Lauren Higdon Email & Phone Number

•Proactively review and provide data analysis and financial impact assessment•Resolve assigned inventory and issues, follow-up on outstanding issues, and escalate as needed •Create, schedule, and run reports, queries, and utilities•Identify, coordinate, and test needed reports•Prepare and analyze monthly operating reports•Schedule and coordinate audits•Work directly with contacts to resolve enrollment and claim issues•Monitor defined reports and coordinate with applicable departments to ensure accounts receivable is properly stated

Brentwood, Tn

• Review and manage the enrollment activities for new acquisitions of providers or group between the Provider Enrollment Department and the physician practice• Plans and conducts initial contact and recurring enrollment status calls with physician practice to ensure seamless transition and implementation • Communicate with practice and executive level management to provide status updates on provider and group enrollment• Communicate with practice to obtain all outstanding documents and applications required for enrollment process with payers.• Coordinates with Provider Enrollment Department to ensure all enrollment applications are completed and submitted in a timely manner. • Perform quality analysis around department processes

• Assisted staff and clients with issues, questions, and concerns• Assisted manager with assigning work and special projects to the staff• Monitored high priority and aged inventory to help ensure all items are being completed promptly• Resolved issues with the payers regarding the status of a provider’s enrollment and demographic information• Researched enrollment procedures with different payers to help ensure the staff is processing items consistently and efficiently • Developed “toolkits” for each state, and maintained the information stored in the “toolkits”• Trained new employees on the Provider Enrollment’s processes• Developed standardized processes for training and incoming mail items

• Enrolled healthcare providers at HCA Practices by setting up their information in the CACTUS system• Reviewed healthcare providers’ information and documents• Ensured all information required for enrollment was obtained from the practice and healthcare provider• Ensured all documents and information were documented appropriately in the CACTUS system• Created job aids and “toolkits” using Microsoft Word, Excel and OneNote to help organize team’s processes• Maintained providers’ information by documenting any changes in the enrollment system• Create "CVIs" for the applications specialists to track and notify all payers• Initiated and maintained multiple healthcare providers’ CAQH accounts• Maintained 5 separate outlook inboxes

Assist guests to their tables.Ensure the lobby, restrooms and dining rooms are clean and organized.Received award for outstanding teamwork skills.Work 10-15 hrs/week while in school and 25-40 hrs/week during breaks.Involved in the restaurant’s Green Team, which helps to provide sustainability practices towards everyday operations

A non-profit organization that provides educational programs for students to learn and experience creativity, teamwork and problem solving.Set up the Knoxville Conference Center for the Destination Imagination Global Finals.Helped organize the 3M Challenge Room by assisting the children and adults through a simulation and maintained a strict time schedule.Worked 80 hours during week of employment.

Bachelor Of Science, Business Administration, Economics

Education record