LORI BAIR

Oversaw medical billing and coding program to ensure effective operation.

Planned and implemented curriculum to enhance student learning outcomes.

Communicated class content clearly to foster skill development and motivation.

• Designed educational programs that aligned with industry standards and student objectives.

• Plans and implements curriculum and educational programs for students within the program
• Communicates class content to students so that learning occurs, skills are developed, and students are motivated to learn and achieve their educational objectives
• Courses taught (CPT, ICD-10-CM, HCPCS, Insurance billing, Coding Practicum course)
• Teach real life experiences and hands-on activities online thru webcam via live recordings and tutoring sessions for student’s needs.

• Oversaw collections rates for third-party billing companies and managed billing processes.
• Developed policies, procedures, and systems for billing and collections unit operations.
• Scheduled, assigned, and evaluated work of staff to enhance productivity.
• Directed daily operations of Accounts Receivable section within JFRD Payroll.
• Designed policies and procedures to improve efficiency in EMS billing and revenue collection.
• Ensured achievement of EMS revenue goals while minimizing write-offs and uncollectible accounts.
• Monitored workflow and internal operations to evaluate procedure adequacy.
• Reviewed payment posting, corrections, refunds, journal entries, and compliance with Medicaid and Medicare requirements.

• Oversaw billing activities to ensure timely and accurate laboratory charge processing.
• Audited documentation for correct laboratory codes in newborn screening procedures.
• Managed appeals for denied claims related to Third Party Liability and managed care plans.
• Coordinated revenue section operations for timely deposits and precise revenue recording in FLAIR.
• Ensured compliance with state and departmental policies throughout all operations.
• Directed data entry and customer service activities for prompt, validated specimen slip input.
• Developed quality assurance standards to enhance customer satisfaction and meet key performance indicators.
• Served as contract manager for revenue cycle management contracts with Medicaid managed care plans and private insurers.

• Entered E&M physician charges for neurology, neurosurgery, and psychiatry.
• Oversaw operations of 10 employees, ensuring adherence to production standards.
• Established monthly quality assurance processes to enhance operational efficiency.
• Educated staff on medical coding guidelines, including ICD-9, ICD-10, CPT, and HCPCS II.
• Managed patient records using EPIC applications, maintaining accuracy and current status.