Lori Campbell
Dewy Rose,GA
Summary
Experienced Insurance Authorization Specialist with proven skills in HIPAA compliance, insurance verification, and active listening. Implemented workflow improvements, enhancing efficiency and accuracy in authorization processes.
Overview
28
28
years of professional experience
Work History
Verification /Insurance Authorization Specialist
Amedisys Home Health
Baton Rouge, LA
05.2010 - 11.2022
- Processed insurance authorizations efficiently for diverse home health services.
- Collaborated with healthcare providers to ensure compliance with authorization requirements.
- Reviewed and verified patient documentation to expedite authorization requests.
- Trained new staff on authorization procedures and best practices for accuracy.
- Implemented workflow improvements that enhanced processing speed of authorizations.
- Managed complex cases involving multiple payers, ensuring timely resolution of issues.
- Led team meetings to discuss challenges and strategies for improving authorization rates.
- Developed training materials to enhance staff understanding of authorization protocols.
- Collaborated with healthcare providers to ensure proper documentation for successful authorizations.
Server /Restaurant Cashier
The Red Minnow
Elberton, GA
09.1994 - 06.2012
- Delivered exceptional customer service in high-pressure dining environment.
- Managed multiple tables efficiently to enhance guest satisfaction.
- Trained and mentored new servers on menu items and service standards.
- Collaborated with kitchen staff to ensure timely order delivery.
- Handled cash transactions accurately, maintaining financial integrity.
- Resolved customer complaints promptly to maintain positive dining experience.
- Served food and beverages promptly with focused attention to customer needs.
- Demonstrated strong multitasking skills by managing multiple tables simultaneously without compromising service quality.
- Maintained a clean and orderly dining area for an enjoyable guest experience.
- Resolved customer complaints promptly and professionally to maintain positive reputation.
- Followed health and safety protocols crucial for maintaining safe and sanitary environments for customers and staff.
- Collected payment for food and drinks served, balanced cash receipts and maintained accurate cash drawer.
Business Office Manager
Amedisys Home Health
Baton Rouge, LA
09.2007 - 05.2010
- Oversaw compliance with regulatory requirements, enhancing quality assurance in patient care operations.
- Implemented training programs for new hires, fostering a culture of continuous learning and development.
- Managed staff scheduling and payroll processing to ensure accurate and timely compensation.
- Developed and maintained relationships with healthcare providers to optimize referral processes and service coordination.
- Updated reports, managed accounts, and generated reports for company database.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Enhanced customer satisfaction by addressing inquiries promptly and resolving issues professionally.
- Coordinated staff schedules, adjusting workloads to maximize productivity and meet deadlines.
- Oversaw inventory management, maintaining optimal levels of supplies while minimizing costs.
- Ensured compliance with company policies and industry regulations through regular audits and process updates.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
- Conducted performance evaluations for employees, identifying areas for improvement and providing constructive feedback.
- Streamlined office communications by creating clear channels for information sharing and collaboration among team members.
- Led team meetings to foster collaborative environment, improving cross-departmental communication and project outcomes.
- Standardized document handling procedures to enhance accessibility and retrieval times for critical information.
- Oversaw recruitment and onboarding process for new employees, ensuring smooth integration into company culture and workflow.
- Developed comprehensive disaster recovery plan, ensuring business continuity in event of unforeseen disruptions.
- Coordinated office events and staff training sessions, boosting morale and enhancing skill sets across team.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
- Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
- Delegated tasks to administrative support staff to organize and improve office efficiency.
- Completed bi-weekly payroll for 10-15 employees.
Education
Early Childhood Education
Brenau University
Gainesville, GANo Degree -
Athens Technical College
Athens, GAHigh School Diploma -
Hart County High School
Hartwell, GA06-1988
Skills
- Prior authorization
- Strong communication skills
- HIPAA compliance
- Active listening
- Insurance verification expertise
- Teamwork orientation
- Physician order verification
- Patient scheduling
Accomplishments
2024 - Completed the ServSafe Manager Program
2024 - Small Business Owner of Cottage Food Bakery
Timeline
Verification /Insurance Authorization Specialist
Amedisys Home Health
05.2010 - 11.2022
Business Office Manager
Amedisys Home Health
09.2007 - 05.2010
Server /Restaurant Cashier
The Red Minnow
09.1994 - 06.2012
Early Childhood Education
Brenau University
No Degree -
Athens Technical College
High School Diploma -
Hart County High School