Yer Lor

I’m a healthcare administration professional with 6+ years of experience in claims processing, insurance verification, and HIPAA-compliant data management. I focus on payment accuracy and quality control, consistently delivering 99%+ accuracy while coordinating complex transactions across Medicare, Medicaid, and commercial plans.

In my work, I independently audit healthcare transactions to identify payment discrepancies, verify the correct order of liability, and support regulatory compliance through detailed coordination of benefits (COB) analysis. I also developed and implemented validation-driven quality control processes that reduced data entry errors by 15% while improving claim accuracy.

I’m skilled in CRM systems, database management, and multi-system coordination, with strong analytical ability using advanced Excel functions to analyze large datasets, track trends in claim denials, and generate decision-ready reports. I enjoy working with high autonomy, solving problems across teams, and mentoring others—serving as a subject matter expert for new hire training and mentoring 5+ team members.