utilizes knowledge to interpret and understand payer guidelines in order to compile Appeals and organize denials for clinical review coders and analysts
Education
Master of Science - Healthcare Management
University of Denver
Denver, CO05-2025
Bachelor of Arts - Anthropology
Metropolitan State University of Denver
Denver12-2013
Skills
- Project Coordination
- Process Improvement
- Work Planning and Prioritization
- Team oversight
- Verbal and written communication
Timeline
Payer Integrity - Coordinator
UC Health
02.2022 - Current
Revenue Recovery Analyst
UC Health
09.2021 - 02.2022
Data Entry Specialist (Payer Audit Management)
UC Health
05.2019 - 09.2021
Master of Science - Healthcare Management
University of Denver
Bachelor of Arts - Anthropology
Metropolitan State University of Denver
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