Beverly Lane

Experienced healthcare reimbursement and nonprofit operations professional with 16+ years of experience in insurance billing, reimbursement, credentialing, staff supervision, transportation operations, compliance, and revenue management. Skilled in Medicaid, Medicare, commercial insurance billing, EHR systems, accounts receivable, staff training, and insurance contracting.

Reimbursement Specialist III

(2023-10)

• Process Medicaid, Medicare, and commercial insurance 837P/837I billing and contractual billing.
• Resolve denied claims, manage authorizations, and ensure compliance with payer and state requirements.
• Analyze accounts receivable and maintain reimbursement reports and policies.
• Train staff and serve as liaison between reimbursement and operational departments.
• Assist with insurance setups, ERA/EFT enrollment, clearinghouse functionality, and EHR configuration.
• Credential agency employees with Medicare, Medicaid, and commercial insurers.
• Manage insurance agency contracting and provider enrollment processes.

Transportation Supervisor

(2019-04 - 2023-09)

• Supervised 30+ employees and managed a fleet of 80 vehicles providing 52,000+ trips annually.
• Coordinated scheduling, dispatching, maintenance records, ridership reporting, and compliance documentation.
• Managed departmental revenue budget of $300K and increased revenue by $121K.

Reimbursement Specialist / Reimbursement Specialist II - Rappahannock Rapidan Community Services Board

(2013-03 - 2019-04)

• Processed Medicaid, Medicare, commercial insurance, and self-pay billing and remittances.
• Resolved claim denials, verified insurance eligibility, obtained authorizations, and managed collections.
• Assisted with implementation and maintenance of Credible EHR system.
• Maintained accounts receivable reporting and ensured accurate claim submission across 18 programs.
• Trained staff on ICD-10 coding, billing procedures, and reimbursement processes.

Allied Health Institute (2010)

Culpeper County High School (1991)