Lori Cruikshank
Independence,OR
Summary
Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Overview
9
9
years of professional experience
Work History
Owner/Operator
CraftyBelle Creations
Independence, United States
09.2018 - Current
- Created and maintained online retail boutique business.
- Established, optimized and enforced business policies to maintain consistency and high-quality standards across operations.
- Managed day-to-day business operations, including accounting, finance, HR, marketing and public relations.
- Developed key operational initiatives to drive and maintain substantial business growth.
- Stayed current with market trends to determine optimal pricing of goods and services and to capitalize on emerging opportunities.
- Met goal of $10,000 in gross sales in first year of business, doubled sales in second year and maintained sales in third year.
Office Specialist
Marion County Health Department
Salem, OR
11.2017 - 02.2018
- Input data from health department visits into computer system.
- Scan and archive files.
- Pull and refile charts for health department visits.
- Prepare paperwork for school exclusions and immunizations.
- Check figures, postings, and documents for correct entry, mathematical accuracy, and proper codes.
- Comply with federal, state, and company policies, procedures, and regulations.
- Perform general office duties such as filing, answering telephones, and handling routine correspondence.
- Responded to inquiries from callers seeking information.
Human Services Specialist II
Oregon Health Authority
Salem, OR
05.2015 - 10.2016
- Processed assigned applications to determine eligibility for Oregon Health Plan, Citizen Alien Waived Emergency Medical and Children's Health Insurance Program.
- Review initial applications for completeness.
- Create new case records as needed.
- Complete case narratives in real time.
- Provide written and verbal communication to clients regarding application process.
- Used systems- DHR, MMIS, OregonONE
- Described procedures, requirements and benefits to clients and interested parties.
- Processed applications and ensured that sensitive data was kept confidential.
- Met or exceeded daily goals.
Customer Care Representative
Cover Oregon
Salem, OR
02.2014 - 02.2015
- Provided customer service to the public through phone and email.
- Reviewed applications for completeness and analyzed application data based on criteria provided by Cover Oregon.
- Entered customer application data into computer system.
- Gathered information regarding laws, rules, policies, procedures, and/or services, and explained that information to the public (in person, in writing, and/or on the telephone).
- Learned specific agency programs or operations affecting assigned work.
- Used policy and procedure manuals, handbooks, or specialized reference materials for answering questions.
- Prioritized work and maintained work flow under pressure.
- Entered data efficiently while maintaining communication with clients.
- Communicated regularly with health and dental insurance companies to assist clients in understanding benefits.
Billing Manager
Back To Health Chiropractic
Keizer, OR
01.2011 - 07.2013
- Responsible for verifying charges, diagnosis codes, CPT and HCPCS codes for accuracy.
- Submitted all private insurance and Medicare claims both paper and electronic.
- Acquired insurance authorizations for procedures and tests ordered by attending physician.
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
- Evaluated accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.
- Completed appeals and filed and submitted claims.
- Posted charges, payments and adjustments.
- Applied payments, adjustments and denials into medical manager system.
- Carefully prepared, reviewed and submitted patient statements.
- Meticulously tracked and resolved underpayments.
Education
Certification - Medical Assisting
Valley Medical College
Salem OR05.2009
Skills
- Relationship building
- Verbal and written communication
- Project management
- Client service
- Report preparation
- Complaint resolution
- Bookkeeping
- Data entry
- Call center environment
- Administrative support
- Time management
Timeline
Owner/Operator
CraftyBelle Creations
09.2018 - Current
Office Specialist
Marion County Health Department
11.2017 - 02.2018
Human Services Specialist II
Oregon Health Authority
05.2015 - 10.2016
Customer Care Representative
Cover Oregon
02.2014 - 02.2015
Billing Manager
Back To Health Chiropractic
01.2011 - 07.2013
Certification - Medical Assisting
Valley Medical College
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