Lori Tuveson
Table Rock,NE
Summary
Detail-oriented specialist in medical records and claims processing, skilled at maintaining confidentiality and compliance with HIPAA regulations. Proficient in managing documentation, coordinating communications, and ensuring accurate record-keeping to support efficient resolution of workers' compensation cases.
Overview
28
28
years of professional experience
Work History
Workers' Compensation Specialist
Nebraska Orthopaedic Center
Lincoln, NE
03.2024 - Current
- Guided injured employees through claim submissions and documentation process to facilitate timely access to benefits.
- Review workers' compensation claims for accuracy and completeness.
- Facilitated communication among employers, insurance carriers, attorneys, and physicians to streamline workers' compensation case management.
- Manage narrative/causation requests from insurance carriers, employers, and attorneys. Prepare and edit reports.
- Obtain prior authorization for surgical procedures, injections, durable medical equipment, and office visits.
- Oversaw follow-up communications, ensuring prompt resolution of claims and enhancing claimant satisfaction.
- Maintain accurate records in the claims management system.
- Invoice and maintain updated billing records for narratives, attorney conferences, independent medical examinations, and depositions.
Medical Records Specialist
Nebraska Orthopaedic Center
Lincoln, NE
11.2022 - 2024
- Maintained patient confidentiality by securely managing medical records.
- Streamlined organization and categorization of patient files for efficient access and retrieval.
- Processed incoming medical documents and ensured accurate data entry.
- Facilitated communication with healthcare providers to secure necessary medical information.
- Adhered to HIPAA guidelines when handling protected health information.
- Conducted thorough reviews of medical records to confirm accuracy and completeness.
- Collaborated with multiple departments to coordinate release of information requests from patients, legal representatives, insurance companies.
Medical Transcriptionist
Nebraska Orthopaedic and Sports Medicine, PC
Lincoln, NE
11.2016 - 04.2022
- Achieved rapid and accurate typing to enhance workflow and maintain high-quality standards.
- Applied extensive knowledge of medical terminology and anatomy to ensure precise transcription.
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
- Identified and corrected errors in reports which could compromise patient care.
- Corrected grammar, spelling, and syntax errors in written documents for clarity.
- Edited drafts originating from speech recognition software to eliminate errors and improve flow.
- Evaluated diagnostic and procedural terminology for accuracy, contributing to reliable patient documentation.
- Transferred transcribed materials into electronic health records system.
Medical Transcriptionist Subcontractor
D&S Medical Transcription
Lincoln, NE
08.1998 - 11.2016
- Applied strong knowledge of medical terminology and anatomy to ensure accurate transcription.
- Efficient in transcription software and equipment to work from home.
- Corrected grammar, spelling, and syntax errors to enhance clarity and professionalism of reports.
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
- Identified and corrected errors in reports which could compromise patient care.
- Reviewed terminology for accuracy in medical reports.
- Followed federal and state guidelines for release of information.
- Translated medical jargon and short-hand data into correct terminology.
- Maintained high accuracy rate on daily production of completed reviews.
Education
Bachelor of Science - Elementary Education
University of Northwestern St Paul
St. Paul, MN05-1989
Skills
- Claims management
- Case coordination
- Medical recordkeeping
- HIPAA compliance
- Extensive anatomy/physiology knowledge
- Attention to detail
- Report preparation
- Good written communication
- Maintains strict confidentiality
- Strong work ethic
Additional Information
- Nationally Registered Emergency Medical Technician - Intermediate May 1, 1991
- Phlebotomist 1991-1993 Cuyuna Regional Medical Center Crosby, MN
- First Responder Emily, MN 1991-1993
- First Aid and CPR instructor 1990-1993
Timeline
Workers' Compensation Specialist
Nebraska Orthopaedic Center
03.2024 - Current
Medical Records Specialist
Nebraska Orthopaedic Center
11.2022 - 2024
Medical Transcriptionist
Nebraska Orthopaedic and Sports Medicine, PC
11.2016 - 04.2022
Medical Transcriptionist Subcontractor
D&S Medical Transcription
08.1998 - 11.2016
Bachelor of Science - Elementary Education
University of Northwestern St Paul