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Kathleen
US-Arizona-Phoenix
Office Manager
To obtain a rewarding career with the opportunity to utilize my skills, experience, and education
Office Manager/Consultant 2004-Present: Mesa, AZ
Identifying issues and creating solutions in all aspects of business functions including, but not limited to, profit and expense tracking, policies and procedures, and marketing campaigns.
Managing company financial activities including payroll, recordkeeping, employee benefits, electronic billing, paper claims, accounts payable/receivable, appeals and grievances.
Coordinating customer service activities such as interaction with insurance carriers, follow-up with medical facilities for accounts payable/receivable, medical/dental billing, and enrollment/claim status.
Tracking agent commissions and group & individual quotes and proposals with MSExcel spreadsheets.
Maintaining, reviewing, and tracking individual and group cases and licensing files for 35 carriers.
Training personnel regarding computer maintenance, filing, mail correspondence, and supply inventory.
Creating new marketing tools and promotional campaigns including positive public relation interactions for clients and insurance carriers and website evaluation.
Preparing presentations, census forms, reports, and updating policy and procedure manuals.
Executive assistant activities including travel arrangements, purchasing, and credit report review, errand services such as dry cleaning, prescription, gifts as well as car maintenance and shopping.
Professional Advisor 2004-Present CloneMe: Mesa, AZ
Executive assistant activities including, but not limited to, calendar management, travel arrangements locally and nationally, event planning, car and home maintenance, errand services such as dry cleaning, prescriptions, post office items, pet or house sitting, organizing, interior decorating.
General office responsibilities including reports, mail, and record management.
COB Specialist 2002–2004 Schaller Anderson: Mesa, AZ
Recovered over a half million dollars in five months.
Recovered overpayments and investigated other relevant insurance information.
Processed claims including data input and claim adjudication.
Provided customer service including updating eligibility, auditing, maintaining spreadsheets and reports.
Training new hires and providing input for business process improvements.
Customer Svc Supervisor/ Claims Examiner 1999–2001 Zenith and DRW: Mesa, AZ
Supervised the customer service unit including training new hires.
Developed and tracked monthly reports.
Coordinated scheduling and resolution of customer service issues with providers, members, attorneys, collection agencies, brokers, and clients including handling difficult calls and verifying eligibility and benefits.
Processed medical, dental and vision claims, repricing issues, and provided adjustments.
Medical Claims Analyst 1995–1998 Upstate University Hospital: Syracuse, NY
Coded complex surgical bills for five surgeons based on operative reports and office notes.
Coordinated with insurance companies and patients regarding payments, customer service, support inquiries, resolution of payment disputes, and end-of-month reporting for open account balances. Processed medical, dental, and vision claims for various accounts.
Extensive customer service interaction with providers, clients, collection agencies, and brokers.
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