Lori Caryl
Port Huron,MI
Summary
Experienced with medical billing and insurance claim management, ensuring compliance and accuracy in processing. Utilizes analytical skills to resolve claim discrepancies and streamline operations. Track record of effective communication with insurance providers and healthcare professionals to facilitate smooth workflows and resolve issues.
Overview
5
5
years of professional experience
Work History
Medical Insurance Specialist
Meduit
250 14th Ave Sartell MN 56377
11.2023 - 07.2025
- Processed and submitted medical claims efficiently, ensuring compliance with insurance policies.
- Reviewed patient accounts for accuracy, resolving discrepancies to enhance billing processes.
- Communicated effectively with healthcare providers to obtain necessary documentation for claims processing.
- Utilized electronic health record systems to update patient information and track claim statuses.
- Analyzed claim trends to identify areas for improvement in billing practices and operational efficiency.
- Collaborated with the finance team to address denied claims, implementing corrective actions for future submissions.
Medical Biller, Accounts Receivable
Legacy Healthcare Services
Texarkana, TX
03.2023 - 10.2023
- Processed medical claims accurately and efficiently, ensuring timely reimbursements.
- Reviewed patient accounts for discrepancies, resolving issues promptly to maintain billing integrity.
- Utilized billing software to generate invoices and track outstanding payments effectively.
- Collaborated with healthcare providers to obtain necessary documentation for claim submissions.
- Communicated with insurance companies to verify coverage and expedite claims resolution.
Insurance Verification Specialist
Med Staff Plus
Remote
08.2020 - 02.2023
- Reviewed insurance policies to verify patient eligibility and coverage details.
- Communicated with insurance providers to resolve discrepancies in verification processes.
- Utilized electronic health record systems to maintain accurate patient information and documentation.
- Analyzed claim submissions for completeness and compliance with insurance requirements.
- Enhanced workflow efficiency by identifying and implementing process improvements in verification procedures.
Education
No Degree - Certified Medical Assistant
National Health Career Certification
02-2020
High School Diploma -
Port Huron High
Port Huron, MI05-2001
Skills
- ICD-10 proficiency
- Appeals handling
- HIPAA compliance
- Patient confidentiality
- Claims processing
- Insurance verification
- Denial management
- Medical coding
- Payment posting
- Medicare regulations
- Medical billing
- Medicaid guidelines
- Customer service
- Insurance claims processing
Timeline
Medical Insurance Specialist
Meduit
11.2023 - 07.2025
Medical Biller, Accounts Receivable
Legacy Healthcare Services
03.2023 - 10.2023
Insurance Verification Specialist
Med Staff Plus
08.2020 - 02.2023
No Degree - Certified Medical Assistant
National Health Career Certification
High School Diploma -
Port Huron High