Brooke Lawhead

A results-driven and seasoned professional, I possess eight years of experience in Behavioral Health Billing and Revenue Cycle Management. My expertise encompasses Medicaid, Medicare, and Commercial insurance payers. I am proficient in utilization management and adept at interpreting ERAs and EOBs for accurate payment posting and account reconciliation.

I have accumulated several years of experience within both behavioral health therapy facilities and behavioral health billing and consulting firms. My knowledge extends to an in-depth understanding of medical terminology, with a specialization in mental health. I consistently demonstrate empathy and understanding while maintaining a professional demeanor, and I am skilled in team management and enhancing patient care.

I am committed to upholding HIPAA compliance and fostering robust communication with administrators, payers, patients, family members, community leaders, and providers. Furthermore, I am experienced in remote work, excelling at independent task completion with minimal supervision while consistently meeting stringent deadlines and objectives. My home office is HIPAA-compliant and equipped with wired high-speed internet.

Billing & Revenue Cycle Specialist - Integrity Family Counseling - Kokomo, IN

(2023-10 - 2026-04)

• Generated and prepared claims for submission
• Verified insurance benefits and eligibility
• Set up and maintained provider portals
• Worked closely with providers and administration on claim inquiries
• Communicated directly with patients about insurance billing
• Scheduled new intakes as well as follow-up appointments
• Establishes prompt and timely contacts with members, significant others, providers, community agencies and internal health programs
• Clearly documented and tracked efforts and outcomes
• Posted payments from ERA'S/EOB'S accurately to patient accounts
• Reconciled patient accounts
• Forwarded claims to secondary and tertiary insurance companies as necessary
• Kept up to date on ICD codes and billing procedures and guidelines
• Extensive knowledge in billing behavioral health claims with Medicaid, Medicare, Commercial, and Managed Care Entities
• In-depth Understanding of how Medicaid and Medicare billing guidelines work
• Prepared and submitted prior authorizations for medical necessity
• Processed and verified all referrals
• Served as the first point of contact for Kinsey Youth Center and VA
• Experienced in crisis situations
• Worked all denials by re-submitting claims and following-up by keeping good contacts with our payors
• Worked with owners and providers to mainstream billing processes
• Built new workflows to ensure accurate reimbursement rates
• Found root denial causes and created a means to fix the root issue for smoother billing rules
• Empathic with our patients and families
• Easily adapted to a fast-paced changing environment
• Experienced in working remotely
• Worked well independently, but also well versed in being a team player
• Followed and maintained HIPAA compliance and standards
• Took on high volume case loads with ease while still producing positive results
• Networked with professional contacts within the behavioral health insurance industry
• Accurately posted payments from ERAs/EOBs to patient accounts
• Maintained current knowledge of ICD codes and billing procedures and guidelines
• Possessed extensive knowledge in billing behavioral health claims with Medicaid, Medicare, Commercial, and Managed Care Entities
• Demonstrated an in-depth understanding of Medicaid and Medicare billing guidelines
• Served as the primary point of contact for Kinsey Youth Center and the VA
• Managed all denials by resubmitting claims and following up through effective communication with payors
• Collaborated with owners and providers to streamline billing processes
• Developed new workflows to ensure accurate reimbursement rates
• Identified root causes of denials and implemented solutions to address these issues for improved billing efficiency
• Demonstrated empathy towards patients and their families
• Readily adapted to a fast-paced, evolving environment
• Experienced in remote work
• Functioned effectively independently and as a collaborative team member
• Adhered to and maintained HIPAA compliance and standards
• Managed high-volume caseloads with efficiency while consistently achieving positive results

Shift Lead - Big Ben Coffee Co - Kokomo, IN

(2022-05 - 2023-10)

• Managed teams to produce best results
• Uplifted team members
• Gave positive criticism as needed
• Counted all cash drawers for accuracy
• Made bank deposits
• Primary key holder
• Greeted customers and treated them like family
• Ensured all rules and policies were enforced
• Communication with the owner on a daily basis

Accounts Receivable Specialist - Missing Piece Billing and Consulting - Kokomo, IN

(2017-09 - 2022-04)

• Handled all back end A/R
• Handled multi-million dollar billing accounts
• Investigated payment discrepancies
• Called insurance companies to ensure timely reimbursement of claims
• Corrected and resubmitted denied claims
• Filed all disputes and appeals
• Maintained and utilized provider portals
• In-depth knowledge in multiple states Medicaid and Medicare billing guidelines and practices
• Communication with patients and providers for clarity on claims
• Used correct modifiers
• Worked remotely consistently and communicated using video conferencing

Medical Billing & Coding - Medical Billing & Coding - DeVry University (2026 - present)

High school diploma - Northwestern High School (1997-05 - 2001-06)