Lauren Kenny
Quincy
Summary
Experienced Revenue Cycle Associate. Strong work ethic and interpersonal skills. Adept at working effectively in a remote environment and quickly mastering new skills.
Overview
19
19
years of professional experience
Work History
Member Advocate
HFI
Remote
11.2022 - Current
- Conduct phone interviews with members to assess eligibility for Social Security Disability and Medicaid benefits.
- Explain the Social Security Disability program requirements and application process.
- Complete and submit Social Security Disability and Medically Complex applications for members, ensuring accuracy and compliance with state and federal regulations.
Case Investigator, SME
Partners In Health
Remote
11.2020 - 12.2021
- Conducted interviews by phone to gather data (demographic and clinical); provided quarantine instructions and release letters.
- Subject-Matter Expert supporting the project Questions and Answers Channel on Microsoft Teams.
Insurance Recovery Analyst, Medical Biller
ClaimAssist
Norwood
07.2018 - 02.2020
- Obtained and verified demographic and billing information (workers' comp, health, and auto); determined coordination of benefits; submitted claims and medical records to payers.
- Obtained claim status; posted payments; appealed denials and underpayments.
Benefits Billing Coordinator
HR Knowledge
Mansfield
09.2016 - 07.2018
- Reconciled benefit billing and enrollments for 100+ small to medium employers monthly; created custom reports for each employer every month.
- Responded to internal and external billing and reconciliation inquiries; assisted with AR/AP duties.
Payment Posting Coordinator
Massachusetts Eye and Ear Infirmary
Quincy
11.2010 - 12.2015
- Ran 835 files (Medicare, Medicaid, and commercial); created and resolved exception reports for items not posted by the system; researched credits; facilitated refunds and write-offs; created patient invoices.
- Manually posted payments (check, credit card, and PayPal), transfers, discounts, payment reversals, fees, taxes, and withholding.
Claims Processor,Member Service Associate
Blue Cross Blue Shield of Massachusetts
Quincy
12.2006 - 11.2010
- Adjudicated Medicare Advantage claims; reconciled and submitted monthly Medicare RAPS reports; charge entry.
- Researched and resolved subscriber benefit, billing, and enrollment inquiries.
Education
Certification - Professional Bookkeeping
Salem State University
Salem, MA09.2016
BA - Human Services
University of Massachusetts, Boston
Boston, MA06.2007
Skills
- Medical Billing
- IDC-9 & IDC-10
- HCPCS
- Medicare
- Data entry & Typing
- Time management & Organizational skills
Timeline
Member Advocate
HFI
11.2022 - Current
Case Investigator, SME
Partners In Health
11.2020 - 12.2021
Insurance Recovery Analyst, Medical Biller
ClaimAssist
07.2018 - 02.2020
Benefits Billing Coordinator
HR Knowledge
09.2016 - 07.2018
Payment Posting Coordinator
Massachusetts Eye and Ear Infirmary
11.2010 - 12.2015
Claims Processor,Member Service Associate
Blue Cross Blue Shield of Massachusetts
12.2006 - 11.2010
Certification - Professional Bookkeeping
Salem State University
BA - Human Services
University of Massachusetts, Boston