Summary
Overview
Work History
Education
Skills
Timeline
Generic

JOCLYN LANEY

Herriman,Ut

Summary

To obtain a position with a progressive company where I would bring focus on quality and patient satisfaction. I am a career minded professional experienced in numerous office duties including medical billing and office management.


Overview

26
26
years of professional experience

Work History

Authorization Specialist

Enihabit
01.2021 - Current
  • Evaluating patient records and treatment plans to determine authorization needs.
  • Communicating with patients, healthcare providers, and payers to gather information for authorizations.
  • Completing and submitting authorization forms accurately and promptly.
  • Understanding project needs, liaising with internal and external parties, preparing and processing documents, organizing files, handling calls and correspondence, and monitoring transactions' progress.
  • Reviewing insurance claims, determining necessary settlements, filing documents, and gathering required information for investigation and analysis.

Phone Operator/Dispatcher

Apello
01.2014 - 01.2021
  • Answering incoming calls
  • Determining the nature of the call and routing the caller to the appropriate department or individual
  • Providing information to callers about the organization’s services, hours of operation, and address
  • Operating a multi-line telephone system, managing several lines simultaneously
  • Transferring calls and taking messages
  • Monitoring alarm systems for safety and security
  • Using various computerized telephone and radio paging systems to process all calls efficiently
  • Maintaining accurate records of calls and activities
  • Providing excellent customer service to callers
  • Performing administrative tasks such as data entry and filing
  • Assisting with special projects as needed

Patient Service Representative

Intermountain Healthcare
01.2011 - 01.2014
  • Obtaining patient address, contact details, insurance information and medical history.
  • Greeting and checking in patients, verifying patient information, entering such data into systems, collecting payments for service rendered, scheduling appointments, filing paperwork, answering phone calls, providing doctors information about patient appointments, medical documents, documenting work processes, helping patients by providing the needed information and handling prescription refill requests.
  • Administering proper medication, checking vital signs of patients, measuring body weight and height, recording all vital information, providing emotional support to patients; providing administrative support, observing changes in patient’s health conditions, and assisting in admission and discharge of patients.
  • Establishing financial agreements with clients to reduce financial risk, and scheduling appointments in a manner that recognizes the urgency of patients' complaints

Office Manager/Medical Biller

The Vein Institute of Utah
01.2004 - 01.2011
  • Overseeing administrative tasks and procedures.
  • Coordinating meetings and appointments.
  • Managing office budgets.
  • Ensuring compliance with organizational policies and procedures.
  • Providing general administrative support to employees.
  • Handling customer complaints and inquiries.
  • Tracking inventory and handling office supply acquisitions.
  • Designing office procedures and policies.
  • Preparing bills and invoices for medical procedures and services.
  • Documenting amounts due.
  • Collecting and reviewing referrals and pre-authorizations.
  • Monitoring and recording late payments.
  • Following up on missed payments and resolving financial discrepancies.
  • Checking patient insurance coverage and eligibility before billing.
  • Initiating appeals for denied claims.
  • Communicating with patients about outstanding balances.

Medical Biller/Front Office

Draper Chiropractic
01.1999 - 01.2004
  • Reviewing a patient's medical history and listening to their concerns
  • Creating a personalized treatment plan for each patient based on their needs and goals
  • Educating patients on wellness
  • Maintaining accurate records
  • Preparing and submitting billing data and medical claims to insurance companies.
  • Ensuring the patient’s medical information is accurate and up to date.
  • Preparing bills and invoices, and documenting amounts due for medical procedures and services.
  • Collecting and reviewing referrals and pre-authorizations.
  • Monitoring and recording late payments.
  • Checking patient insurance coverage and eligibility before billing.
  • Following up on unpaid claims and initiating appeals for denied ones within standard billing cycle timeframes.

Education

High School - Computer & Life Skills, Business Management

Murray High School
Murray, UT
01.1995

Skills

  • I have over 30 years experience in the medical field in both front and back office
  • Excellent patient liaison, friendly, with a positive attitude
  • I worked closely with various insurance companies checking patients benefits and following up on claims
  • Managed all the insurance referrals and authorizations
  • I am very organized and able to meet deadlines
  • Overseen & managed the entire office staff to ensure efficiency
  • I am proficient in numerous computer skills including, but not limited to: Homecare Homebase, Centricity business, Help 2, Advanced MD HER, HCHB, Sonosoft, QuickBooks, Microsoft Office
  • Current typing speed is 40 WPM
  • Teamwork and collaboration
  • Problem-solving, critical thinking, extremely organized
  • Medical terminology proficiency

Timeline

Authorization Specialist

Enihabit
01.2021 - Current

Phone Operator/Dispatcher

Apello
01.2014 - 01.2021

Patient Service Representative

Intermountain Healthcare
01.2011 - 01.2014

Office Manager/Medical Biller

The Vein Institute of Utah
01.2004 - 01.2011

Medical Biller/Front Office

Draper Chiropractic
01.1999 - 01.2004

High School - Computer & Life Skills, Business Management

Murray High School

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JOCLYN LANEY