Lorraine Herrera
Contract Health Coordinator and Assistant Supervisor at Snoqualmie Indian Tribe- Claim this Profile
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Bio
Credentials
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Learning Excel 2016
Lynda.comAug, 2018- Nov, 2024 -
Word 2016 Essential Training
Lynda.comAug, 2018- Nov, 2024
Experience
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Snoqualmie Indian Tribe
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United States
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Government Administration
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1 - 100 Employee
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Contract Health Coordinator and Assistant Supervisor
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Feb 2011 - Aug 2017
Process CHS claims to the Finance Department for payment and resolve payment processing problems. Accurately and independently process health care service Medical-Like-Rates and maintain MLR records for future retrieval and audits. Re-price all qualified patient charges to Medicare-Like Rates (MLR). CPT/ICD coding. Referral Coordinator. Address client and vendor inquiries regarding eligibility determination, referral process, reimbursement and/or payment for services and other CHS-related… Show more Process CHS claims to the Finance Department for payment and resolve payment processing problems. Accurately and independently process health care service Medical-Like-Rates and maintain MLR records for future retrieval and audits. Re-price all qualified patient charges to Medicare-Like Rates (MLR). CPT/ICD coding. Referral Coordinator. Address client and vendor inquiries regarding eligibility determination, referral process, reimbursement and/or payment for services and other CHS-related issues PDMI Pharmacy program. Elder Program, Behavior Health Program, Veterans Program, clinic staff. Dental Program, Optical Program. Show less Process CHS claims to the Finance Department for payment and resolve payment processing problems. Accurately and independently process health care service Medical-Like-Rates and maintain MLR records for future retrieval and audits. Re-price all qualified patient charges to Medicare-Like Rates (MLR). CPT/ICD coding. Referral Coordinator. Address client and vendor inquiries regarding eligibility determination, referral process, reimbursement and/or payment for services and other CHS-related… Show more Process CHS claims to the Finance Department for payment and resolve payment processing problems. Accurately and independently process health care service Medical-Like-Rates and maintain MLR records for future retrieval and audits. Re-price all qualified patient charges to Medicare-Like Rates (MLR). CPT/ICD coding. Referral Coordinator. Address client and vendor inquiries regarding eligibility determination, referral process, reimbursement and/or payment for services and other CHS-related issues PDMI Pharmacy program. Elder Program, Behavior Health Program, Veterans Program, clinic staff. Dental Program, Optical Program. Show less
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Muckleshoot Health Wellness Center
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Auburn, Washington
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Medical Billing Representative
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Mar 2008 - May 2010
Responsibilities included: Input ICD Coding, Input Medical Radiology coding including dental, mental health, optical, Medicare, Medicaid, Veterans Affairs and Workman’s Compensation, Third party billing and private insurance billing, End of month auditing, Posted payments. Determined Eligibility of Enrollment of Tribal Members for DSHS. Responsibilities included: Input ICD Coding, Input Medical Radiology coding including dental, mental health, optical, Medicare, Medicaid, Veterans Affairs and Workman’s Compensation, Third party billing and private insurance billing, End of month auditing, Posted payments. Determined Eligibility of Enrollment of Tribal Members for DSHS.
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Rocky Mountain Health Network
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Business Service Representative ll
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Feb 2006 - Aug 2009
Provided billing, claims and processed services for physicians. Input CPT and ICD-9 coding for medical services, Submission of electronic claims, Account adjustments, Investigated and resolved billing and insurance issues. Arranged acceptable patient payment arrangements per request. Provided billing, claims and processed services for physicians. Input CPT and ICD-9 coding for medical services, Submission of electronic claims, Account adjustments, Investigated and resolved billing and insurance issues. Arranged acceptable patient payment arrangements per request.
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Deaconess Billings Clinic Hospital
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Billings, Montana Area
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Registration Lab/Patient Service Representative
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Jun 1999 - Feb 2006
Responsible for interacting with patients prior to service through time of per registration and per-certification as well as registering for lab, pathology, pap requisitions. COA bedside registration and making sure that the requisite patient insurance coverage information is accurate and complete. Knowledge of Medicare and Medicaid insurance coverage programs and other general insurances. Also proficient in Medic and AS 400 computer billing. IDX, RPMS, CERNER and Lab system. Worked in the… Show more Responsible for interacting with patients prior to service through time of per registration and per-certification as well as registering for lab, pathology, pap requisitions. COA bedside registration and making sure that the requisite patient insurance coverage information is accurate and complete. Knowledge of Medicare and Medicaid insurance coverage programs and other general insurances. Also proficient in Medic and AS 400 computer billing. IDX, RPMS, CERNER and Lab system. Worked in the Emergency department. Worked on the Stem Cell Research Project, Lab and Pathology departments. Billing procedures Show less Responsible for interacting with patients prior to service through time of per registration and per-certification as well as registering for lab, pathology, pap requisitions. COA bedside registration and making sure that the requisite patient insurance coverage information is accurate and complete. Knowledge of Medicare and Medicaid insurance coverage programs and other general insurances. Also proficient in Medic and AS 400 computer billing. IDX, RPMS, CERNER and Lab system. Worked in the… Show more Responsible for interacting with patients prior to service through time of per registration and per-certification as well as registering for lab, pathology, pap requisitions. COA bedside registration and making sure that the requisite patient insurance coverage information is accurate and complete. Knowledge of Medicare and Medicaid insurance coverage programs and other general insurances. Also proficient in Medic and AS 400 computer billing. IDX, RPMS, CERNER and Lab system. Worked in the Emergency department. Worked on the Stem Cell Research Project, Lab and Pathology departments. Billing procedures Show less
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Education
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1996 - 1996
Medicine Creek College, Tacoma, WA
Certificate, Medical Terminology/Lab -
1977 - 1978
Flathead Valley Community College Studies
Bachelor's Degree 1 year completed, Early Childhood Studies -
1973 - 1975
Helena Senior High School
Education, General Studies -
Helena Vo-Tech College, Helena, MT Training-1976
Certificate, Secretarial and Clerical
Community
