Lynn Schuchmann

Hamden

• Coordinated patient scheduling to optimize clinic workflow and enhance service delivery.
• Executed in-office and remote servicing and repair of hearing aids.
• Developed and implemented office procedures that streamlined administrative tasks and improved efficiency.

• Assessed substance abuse and mental health claims to ensure adherence to internal policies and regulatory standards.
• Facilitated collaboration among cross-functional teams to optimize auditing processes.
• Provided detailed documentation on audit findings, facilitating swift corrective action when necessary.

• Processed claims efficiently, ensuring accuracy and compliance with industry standards.
• Assisted in resolving discrepancies by collaborating with healthcare providers and members.
• Evaluated and processed medical, COB, motor vehicle and worker’s compensation claims to uphold regulatory compliance.

• Conducted audits on inpatient, outpatient, and professional claims to ensure accurate payment prior to remittance saving substantial amounts of money.
• Provided training and mentorship to auditors on best practices in auditing procedures.
• Analyzed data and prepared thorough audit information, highlighting key findings, conclusions, and recommendations for management's consideration.

• Processed high dollar stop loss inpatient and transplant claims, adhering to established quality and production standards.
• Reviewed and analyzed claim submissions for accuracy and completeness, minimizing errors in processing.
• Coordinated with healthcare providers to gather necessary documentation for claim resolution.