Kaylee Lamarre
Gorham
Summary
Highly skilled healthcare professional with strong expertise in administration and clinical skills. Knowledge in medical billing and coding, insurance, and the operations of a busy office. Adept at accurately processing patient data and insurance claims while ensuring compliance with regulations. Strong focus on team collaboration and achieving results, adaptable to changing needs. Proficient in medical terminology, coding systems, and electronic health records, with reliable and efficient work ethic. Able to communicate efficiently with staff and patients to provide the best outcome possible for all parties.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Prior Authorization Specialist/Scheduling Specialist
MaineHealth
10.2024 - 03.2025
- Processed prior authorization requests efficiently to ensure timely patient access to necessary treatments.
- Reviewed and analyzed medical documentation for compliance with insurance guidelines and criteria.
- Collaborated with healthcare providers to clarify information and expedite authorization processes.
- Educated staff on policies and procedures related to prior authorizations, enhancing workflow efficiency.
- Mentored junior team members on best practices in handling complex prior authorization cases.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
- Operated multi-line telephone system to answer and direct high volume of calls.
- Resolved customer problems and complaints.
Nanny
Portland Nannies
09.2021 - Current
- Implemented positive discipline and provided guidance to promote good behavior.
- Communicated effectively with parents regarding children's progress and any concerns.
- Maintained daily schedules, ensuring timely completion of meals, naps, and recreational activities.
- Provided individualized care and support to children, fostering a nurturing environment.
- Developed and implemented engaging educational activities tailored to children's developmental needs.
- Managed household tasks such as laundry, cleaning, and grocery shopping to keep the home organized and running efficiently
Paramedic
Casco Bay Ambulance
05.2023 - 12.2024
- Transport patients to and from care facilities to ensure they get the proper care needed, while maintaining stable vitals.
- Writing thorough and well thought out patient care reports, and communicating effectively with hospital staff.
- Evaluated patient conditions, providing critical information for treatment decisions.
- Collaborated with first responders to ensure efficient scene management and safety.
- Maintained accurate documentation of patient assessments and interventions.
- Delivered advanced cardiac life support (ACLS), basic life support (BLS), and pediatric advanced life support (PALS) under pressure.
- Delivered compassionate care to patients with a variety of medical emergencies, including cardiac arrests, traumas, strokes, and respiratory distress.
Paramedic
Hollis Fire Department
09.2020 - 01.2023
- Assisted with patient transport and provided patient care while in transit to the hospital
- Responded to emergency medical calls and provided advanced life support, resulting in a successful patient outcome
- Provided life-saving medical care to critically injured patients in emergency situations
- Provided instruction on basic medical techniques to patients and family members
- Maintained accurate and detailed medical records
- Developed and maintained professional relationships with medical facilities
- Collected, documented and reported patient information in accordance with protocols
- Administered emergency medical care to patients in diverse environments.
- Coordinated patient transport and communication with healthcare facilities.
Hostess
Sebago Brewing Company
01.2020 - 02.2021
- Communicated effectively with guests, management, and staff to ensure a positive dining experience for all
- Greeted guests with a friendly and welcoming attitude, resulting in increased customer satisfaction ratings
- Ensured that the restaurant was clean, neat, and well-maintained at all times
- Communicated effectively with the kitchen staff to ensure accurate and timely delivery of food orders
Education
Paramedic -
United Training Center
11.2022
High school diploma - undefined
Bonny Eagle High School
06.2016
CPC Certificate - CPC
AAPC
Online09-2025
Skills
- Fast Learner
- Computer Skills
- Effective Time Management
- Advanced Communication Skills
- EPIC systems
- HIPAA compliance
- ICD-10 proficiency
- Insurance verification
- Payment posting
- CPT coding
- Anatomy and physiology
- HCPCS level II coding
Certification
- PHTLS
- ACLS
- PALS
- CPC-A (pending test)
Timeline
Prior Authorization Specialist/Scheduling Specialist
MaineHealth
10.2024 - 03.2025
Paramedic
Casco Bay Ambulance
05.2023 - 12.2024
Nanny
Portland Nannies
09.2021 - Current
Paramedic
Hollis Fire Department
09.2020 - 01.2023
Hostess
Sebago Brewing Company
01.2020 - 02.2021
High school diploma - undefined
Bonny Eagle High School
Paramedic -
United Training Center
CPC Certificate - CPC
AAPC
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