Microsoft & Google Suites
Lora Paige Wood
Business Analyst
McKinney,TX
Summary
Versatile and solutions-driven business professional leveraging proven natural analytical skills with interpersonal abilities. With a background in insurance authorization/verification, billing, customer service, office administration, and psychology for the last 10 years, seek to further professional career. Soon to complete an MBA with Business Analytics emphasis at TWU where courses taken in accounting, finance, data analysis, programming in R/Python, information systems, project management, marketing, and informatics. Dedicated business professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
7
7
years of professional experience
3
3
years of post-secondary education
3
3
Languages
Work History
Reimbursable Billing Technician
U.S, Veterans Affairs
Bonham, TX
06.2021 - Current
- Assigns disposition instructions, and implements most responsive and cost-effective means for managing them for over 5000 claims per week
- Independently researches, analyzes, generates and corrects Veteran's First Party co-payments for care as it pertains to variety of complex VA programs
- Accesses, retrieves, manages, and processes various revenue reports and other financial reports
- Accesses various menu options to identify, review, analyze, process and complete First Party and Third Party encounters and billing-related activities
- Resolves operational problems as it applies to Veterans accounts in other units within CPAC
- Assists in synchronizing and operationalization of all revenue activities regarding Care in VA
- Applies analytical and evaluation techniques to determine if First Party co-payment bills are appropriate
- Analysis including invoicing, budgeting, financial analysis, and research into accounts.
Health Screener
REDCON Solutions Group
Bonham, TX
09.2020 - 06.2021
- Collected, verified, recorded and processed client demographics, insurance payments and referral information for 1000 patients per week.
- Completed necessary reports and documentation on time and to specifications.
- Identified issues, analyzed information and provided solutions to problems.
- Helped clinical staff with in-office procedures by organizing spaces and passing instruments.
Insurance Authorization Specialist
AccentCare, Inc
McKinney, TX
01.2016 - 07.2019
- Verified Insurance benefits and obtained insurance authorizations based on those benefits for Home Health care agency
- Conducted special projects for regions of care to better service for clients and to stop loss in revenue
- Trained new hires and assisted in on-boarding process
- Communicated effectively with staff members of operations, finance and clinical departments.
- Determined appropriateness of payers to protect organization and minimize risk.
- Communicated verification and authorization status updates strategic partnership liaisons to facilitate decision-making for patient admissions and insurance coverage.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
- Maintained strong knowledge of CPT/ICD-10 codes and medical terminology to better understand services and procedures.
Administrative Assistant
Austin College, Lora Paige Wood
Sherman, TX
10.2013 - 07.2015
- Assistant to Career, Counseling, Health and Health Sciences Departments to service 1500 students.
- Organized events such as health fairs, counseling therapy, health services, and student recruitment.
- On-boarded, trained and supervised student workers
- Maintained/created all counseling and health records for all students with adherence to HIPPA and FERPA laws as well as federal/state laws.
- Created many reports daily from college's different databases and worked directly with accounting for multiple departments' budgets.
- Assisted in negotiating contracts with insurance companies for student insurance.
- Restocked and submitted purchase orders to maintain stock levels for office and medical supplies.
- Managed relational database to store information for reference, reporting and analysis.
- Created detailed expense reports to facilitate reimbursement for business expenses incurred.
Education
MBA - Business Analytics
Texas Woman's University
Denton, TX 08.2021 - 12.2022
Bachelor of Arts - Psychology
Southeastern Oklahoma State University
Durant, OK 01.2009 - 06.2010
Skills
Data Analysisundefined
Software
Excel
Power BI
Tableau
SQL
MS Dynamics
Timeline
MBA - Business Analytics
Texas Woman's University
08.2021 - 12.2022
Reimbursable Billing Technician
U.S, Veterans Affairs
06.2021 - Current
Health Screener
REDCON Solutions Group
09.2020 - 06.2021
Insurance Authorization Specialist
AccentCare, Inc
01.2016 - 07.2019
Administrative Assistant
Austin College, Lora Paige Wood
10.2013 - 07.2015
Bachelor of Arts - Psychology
Southeastern Oklahoma State University
01.2009 - 06.2010
Similar Profiles
Robert VasquezRobert Vasquez
Assistant Supply Technician at U.S. Veterans Affairs HospitalAssistant Supply Technician at U.S. Veterans Affairs Hospital
Camilla LanierCamilla Lanier
Director, Planning and Operations at U.S. Department of Veterans Affairs, Veterans Health Administration (VHA) Office of Integrity and Compliance (OIC)Director, Planning and Operations at U.S. Department of Veterans Affairs, Veterans Health Administration (VHA) Office of Integrity and Compliance (OIC)
Wendy Johanne LafleurWendy Johanne Lafleur
Supervisory Program Specialist GS 09 at U.S Department of Veterans Affairs, Veterans Health AdministrationSupervisory Program Specialist GS 09 at U.S Department of Veterans Affairs, Veterans Health Administration
Colby DeLeonColby DeLeon
Armed Security Officer at Alcuin Montessori SchoolArmed Security Officer at Alcuin Montessori School
Daniyal IqbalDaniyal Iqbal
Senior Accountant at Prophix Software Inc.Senior Accountant at Prophix Software Inc.