Lauren Fowler
Miami,FL
Summary
Committed to ensuring customer satisfaction by providing exceptional service, unmatched support, and bringing top-notch skills in oral and written communication, active listening and analytical problem-solving skills. Enhances customer experiences by employing service-oriented behaviors, understanding customer desires, and providing customized solutions to increase profitability and drive business results.
Overview
9
9
years of professional experience
Work History
Claims Examiner
TripMate
10.2022 - Current
- Corrected ICD-9/10, CPT codes, and other insurance coding methodologies to classify claims properly.
- Identified suspicious losses and contacted manager for investigative assistance.
- Maintained claims data in operating systems.
- Verified accuracy of medical records to maintain accuracy of records database.
- Used Windows Microsoft Word and Excel systems to program, set up functions and enter data for claims.
- Investigated and processed travel insurance claims for policyholders.
- Handle phone calls in clear, polite speaking voice. Provides requested information in timely, accurate, and professional manner.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Reviewed police reports, medical treatment records, and other related details to determine extent of liability.
Patient Transporter
University Of Miami Hospital And Clinics
02.2019 - 01.2020
- Warmly greeted patients and visitors and made each feel welcome.
- Wiped down equipment with proper cleaning products after each patient transport to reduce instances of infection.
- Transported patients to testing and treatment units, operating rooms and other areas using moveable beds, wheelchairs, and stretchers.
- Maintained confidentiality of patient data and condition to safeguard health information.
- Collaborated with CNAs, nurses, and physicians to maintain stability during transport and facilitate event-free transport.
- Assisted with discharge process by escorting patients with belongings to leave facility safely and comfortably.
- Assisted patients in using oxygen tanks and other medical equipment to manage smooth transition from hospital to designated location.
- Educated patients and families to provide information on hospital policies and procedures related to patient transport.
- Performed vehicle safety checks before transporting patients to avoid delays and manage wear and tear.
- Assisted patients in moving out of beds, wheelchairs, stretchers, or medical transport vans.
- Collected laboratory specimens, dropped off at laboratories and picked up test results.
- Provided physical support to patients through diverse types of mobility assistance.
- Collaborated with other medical staff to achieve high level of patient safety and care.
- Kept patient information and records secure by using private hospital databases and withholding information from outside sources.
- Used wheelchairs, stretchers and movable beds to move patients between hospital locations.
- Helped other staff with patient transfers by moving patients between departments.
Patient Financial Services Representative
Memorial Hospital West
01.2016 - 05.2018
- Ensures that all necessary demographic, billing, and clinical information is obtained and entered with timeliness and accuracy.
- Communicates with physician's and their staff, nursing unit staff, and/or other appropriate personnel to exchange necessary information.
- Verifies insurance benefits and obtains pre-certification/authorization as necessary.
- Determines and accepts required payments, including but not limited to co-pays and deductibles.
- Analyzed customer financial records to determine appropriate payment plan.
- Researched billing errors and discrepancies to initiate corrective action.
- Responded to customer inquiries and provided detailed account information.
- Entered client details and notes into system for interdepartmental access and review.
- Maintained accurate records of customer accounts, payments and payment plans.
Education
High School Diploma -
Miami Northwestern Senior High School
Miami, FL06.2003
Skills
- Verbal Communication
- Policy Interpretation
- HIPAA Compliance
- Team Collaboration
- Claim Form Analysis
- Active Listening
- Critical Thinking
- MS Office
- Patient Safety
- Regulatory Compliance
- Patient transportation
- Customer Service
Timeline
Claims Examiner
TripMate
10.2022 - Current
Patient Transporter
University Of Miami Hospital And Clinics
02.2019 - 01.2020
Patient Financial Services Representative
Memorial Hospital West
01.2016 - 05.2018
High School Diploma -
Miami Northwestern Senior High School