Lauren Griffin
Wichita Falls,TX
Summary
Experienced Vocational Nurse and Medical billing and coding graduate with a demonstrated history of working both in office and remotely. I have worked a variety of positions, those of which most recently include remote medical insurance claims processing, ESL teaching, childcare, vocational nursing, as well as various data entry and customer service job. Currently looking for a great company I can grow with long term while also advancing my skills.
Overview
23
23
years of professional experience
Work History
Freelance Transcriptionist
Rev.com
Remote
12.2022 - Current
- Providing accurate audio and video transcriptions that meet the company’s high standards
- Type correspondence, reports, texts and other written material from voice recordings
- Maintains an outstanding record of delivering claims projects before due time
- Transmits work electronically and keeps detailed records of work performed
- Performed freelance work with flexibility to meet employer-set deadlines.
Claims Representative
UnitedHealth Group
Remote
12.2021 - 11.2022
- Provides general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims in FACETS program
- Authorize the appropriate payment or refers claims to investigators for further review
- Conduct data entry and re-work of Medicaid claims
- Analyzes and identifies trends and provides reports as necessary
- Consistently meet established productivity, schedule adherence, and quality standards
- Work claims files to ensure the appropriate eligibility and provider records are matched to the claim
- Updates and maintains claims tracking database
Credentialing Coordinator
Alliance Child And Family Solutions
Remote
11.2020 - 09.2021
- Responsible for the processing of initial credentialing and re-credentialing applications for practitioners and organization/facilities, monitors applications and follow-ups
- Verifying practitioners' information and supporting documentation to ascertain their eligibility, and updating information in the system of record
- Sets up and maintains provider information for CAQH and other online credentialing systems
- Identifying discrepancies in information and conducting follow-ups.
- Provide credentialing status information for group administrators, Physicians, Provider Services
- Collecting data pertaining to application status and approvals and formatting spreadsheet to include all information obtained
- Assist with internal meetings and participate in auditing processes
- Ensuring compliance with applicable laws, regulations, procedures, and policies.
Contract ESL Online Teacher
VIPKID
Remote
12.2019 - 12.2020
- Participated actively in course discussions, promoting students to participate and interact with one another.
- Wrote, prepared and submitted weekly lesson plans and created and designed homework, quizzes and exams to test abilities.
- Increased ESL students' reading levels by integrating online word games and altering lesson plans for students needing extra guidance.
- Developed activities and integrated technology to diversify instruction.
Bookkeeper/Aide
Tammi's Tiny Tots Childcare
Wichita Falls, TX
03.2005 - 03.2020
- Maintain company books including account payable, accounts receivable, and bank statements
- Organize bank deposits, verify and balance receipts, and send all forms of payment to the bank
- Use spreadsheet and database computer curriculums to input records
- Organize fun and educational games, read storybooks that increase children’s interest, and plan outdoor activities
Claims Technician
Kelly Services
Wichita Falls, TX
04.2019 - 11.2019
- Assignment with Health Care Services Corporation
- Process complex paper and electronic claims requiring further investigation through DaaS system
- Investigate prompts and locks to allow claim to process accordingly
- Resolve pended claims in a timely manner according to state legislature
- Transcribe hard copy claim data and input into Blue Chip system
License Vocational Nurse
Dr. Bernard Burton Dermatology And Skin Surgery
Wichita Falls, TX
07.2014 - 03.2019
- Provides direct Nursing care in Dermatology clinical office setting
- Transcribe Physician’s orders into EMR, calls in prescriptions, patient referrals and obtains prior authorizations
- Records patient health history, medications, chief complaints for each visit and prepares room accordingly
- Assist with skin biopsies, skin cultures, surgeries, and package all specimens for pathology pick up
- Cleans, prepares, and packages all surgical instruments for Autoclave run on a daily basis
Education
Medical Billing And Coding
Trident University International
Cypress, CA08.2021
Vocational Nursing
Vernon College
Vernon, TX12.2009
Skills
- FACETS / TRIZETTO
- CPT/HCPCS/ICD-10
- CMS 1500 and UB-04 Claims Forms
- Medical Terminology
- HIPAA
- Reimbursement
- Electronic Health Records
- Microsoft Office Systems
- Independent Decision-Making Skills
- Clear and Concise Written and Verbal Communication Skills
- Maintain Accuracy
- Time Management
Timeline
Freelance Transcriptionist
Rev.com
12.2022 - Current
Claims Representative
UnitedHealth Group
12.2021 - 11.2022
Credentialing Coordinator
Alliance Child And Family Solutions
11.2020 - 09.2021
Contract ESL Online Teacher
VIPKID
12.2019 - 12.2020
Claims Technician
Kelly Services
04.2019 - 11.2019
License Vocational Nurse
Dr. Bernard Burton Dermatology And Skin Surgery
07.2014 - 03.2019
Bookkeeper/Aide
Tammi's Tiny Tots Childcare
03.2005 - 03.2020
Medical Billing And Coding
Trident University International
Vocational Nursing
Vernon College
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