Lori Michelle Briscoe

Lori Michelle Briscoe

Health Insurance Specialist at Baylor Scott & White Health

Rockwall, Texas, United States
119 followers 93 connections

Activity

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Experience

  • Baylor Scott & White Health Graphic

    Health Insurance Specialist

    Baylor Scott & White Health

    - Present 5 years 8 months

  • Insurance Verification I

    Baylor Scott and White

    - Present 5 years 8 months

    Review patient information to ensure insurance coverage is active. Call and or utilize a variety of websites to verify benefits, and network status for the hospital or clinics. Review ICD-10, and HCPC/CPT codes to determine if authorization is needed. Request and obtain prior authorization from insurance companies. Update patients’ digital charts with all communication between insurance companies, clerical staff, third-party administrators, and vendors. Determine insurance financial information…

    Review patient information to ensure insurance coverage is active. Call and or utilize a variety of websites to verify benefits, and network status for the hospital or clinics. Review ICD-10, and HCPC/CPT codes to determine if authorization is needed. Request and obtain prior authorization from insurance companies. Update patients’ digital charts with all communication between insurance companies, clerical staff, third-party administrators, and vendors. Determine insurance financial information such as coinsurance, deductible, etc. used to determine patient responsibility. Contact the patient for updated insurance information. Perform other duties as assigned.

  • HR/ Billing Coordinator

    Cohost Catering

    - 1 year 1 month

    Perform a variety of office support. Duties included fielding telephone calls and emails, billing, and paying clients—word processing and creating spreadsheets. I utilize my vast and extensive software skills, internet research abilities, and practical communication skills. Review incoming job applications, schedule, and perform phone and in-person job interviews. Conduct training and onboarding for new employees.

  • Colorado- Insurance Verification

    Vail Health Hospital

    - 1 year 3 months

    Call and verify the patient's health insurance benefits, eligibility, and network status. Coordinate with the clinic if treatment or items are determined to not be covered or the patient has out-of-network insurance coverage. Contact the patient for updated insurance information. Review ICD-10, and HCPC/CPT codes to determine if authorizations are needed. Obtain prior authorization from the insurance companies. Document patients' charts with all communication from insurance companies…

    Call and verify the patient's health insurance benefits, eligibility, and network status. Coordinate with the clinic if treatment or items are determined to not be covered or the patient has out-of-network insurance coverage. Contact the patient for updated insurance information. Review ICD-10, and HCPC/CPT codes to determine if authorizations are needed. Obtain prior authorization from the insurance companies. Document patients' charts with all communication from insurance companies, adjusters, and clinics.

  • Administrative Assistant

    Big D Creative/Dallas SEO Dogs

    - 1 year 1 month

    Performed administrative and office support activities for multiple supervisors. Duties included fielding telephone calls and emails, receiving and directing visitors, word processing, and creating spreadsheets and presentations. I have utilized my vast and extensive software skills, Internet research abilities, and strong communication skills: to schedule meetings, conference calls, and business travel.

  • SPCA of Texas

    SPCA of Texas

    15 years 6 months

    • Volunteer Relations Manager

      SPCA of Texas

      - 3 years 3 months

      Developed a thorough understanding and working knowledge of functional areas for multiple animal shelters. Supervised, trained, and assisted staff/volunteers in their duties and use of equipment and materials by conducting meetings, training sessions, or email communications/memos. Utilized excellent people skills and the ability to motivate to produce positive results. Prepared and monitored departmental and organizational budgets. Daily relied on my ability to work well with the public and…

      Developed a thorough understanding and working knowledge of functional areas for multiple animal shelters. Supervised, trained, and assisted staff/volunteers in their duties and use of equipment and materials by conducting meetings, training sessions, or email communications/memos. Utilized excellent people skills and the ability to motivate to produce positive results. Prepared and monitored departmental and organizational budgets. Daily relied on my ability to work well with the public and fellow staff/volunteers using tact, patience, courtesy, and the highest level of professionalism in performing tasks. Utilized my advanced working knowledge of computers, including Microsoft Office Suite, to maintain necessary reports, records, and procedure manuals by collecting information and data from available systems or staff. Received and addressed complaints from staff and volunteers about program areas. Actively applied counseling measures for assigned staff/volunteers to my position’s immediate supervisor or appropriate division head. Established and monitored the daily work schedules of assigned personnel. As the manager, I was responsible for the daily processes regarding volunteer interviews, recruiting, and retention for all facilities. Demonstrated the Core Values of the SPCA of Texas. Developed and implemented programs to recognize and promote continuing motivation for volunteers.

    • Humane Educator

      SPCA of Texas

      - 4 years 5 months

      Attend professional meetings, speaking engagements, and community events to promote the organization and fundraising. I have developed a thorough understanding and working knowledge of Humane Education programs and curriculum development for all ages.

    • Volunteer Coordinator

      SPCA of Texas

      - 1 year

      Job duties include recruiting, training, and maintaining positive relationships between animal shelter volunteers and staff. Also responsible for reviewing applications for volunteer programs. Other responsibilities include responding to emails, and phone calls, creating and filing reports, and assisting with many other duties as assigned.

    • Customer Service Specialist

      SPCA of Texas

      - 1 year 5 months

      Job duties include answering questions in a call center environment regarding the SPCA, including, but not limited to, policies and procedures and scheduling appointments. Responsibilities also include assisting with the training of new hires.

    • Clinic Receptionist/Certified Veterinary Assistant

      SPCA of Texas

      - 5 years 9 months

      Job duties included the daily operations of a busy veterinarian clinic, assisting veterinarians with animal surgery as a technician, drawing blood, running lab work, customer service, and data entry, checking in patients, filing patient records, assisting doctors wherever needed, answering calls, making appointments, and using the register.

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