Lori Sicurella
Dover,OH
Summary
Successfully enhanced team productivity by applying specialized skills in part-time roles. Contributed to company growth by effectively utilizing training in remote work settings. Achieved significant outcomes by aligning personal goals with company objectives.
Overview
49
49
years of professional experience
Work History
Rep-Patient Service
Cencora
10.2020 - Current
- Outbound phone to insurance and patient.
- Determination for support programs (copay, patient assistance program, Medicaid, etc)
- Pharmacy triage and coordination
- Order processing
- Follow-up activities (missing info, prior auth, etc)
- Intakes and reports on adverse events as directed
- Researches and resolves any claim denials
- Utilizes any means for collecting information, via phone and fax using program approved methods
- Excellent customer service
- Ensure all program correspondence and communication via phone & fax
- Able to work on my own by following company guidelines
- Self motivated
- Performs related duties as assigned on a daily basis
- Willing to work overtime to help company meet the clients needs
- Data entry
- Stephen Filcky – Supervisor
- Remote
- 800-736-0003
Collection Agent
Red E Auto Finance
08.2019 - 08.2020
- Call on all past due accounts, prepare forms for courthouse, collect payments, filing, answer multi phone line, check references on all new auto loans and data entry.
Medical Insurance Collection Specialist
Ancillary Advantage
06.2018 - 06.2019
- Called all major insurance carriers regarding nonpayment of claims, including denied, pending and not started claims, ran monthly and weekly reports, resubmitted claims, manually and electronically. Used the Nextgen program.
Patient Service Representative
Aspen Dental
07.2017 - 04.2018
- First point of contact. Scheduled dental appointments, verified all third part insurance, followed up on denied claims, collected co-pays and payments, called on past due accounts, called patients as a reminder of appointment, filed, cashed out at the end of the day.
Customer Service/Workforce Specialist
PCCW Teleservices
11.2013 - 05.2017
- First 4 months I scheduled repair appointments throughout the United States, troubleshoot escalated calls, did follow up for problem accounts, got promoted to Workforce specialist, where I verified that all information in the system was up-to-date and accurate, compiled statistical information for specials daily reports, created end of the month reports, closed terminated records and completed chart audits, verified and logged in deadlines for responding to daily inquiries, updated departmental standard operating procedures and database to accurately reflect the current practices. Maintained compliance with the Corporate Company and legal requirements, updated all call offs, vacations for two different locations, monitor over 60 employees to make sure they were complying with company requirements.
Billing and Collection Supervisor
Anderson Medical
04.1991 - 05.2001
- Contacted all insurance providers to discuss status of rebilling and reimbursement process to ensure account resolutions, verified all insurance coverage, updated patient accounts, implemented online collection procedures for private and insurance payments, called on all past due accounts, set up billing program with new Nursing Home accounts, handled an processed all confidential patient information, hired, termed and trained all new employment in my department.
Bookkeeper/Assistant Manager/Human Resources
Marlowe Drug
06.1977 - 04.1991
- Full charge bookkeeper, prepared payroll, reconciled A/R & A/P at the end of each month to take to the accountant’s office, billed all third-party insurance, processed next day receipts for each department to get ready for the bank, scheduled retail employees, hired and termed retail employees, trained, prepared weekly schedule, managed retail employees.
Education
Diploma - Some College Courses, Secretarial & Bookkeeping
Tuscarawas Valley High School
Zoar, OH06-1977
Secretarial/Bookkeeping Degree - undefined
Buckeye Career Center
06-1977
Skills
Delivered exceptional customer service by addressing inquiries and resolving issues promptly
Mastered new software applications to enhance operational efficiency
Collaborated effectively with cross-functional teams to achieve project goals
Demonstrated typing proficiency at 30 words per minute
Assisted in managing multiple phone lines to ensure effective communication Supported team members in addressing customer inquiries promptly Facilitated smooth operations by coordinating phone-related tasks
Assisted in processing medical claims for timely reimbursement Supported patients with billing inquiries to enhance satisfaction Collaborated with healthcare providers to ensure accurate coding and billing practices
Assisted in maintaining compliance with HIPAA regulations by supporting data privacy initiatives Collaborated with team members to ensure secure handling of sensitive information Provided administrative support to enhance understanding of HIPAA guidelines among staff
Resolved challenging customer calls with effective communication strategies
Demonstrated empathy by actively listening and responding to individual needs
Timeline
Rep-Patient Service
Cencora
10.2020 - Current
Collection Agent
Red E Auto Finance
08.2019 - 08.2020
Medical Insurance Collection Specialist
Ancillary Advantage
06.2018 - 06.2019
Patient Service Representative
Aspen Dental
07.2017 - 04.2018
Customer Service/Workforce Specialist
PCCW Teleservices
11.2013 - 05.2017
Billing and Collection Supervisor
Anderson Medical
04.1991 - 05.2001
Bookkeeper/Assistant Manager/Human Resources
Marlowe Drug
06.1977 - 04.1991
Secretarial/Bookkeeping Degree - undefined
Buckeye Career Center
Diploma - Some College Courses, Secretarial & Bookkeeping
Tuscarawas Valley High School