Lori Sumner Email & Phone Number

Nmcp

Navel Medical Center Portsmouth Va

Counseled a high volume of beneficiaries and managed customer enrollments, claims, inquiries, and complaints. Calmed angry callers, repaired trust, located resources for problem resolution and designed best-option solutions. Expertly delivered clear and concise guidance on a daily basis that resulted in a fully-informed and satisfied customer.• As Claims Assistant, flawlessly verified the status of more than 20 medical claims per day. Assessed and analyzed issues to ensure proper submission and payment for the customer.• Received and processed more than 30 Tricare enrollments in the DOES database each day.• As the “go-to” person on the team, assigned responsibility to prepare for and organize annual quality audit. Exceptional planning ability directly contributed to awarding of top score for our company.• Front desk rotation in high-volume, high-workload environment for more than 80 customers a day, often with no other staff to support. Managed multiple job functions at once: Checked customers in and out, verified eligibility, verified HIPPA, processed paperwork and briefed on benefits.• Responsible for weekly "New Parent Benefits” briefing at Naval Medical Center. Dynamic personality and speaking style. Educated more than 20 first-time parents on medical benefits each week.• Responsible for daily, weekly and monthly walk-in report in Excel. Maintained accurate walk-in numbers for entire site. • Maintained marketing materials for entire office; ordered supplies and maintained accurate record management.

Chesapeake, Va

Scheduling Coordinator; responsible for synchronizing and deconfliciting schedules for 5 doctors. • Booked and confirmed daily appointments.• Checked patients in and out; collected copays and verified patient information.• Record management; pulled and filed daily patient charts. • Insurance and billing; entered insurance information and filed claims.• Assisted with billing issues; advised on Explanation Of Benefits to patients and submitted necessary medical documentation to insurance companies.

Navel Medical Center Portsmouth Va

• Handled incoming calls from policyholders, responding to inquiries, resolving problems and correcting policy errors. • Booked Tricare appointments for all eligible Tricare Beneficiaries. • Scheduled overseas physicals, well checks, specialty and same day appointments.

Langley Airforce Base Hampton , Va

• Worked with customers over the phone, using analytical skills to identify issues and proactively engage to solve problems during the call. • Assisted with the organization and coordination of Tricare Prime Benefit Program start up.• Consulted with team leaders to best utilize the customer experience and education on the program. • Enabled staff to successfully manage 80-100 walk-in customers a day.• Anticipated customer needs, demonstrated good listening skills, strong verbal and written communication skills to help influence customers resulting in an amazing customer experience.

Education record

High School Diploma