Laurin Easthom
Chapel Hill,NC
Summary
Detail-oriented dentist investigator with a strong background in dental fraud detection and compliance. Proven ability to analyze large datasets and streamline communication across departments, fostering team collaboration to mitigate risks and enhance quality assurance.
Overview
1
1
Certification
2027
2027
years of professional experience
Work History
Associate Dental Director
United Healthcare
2024 - Current
- Reviewed dental claims and appeals for Medicaid, Medicare, and commercial providers nationwide, ensuring compliance with regulations and facilitating timely resolutions.
- Conducted pre-authorization reviews for dental claims across multiple states, including New York Medicaid.
- Performed national quality of care assessments to ensure compliance with industry standards.
- Delivered presentations to national peer review committees, highlighting best practices and insights that informed decision-making.
- Developed training materials and job aides for colleagues and new hires on various claims software platforms.
- Managed weekly meetings to review quality of care cases, driving discussions that fostered continuous improvement initiatives.
Principal Investigator
United Healthcare
2021 - 2024
- Conducted investigations into dental fraud, waste, and abuse cases, uncovering critical insights.
- Utilized statistical software for trend analysis across large datasets.
- Collaborated with state dental boards and law enforcement to address findings, enhancing compliance efforts.
- Engaged in efforts to mitigate risks of further special investigations.
- Streamlined communication across departments, fostering collaboration to support investigations.
- Analyzed large datasets using statistical software packages.
- Organized peer conferences addressing best practices in dental coding compliance.
- Showcased findings at industry events and meetings with stakeholders.
Clinical Dentist
Private Practice
1998 - 2020
- Diagnosed oral diseases and developed appropriate treatment plans.
- Performed restorative and preventive procedures on patients of all ages.
- Conducted comprehensive dental examinations for diverse patient populations.
- Educated patients on oral hygiene practices and preventive care.
- Collaborated with dental hygienists to optimize patient treatment methods.
- Provided emergency care for toothaches or broken teeth.
Education
Doctor of Dental Surgery -
University of North Carolina At Chapel Hill
Chapel Hill, NC01-1998
Master of Education -
University of South Carolina
Columbia, SCBachelor of Arts -
Davidson College
Davidson, NCSkills
- Dental coding compliance
- Claims management
- Fraud investigation
- Regulatory compliance
- Quality assurance
- Multi-state dental policies
- Technical writing
- Dental software expertise
- Microsoft Office proficiency
- Team collaboration
- Presentation skills
Certification
- Dental License, State of North Carolina (current)
- Certified Professional Medical Coder
- Paralegal Certificate (Duke)
Accomplishments
- Top Performance Bravo Award, United Healthcare 2021
Timeline
Associate Dental Director
United Healthcare
2024 - Current
Principal Investigator
United Healthcare
2021 - 2024
Clinical Dentist
Private Practice
1998 - 2020
Doctor of Dental Surgery -
University of North Carolina At Chapel Hill
Master of Education -
University of South Carolina
Bachelor of Arts -
Davidson College