Laurie Viramontes
Castaic,CA
Summary
Results-driven Corporate Training Specialist with expertise in developing impactful training materials and facilitating compliance sessions. Proven ability to evaluate training effectiveness and enhance employee performance through targeted strategies.
Overview
5
5
years of professional experience
Work History
Corporate Training Specialist
ARM Solutions
Thousand Oaks, California
10.2023 - Current
- Facilitated training sessions on compliance and performance improvement strategies.
- Collaborated with department heads to identify specific training needs and objectives.
- Developed training materials for corporate programs and employee development initiatives.
- Evaluated training effectiveness through participant feedback and assessment tools.
- Evaluated client processes, employee performance, and training progress to determine additional training needs.
- Implemented e-learning modules using industry-standard software for remote training sessions.
- Created online course content utilizing virtual platforms like Zoom, WebEx.
- Facilitated classroom training sessions using adult learning principles.
Medicare Billing Specialist
Blue Shield of CA
Los Angeles, California
10.2021 - 02.2024
- Verified patient eligibility for Medicare services to ensure accurate billing and compliance.
- Processed Medicare claims using advanced billing software and systems.
- Reviewed medical records, identified relevant diagnosis codes, and applied appropriate procedure codes for billing purposes.
- Reviewed claims for coding accuracy.
- Communicated with healthcare providers regarding billing inquiries and discrepancies.
- Collaborated with healthcare providers to ensure accurate claims submission.
- Coordinated with internal teams to resolve claim issues efficiently.
- Assisted in training new staff on Medicare billing procedures and policies.
- Educated members on their benefits and claims processes during calls.
- Analyzed billing data to identify trends, facilitating targeted improvements in claims processing.
- Conducted periodic audits of submitted claims for completeness and accuracy prior to submission.
- Monitored aging reports to ensure timely reimbursement from payers.
- Performed eligibility verifications for Medicare patients utilizing online databases.
- Conducted thorough investigations of denied claims to identify resolution strategies. and coordinated follow-up on appeals to enhance reimbursement outcomes.
- Applied HIPAA privacy and security regulations while handling patient information.
- Analyzed financial data for accuracy and made necessary corrections when errors were found.
- Provided guidance to staff members regarding coding issues, policy changes, and other pertinent matters.
- Reviewed claims for coding accuracy.
Education
Some College (No Degree) - Business Administration And Management
American River College
Sacramento, CASkills
- Instructional design
- E-learning design
- Training delivery
- Performance assessment
- Regulatory training
- Process optimization
- Adult education principles
Affiliations
- Grief Share / Online and in person classes 2005 to present
Timeline
Corporate Training Specialist
ARM Solutions
10.2023 - Current
Medicare Billing Specialist
Blue Shield of CA
10.2021 - 02.2024
Some College (No Degree) - Business Administration And Management
American River College