Felicia Nowlen

Friendly and Professional Client Service Associate known for having great organizational skills. Gifted at working with all types of customers. Looking for a new role where hard work and dedication will be highly valued.

• MS Word
• MS Windows
• Excel
• Facets
• Epic
• Bluegate/CM
• Macess
• JARS
• Diamond
• Keyboarding 85 wpm/10-key

• Excellent written and oral communication
• Knowledge of medical/dental terminology, CPT and ICD-9 coding
• Sound analytical and forward thinking; using attention to detail
• Strong ability to build working relationships with trust and integrity
• Ability to work independently, or as a reliable team member

• Progressive Insurance/Medical, Claims Adjuster, Tigard, Oregon, 08/22, Present * Examines PIP & MED PAY claims to determine eligibility of coverage and benefits through fact gathering and claim investigation, Investigations may include; reviewing police reports, taking recorded statements, analyzing and interpreting policies, Responsible for timely and accurate payments on medical bills within prescribed authority, Ensures compliance with state and company procedures and timeframes and maintains adequate and accurate reserves.
• Sedgwick, Workers Compensation Adjuster, Portland, Oregon, 03/20, 03/22 * Performs investigation tactics to determine exposure and benefits due an injured worker, Determines if exposure is allowed or denied based on investigation of loss, Manage claim by developing an action plan to bring claim to timely resolution, Prepare state filling within statutory limits
• Providence Medical Center, Accounts Receivable Associate (HB & PB Billing), Portland, Oregon, 02/16 - 3/20 * Extract, review and interpret billing statements, charge information, private or government insurance benefits, and other related information from multiple billing and documentation servers while resolving account balances (for multiple hospitals, clinics and insurance companies), Ensure appropriate use of adjustment codes and activity codes to allow for appropriate workflow; Escalate unresolved issues and recommend solutions to minimize future problems, Proactively identify opportunities to improve business results and/or to alert business units of trends, anomalies or health plan rules and decision that need attention, Ability to meet or exceed primary productivity and performance standards
• Oregon Health Science University(Call Center/Temporary), Portland, Oregon, 01/15 - 10/15 * Respond to incoming calls for the diverse OHSU staff and employees campus wide as well as for off-campus health professionals, institutions, patients and the general public, Proficient in accurate and detailed communication, highly service oriented and able to excel under pressure, Anticipates customers needs and thrive in a very fast paced, high-volume environment
• Kaiser Permanente, Patient Access Specialist, Portland, Oregon, 07/13 - 05/14 * Receive patients during check-in & check–out process, Investigate, explain & collect all fees for services rendered in accord with patients benefits, Balance cash drawer, complete bank deposit & perform other cash duties, Strong relations building skills with patients, ability to resolve conflicts and problem-solve
• Kaiser Permanente, Membership Service Representative, Portland, Oregon, 11/11 -07/13 * Maintained a thorough knowledge of Kaiser Permanente’s health plan benefits, product offerings, group plans and contracts, Initiate reconciliation of billing/payment disputes and/or inquires, Research/interpret and communicate benefit coverage for health care services, facilitate processing of medical claims