Lauren Kress
Omaha,NE
Summary
Energetic and enthusiastic insurance professional motivated to succeed in fast-paced and deadline-driven professional environment. Comprehensive knowledge of claims adjustments with special knowledge of VA and compliance issues in disability claims management.
Overview
4
4
years of professional experience
Work History
Billing Specialist
Physicians Laboratory
Omaha , NE
08.2023 - 07.2024
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Resolved discrepancies between customers' remittances and invoices received.
- Investigated incorrect billings and processed refunds as necessary.
Claims Auditor
Pacific Life
Omaha , NE
10.2022 - 06.2023
- Identified trends in fraudulent or incorrect claims payments through analysis of audit results.
- Reviewed and audited claims to identify errors or discrepancies in the documentation.
- Presented audit results to management along with potential solutions for identified problems.
- Analyzed claims processing errors, gleaning information to determine origin of issues and initiated corrective action.
Claims Processing Specialist
Principal Choice
Omaha , NE
09.2020 - 03.2021
- Utilized specialized VA Software to process incoming claims
- Compiled with regulations and guidelines related to claims processing to maintain quality and adherence to standards
- Managed workload and priorities to to meet claim deadlines
- Worked on several projects to improve workflow productivity and and facilitate faster queue process
Education
Associate of Science - Business Physcology
Metropolitain Community College
Omaha 05-2019
Skills
- Claims Auditing
- FIling Appeals
- Disability Processing
- Regulatory Requirements
- Training Programs
- HIPAA Compliance
Timeline
Billing Specialist
Physicians Laboratory
08.2023 - 07.2024
Claims Auditor
Pacific Life
10.2022 - 06.2023
Claims Processing Specialist
Principal Choice
09.2020 - 03.2021
Associate of Science - Business Physcology
Metropolitain Community College
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