Lori Mccarrell
Quality Assurance Auditor at Healthfirst | North Myrtle Beach, South Carolina, United States
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Lori Mccarrell currently serves as a Quality Assurance Auditor at Healthfirst, where she leverages her extensive healthcare industry expertise to ensure the integrity and accuracy of Medicare reimbursement processes. In this role, Lori conducts comprehensive quality audits of Authorization & Guarantee (A&G) items, including grievances, pre-service appeals, and post-service appeals. Her meticulous approach involves utilizing a variety of sources such as eligibility records, claims data, authorizations, service forms, and correspondence to verify compliance and identify discrepancies. Lori’s keen analytical skills enable her to analyze errors systematically, determine root causes through techniques like Pareto and root cause analysis, and implement targeted remediation strategies to improve overall audit outcomes.
Her expertise extends across multiple facets of healthcare reimbursement, including durable medical equipment (DME), medical technology, medical collections, and organ transplant reimbursement, allowing her to bring a nuanced understanding of complex billing and claims processes. Lori’s proficiency with tools like Microsoft Excel and her familiarity with statistical analysis and validation (V&V) techniques support her in tracking trends, performing data-driven assessments, and ensuring continuous process improvement. Her strong teamwork and time management skills facilitate collaboration with cross-functional teams to enhance compliance and operational efficiency.
With over 7 years of experience in medical billing, home care billing, and collections, Lori’s comprehensive knowledge base and attention to detail make her a vital asset in maintaining the integrity of Healthfirst’s reimbursement operations. Her dedication to quality assurance and her ability to analyze and resolve complex issues contribute significantly to the organization’s goal of delivering accurate, compliant, and efficient healthcare services.
Quality Assurance Auditor at Healthfirst in May 2021 to Present
Senior Appeals Analyst-Medicare at Aetna, a CVS Health Company in October 2018 to May 2021
Expedited Complaint and Appeals Analyst- Medicare at Aetna, a CVS Health Company in August 2017 to May 2021
Appeals Coordinator at ZOLL Medical Corporation in April 2012 to August 2017
Collections Specialist at UPMC in January 2008 to April 2012
Collections Specialist at UPMC Children's Hospital of Pittsburgh in October 2005 to January 2008
Staff Support at Family Behavioral Resources in October 2002 to October 2005
Medical Technologist at United States Air Force in September 1992 to September 1996
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University of South Carolina Aiken, Certification, November 2026
University of Maryland Global Campus, Bachelor of Science (B.S.), November 2026
Villanova University, Masters Certificate, November 2026
Franklin University, BS, November 1998 to November 2026
The Ohio State University, November 1996 to November 1998
Community College of the Air Force, November 1993 to November 1996
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Python
Pytab
Application Programming Interfaces (API)
DALL-E
VLOOKUP
Drawing Blood
Cell Culture
Transplant
payor contract
Claim Investigation
Team Building
Microscopy
Oral Communication
Data Collection
Data Analysis
Communication
Analytical Skills
Microsoft Excel
Forecasting
Tableau
Pivot Tables
SQL
Oracle SQL Developer
Python (Programming Language)
ChatGPT
Six Sigma
Hospitals
FDA
Healthcare
Revenue Cycle
Customer Service
Healthcare Information Technology
Statistics
Microsoft Office
Medical Records
Medical Terminology
V&V
Quality Improvement
Organizing
Typing
Lean Sigma
Lean Healthcare
Accounts Receivable
Financial Accounting
Project Finance
Microbiology
Virology
Immunology
Teamwork
Fluorescence Microscopy
quality improvement
Time Management
Appeals
Health Insurance
Hospital Operations
Autism Spectrum Disorders
Metrics
Root Cause Analysis
Pareto Analysis
Kaizen
Flow Charts
Durable Medical Equipment
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Discover more about HealthfirstWhat is Lori Mccarrell email address?
Email Lori Mccarrell at [email protected], [email protected] and [email protected]. This email is the most updated Lori Mccarrell's email found in 2026.
What is Lori Mccarrell phone number?
Lori Mccarrell phone number is 4123357607, 8655732245 and 724-469-2122.
How to contact Lori Mccarrell?
To contact Lori Mccarrell send an email to [email protected], [email protected] or [email protected]. If you want to call Lori Mccarrell try calling on 4123357607, 8655732245 and 724-469-2122. (updated on February 14, 2025)
What company does Lori Mccarrell work for?
Lori Mccarrell works for Healthfirst
What is Lori Mccarrell's role at Healthfirst?
Lori Mccarrell is Quality Assurance Auditor
What industry does Lori Mccarrell work in?
Lori Mccarrell works in the Hospital & Health Care industry.
Lori Mccarrell Email Addresses
Lori Mccarrell Phone Numbers
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