Customer Service Human Resources

Lori Gray

**** * ******* *** ************, Indiana 46208 317-***-****

Career Objective

Seeking a position in Human Resources, medical administration, or billing which would offer

opportunity for personal contribution and professional development.

Education

• Masters Science Business Administration/Human Resource Management - Colorado

Technical University, Colorado Springs.

• Bachelor’s Science Business Administration/Human Resource Management – Colorado

Technical University, Colorado Springs - Certification, Business Concepts, Business

Fundamentals, Management, Project Management.

Skill Summary

• Understanding and solving liquidity management issues.

• Built work teams that consistently exceeded goals for productivity, efficiency and quality of

operations. Supervisor Lead, overseeing twelve Point of Services Representatives.

Kidney Disease clinical flow (40 patients daily). Dermatology, clinical flow (90 patients

daily). Special Infectious Disease clinical flow (90 patients daily).

• Systems Used: TIMS, Goldmine, Zirmed, Epic Hyperspace, Medi-soft, Medical Manager,

Cycogic, Nebo, UUNet. SMS, Web Interchange, Media System, Citric. Idx, Papers Web

Batch inquiry, Patient statements, CPS/ePayPoint Cash Services. Revenue Cycle systems.

• Dynamic Administrative Professional with 13+ years of increasingly responsible experience

building and managing multi-site administrative operations.

• Recognized for consistent success in developing systems, processes and methodologies to

upgrade practice operations, increase revenues and enhance profit performance. Strong

planning, organization development, general management qualifications.

• Cross-functional communications, resource allocation and project management skills.

Highly focused and results-oriented in supporting complex, deadline-driven operations.

Lori Gray

3172 N Capitol Ave Indianapolis, Indiana 46208 317-***-****

Work Experience

September/2012 to Present - Contractor

Adecco

Position: Insurance Verification Specialist

Temporary Placement-Contractor/ Roche Health Solutions

Supervisor/Teri Lakes

• Ensuring patient insurance information is current.

• Verifying insurance coverage; plan limitation, co-pays, deductibles, out-of-pocket expenses.

• Submit authorizations.

• Complete authorization process.

• Ensure all prior authorizations and/ or referrals are obtained in a timely manner.

• Communicate with internal and external stakeholders as necessary.

June/2011 to September 2012 - Contractor

Office Team

Position: Customer Service Representative

Temporary Placement/ IU University

• Recorded client payments and ensured their accuracy. Customer Service front desk dental

office.

• Identified and resolved payment discrepancies and provided billing and accounting customer

support services to clients.

• Responsible for billing and follow up/collections on Medicare/Medicaid and Commercial

hospital and physicians’ claims.

• Responsible for any claims corrections, contact with insurance companies, reading EOB's

and posting payments.

• Systems used: Medi-soft, medical Manager, Cycogic, Nebo, UUNet. SMS, Web

Interchange, Media System, Citric.

Lori Gray

3172 N Capitol Ave Indianapolis, Indiana 46208 317-***-****

Continuation

October/2008 to March/2011

RUSH UNIVERSITY MEDIAL CENTER

Division of Medicine, Non-Profit Organization

Position: Administrative Manager Assistant

Supervisor/Human Resources/April Bradley

• Internal and external consultant to both single practice and multi-site/multi-doctor

operations providing expertise in operations management, administration, finance,

insurance precertification, insurance verification, accounting, human resources, regulatory

affairs, facilities management and insurance administration. Physicians’ claims any claims

corrections, contact with insurance companies, reading EOB's and posting payments.

• Created innovative practice management models and methodologies to strengthen quality of

care. Designed and implemented administrative programs to reduce redundancy, streamline

processes and improve daily operations. Insurance verification, charge entry.

• Checked for eligibility. Medical billing for hospital and Physician. Changed diagnostic

coding. Worked out of Microsoft Office System, Excel, and Microsoft Windows operating

systems. Super User in Epic Software. Educator and Trainer with Epic software.

September/2001 to October/2008

Children’s Memorial Hospital,

Division of Medicine, Non-Profit Organization

Position: Ambulatory Lead Supervisor

Supervisor/Unita Brown

• Responsible for recruitment selection and supervision of up to 20 professional and support

staff. Skilled in staff training, development and performance management. Extensive

experience in benefits administration, compensation structuring, training and development,

employee communications and workforce diversity. Responsible for billing claims in Epic

Systems. Processed billing on web enter-change for Medicare, Medicaid.

Lori Gray

3172 N Capitol Ave Indianapolis, Indiana 46208 317-***-****

Continuation

• Built work teams that consistently exceeded goals for productivity, efficiency and quality of

operations. Resolved long-standing issues impacting employee retention and interaction.

Implemented training and incentive programs that delivered measurable improvements in

employee morale and satisfaction. Insurance verification, charge entry.

• Restructured patient accounting operations and designed/implemented policies, procedures

and processes that improved collections, reduced outstanding debt and strengthened bottom-

line profitability. Personally managed aged receivable accounts, established case

presentations and coordinated financial arrangements.

• Represented the practice in legal proceedings. Consistently exceeded collection goals.

Prepared an array of department reports, clinical datasheets, statements, and roster, gather

data and any other necessary information for certain projects.

• Coordinate and process the department and staff expenses, check request and travel

reimbursements. Managed others with great experience with extensive experience in the

coordination, planning and support of daily operational and administrative functions. Adept

at developing and maintaining detailed administrative and procedural processes that reduce

redundancy, improving accuracy and efficiency, and achieve organizational objectives.

Contact this candidate