Lori May
Certified Professional Coder
Payson,UT
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Summary
Energetic Medical Coder with can-do attitude and dedication to accuracy, seeking long term employment with a company that recognizes and respects committed and tenacious employees. Proficient with Medical Terminology, Billing, and Coding and motivated to learn, grow, and excel in the Medical Field. Experience in a variety of health settings including chiropractics, physician and hospital with a history of consistently meeting or exceeding all performance and service objectives. Dynamic problem solver with first-rate skills in building relationships and resolving problems. Structured performer successful at operating in demanding, high-volume environments, grounded in the value of good work ethics, dependability, & accountability. Optimistic with an upbeat outlook on life and determination to succeed. Experience in account reviews, solution management, and customer satisfaction
Proficient in customer service best practices and related options.
Certified Professional Biller
Certified Professional Coder - Apprentice
Practicode Course AAPC - Currently enrolled
Overview
7
7
Years Healthcare Environment Customer Satisfaction
15
15
Years in Administrative Positions
3
3
Years Chiropractic Clinic Health Insurance Billing
Work History
Account Resolution Specialist
REVERE HEALTH
Provo, UT
03.2018 - 12.2019
- Facilitated resolution of thousands of patient accounts by verifying correct insurance had been updated and claim submission was sent to appropriate insurance companies.
- Managed over 50 calls per day assisting patients and family members on account inquiries.
- Provided extraordinary care to patients, attorneys, and agents to resolve billing and account handling processes promptly.
- Worked with patients for correct coding review, interpretation of insurance explanation of benefits, and to determine correct billing and balances.
- Direct patients to appropriate physician offices for appointment scheduling.
- Completed in-depth research to investigate claims and resolve problems.
- Documented all actions performed and interactions with customers.
- Maintained high volume of calls and met demands of busy and productive group.
- Processed payments and applied to customer balances.
- Achieved performance goals on consistent basis.
Account Resolution Specialist
Intermountain Healthcare/R1 RCM
Provo, UT
01.2016 - 08.2018
- Facilitated resolutions of patient accounts by working with insurance and government agencies as well as patients.
- Assisted patients on phone and in person to facilitate conflict resolution with respective accounts.
- Provided extraordinary care to patients, attorneys, and agents to help resolve billing and account handling processes in timely manner.
- Worked with other teams to interpret insurance explanation of benefits and determine correct billing and balances.
- Submitted requests to conduct audits on charges in question or facilitate coding review for accuracy.
- Managed over 50 calls per day assisting patients with account inquiries as well as processing payments.
- Documented all actions performed and interactions with customers.
- Achieved performance goals on consistent basis.
Administrative Assistant
DCWV
Provo, UT
01.2014 - 01.2016
- Acted as purchasing manager for design.
- Scheduled meetings and conference calls.
- Assisted vice president in product development.
- Shipped and tracked hundreds of shipments to ensure on-time delivery.
- Received and labeled thousands of samples from China.
- Organized tracking system for samples received from China for meeting reviews or shipments increasing production by 12%. Uploaded design files through FTP system of samples and then shipped samples to China prior to mass production.
- Created line lists of products shipped to stores for item management and reference.
Administrative Assistant
SUMMIT REALTY, INC
Orem, UT
01.2009 - 01.2014
- Guided hundreds of home buyers and sellers through sale and purchase of properties.
- Oversaw and managed accounts payable and receivable each month.
- Reconciled monthly bank, credit card, and financial reports to verify practice of proper due diligence.
- Managed thousands of cash and check deposits, using proper accounting procedures and documentation.
- Issued monthly commission checks to agents, with attention to detail.
- Transitioned office to new computer program that enhanced sales processing and customer service by 10%, automating entire office's ability to handle transactions from any location. Recognized for self-taught accounting skills in QuickBooks, taking over office bookkeeping. Improved office organization by 15% by developing more efficient filing system and customer database.
Licensed Life and Health Insurance Agent
World Financial Group WFG
Payson, UT
01.2007 - 01.2009
- Communicated with insurance companies for application processing and information verification.
- Scheduled medical exams for insurance coverage requirements.
- Pursued continuing education and training programs for compliance and self-improvement.
- Verified insurance coverage by telephone and online to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities.
- Customized health insurance programs to suit 100's of individual clients, boosting sales 15%.
- Performed needs analysis to obtain information required to make appropriate health insurance product recommendations.
- Remained impartial in order to advise clients based on circumstances.
- Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
- Finalized sales and collected necessary deposits.
- Met with customers to provide information about available products and policies.
- Displayed consistent, positive attitude towards customers, peers and other personnel, even during high-stress situations.
- Conducted annual reviews of existing policies to update information.
Education
Practicode - Medical Coding
2022
- Continuing education in Medical Coding to remove Apprentice status.
Certified Professional Coder - Medical Coding
09.2020
- Awarded Certified Professional Coder Certificate
Certified Professional Biller - Medical Billing
09.2020
- Awarded Certified Professional Biller Certificate
Medical Terminology Course - Medical Terminology
03.2019
- Professional development completed in Medical Terminology
Anatomy - Anatomy
06.2020
- Professional development completed in Anatomy
Skills
- Certified Professional Coder
- Certified Professional Biller
- Relationship Building
- Time Management
- Work Planning and Prioritization
- Verbal and Written Communication
- Fair Debt Collections Practices
- Correspondence Sorting and Filing
- Persuasion techniques
- Payment Scheduling
- Conflict Resolution
- Negotiation and Resolution
- Attention to Detail
- Outpatient Coding
- Documentation abilities
- Information gathering
- Claims Processing
- Financial Management
- Account Reconciliation
- Call center experience
- Issue investigation
- Bookkeeping
- Finance
Certification
- Professional Biller - March 2021
- Professional Coder - Feb. 2022
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Account Resolution Specialist - REVERE HEALTH
03.2018 - 12.2019
Account Resolution Specialist - Intermountain Healthcare/R1 RCM
01.2016 - 08.2018
Administrative Assistant - DCWV
01.2014 - 01.2016
Administrative Assistant - SUMMIT REALTY, INC
01.2009 - 01.2014
Licensed Life and Health Insurance Agent - World Financial Group WFG
01.2007 - 01.2009
American Academy of Professional Coders (AAPC) - Practicode , Medical Coding
American Academy of Professional Coders (AAPC) - Certified Professional Coder, Medical Coding
American Academy of Professional Coders (AAPC) - Certified Professional Biller, Medical Billing
American Academy of Professional Coders (AAPC) - Medical Terminology Course, Medical Terminology
Western Wyoming Community College - Anatomy, Anatomy
Affiliations
www.linkedin.com/in/loriowenmay
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