administrator, claims, billing, ar, compliance officer
Resume:
Lorin Easly
La Pine, Or *****
lorineasly©gmail.com
I am a a dedicated professional with a strong background in healthcare administration, revenue cycle management, and office administration. With a keen interest in roles such as an Accounts Payable Specialist, and Provider Assistant in Otolaryngology, I am seeking an opportunity in a quality medical establishment. Possessing skills in healthcare, medical billing, administrative assistant and practice management, I am currently looking to contribute to an organization within the Deschutes County area with thriving healthcare facilities opportunities for professional growth, particularly in hospitals and medical groups with a stellar reputation.
To obtain a career with a reputable company which will allow me to utilize my expertise in
management of, medical billing, patient accounts management, collections, or customer service, to increase revenue while using current billing methods and staying compliant with quality-of-care standards, all while gaining further knowledge, experience, and career growth within my chosen profession. I am a critical thinker and have a high expectation of myself to provide the best customer service to all clients. I am willing to go the extra mile to find solutions that best fit the practice and the client and staff.
Authorized to work in the US for any employer
Work Experience:
Billing/Office Manager
Owner/Operator
Easly Enterprises Billing Consultants - Portland, Bend, OR
2000 to 2024.
Practice set-up, computer software, billing methods and training staff.
Performed data entry.
Posted insurance and patient payments.
Working AR (Insurance and patient balances).
Identified and solved issues regarding problem claims.
Educated physicians and staff of compliance and documentation issues, and appropriate coding for
maximum reimbursement.
Easly Enterprises/Billing/Coding/AR/Patient/Clinic Support Consultant. Denial Management. Extensive knowledge of ICD 9 and 10 and CPT/HCPCS coding principles and guidelines, reimbursement systems, federal and state and payor-specific regulation and policies pertaining to documentation, coding and billing:
Vein Specialty 12 years
OBGYN 1 year
Neurology 16 years
Optical/Eye Care 6 months
ADHD mental health 12 years
Integrated Health Medicine 6 years
Internal Medicine 2 year
Breast Reconstruction 6 months
Gastroenterology 7 years
Disordered Eating 5 years
General Surgery 7 years
Cosmetic procedures 2 years
Audiology 13 years
Allergy 11 years
Orthognathics 2 years
Duke University IRB support for clinical trials 7 years
I helped increase revenue for clinics financially while being employed at COENT full time, 40–60-hour work week.
Office Administrator/Billing Office Administrator
Central Oregon ENT, LLC -Bend and Redmond, Or
June 2001-August 2021
Manage daily operations, for a multimillion-dollar clinic with 9 providers.
Travel arrangements for providers as needed for Academy meetings etc.
Set policies and procedures for accurate collection of copays, co-insurances, and deductibles.
Treatment estimates for patients.
Post charges, payments, adjustments, and denials to PMS.
Cochlear, Baha, and hearing aid billing and collections.
Oversee Accounts payables.
Set policy for data collection that is required for MIPS/MACRA/MU/PQRS, Reported successfully for each year, for all 13 providers.
Over Twenty years of experience as an Executive Assistant, with direct experience managing and supporting Board Members. Exceptional organizational and multitasking skills with the ability to think steps ahead. High emotional intelligence with the ability to anticipate needs and think critically. Proven ability to manage sensitive and confidential information with discretion. Adaptable and resilient in demanding environments. Commitment to continuous learning and improvement.
Revenue Cycle Administrator/Billing Manager
Mount Hood ENT- Portland, OR
January 1996 — May 2001
Oversee Prior authorization coordinator to ensure benefits are checked and prior.
authorizations/referrals are in place.
Monitor A/R balances and work A/R balances as needed.
Assign additional diagnoses codes (in support of existing diagnoses codes) based on clinical findings.
(Pathology reports).
Identify errors, and quickly and appropriately respond. Includes refiling of claims, completion of appeals as necessary.
Billing Office Manager
Oregon Hematology/Oncology Associates- Portland, OR
May 1986 — November 1995
Billing office Manager.
Accounts Receivable
Tamoxifen Study Coordinator
Additional clinic duties:
Billing, Coding, Authorization/scheduling all medical procedures.
Addressing all Attorney inquiries and depositions.
Bank deposit reconciliation, daily.
Addressing all Patient complaints.
Leading all Board/Staff meetings/agendas.
Approve appropriate schedule coverage daily.
Denials Management and follow up.
Shipping and Receiving
Maintaining all HIPPA, OSHA, BLS, ACLS, PALS, for all Providers and Staff.
Month end and Year End Reporting.
Initiate policies and procedures per Board direction.
Provide Coding compliance for all team members including Providers.
Credentialing and contracting as necessary. (Contracting every November per the federal register).
Posting claims, payments, adjustments, and denials daily. Follow up daily.
Generate all patient forms for FMLA, OFMLA, Short- and long-term disability.
Successfully reported PQRS, MIPS, MACRA and MU for all medical providers
Notary Public for all Providers and staff as needed.
Computer troubleshooting with IT departments and multiple Software programs (i.e, Medisoft, Open
Dental, Moolah, Jot, Modento, ECW, EPIC, Lytec, Cerbo, OPS3.
Review and send patient statements weekly.
Education:
COPM (Certified Otolaryngology Practice Administrator)
High school or equivalent in education.
US Army certification for Operating Room Technician combat medic and medical assistant
CPSDT (Central Processing and Sterile Distribution Tech)
State Representative for the AOA (Oregon/Washington)
State Representative for the MGMA (Oregon/Washington)
Veterans Outreach liaison, Bend
Skills
·QuickBooks
·Scheduling
·Accounts Payable
·Payroll approval
·Medical Billing
·Medical, MVA, Worker Compensation, Crime Victims insurance Claims
·Microsoft Office (15 years)
·Supervising experience
·Healthcare management
·Medical office management
·Insurance Verification
·CPT ICD-10 HCPCS Coding Facility and Non-Facility
·10 Key Data Entry
·Practice Management
· Accounts Receivable
· Medical Records
· EMR Systems
· Human Resources
· Great customer and client service
· Notary
Additional Information
Initiative-taking and team oriented medical billing professional, with 20 years' experience in all
aspects of billing operations. Major strengths include strong leadership and supervisory skills; strong
organizational and analytical skills; critical thinking skills, expertise of ICD-10, CPT, and HCPCS coding;
extensive knowledge of medical terminology, CAQH and PECOS systems; proficiency with insurance
verification, commercial and private insurance carriers, as well as contracting and credentialing; tech
savvy with a strong knowledge of EMR, Microsoft Office, Excel and 10-key proficient.
excellent verbal and written communication, strong attention to detail, and a quick learner.
References:
Jodi Tellache
jtellache©afcurgentcareportland.com
Candy Petty
********@***.***
Irene Vlach
**************@*****.***
Jean S Verheyden MD
Hwanqj22101(@,qmail.com
Contact this candidate