Paula Pedersen

*** ***** ******

Clay Center KS *7432

Phone 785-***-****

__________________

Objective

To find a challenging and rewarding management position that will best utilize my skills and experience..

Experience

2009 - Present Patient Access Manager

Mercy Regional Health Center Manhattan KS

Coordinate, plan, perform and schedule work arrangements for staff members. Supervise, monitor and evaluate employee and budgetary performance to ensure they maintain acceptable levels of quality. Develop, monitor and supervise employees to maximize performance potential of each individual employee. Promote and support all Team Mercy standards of quality customer service. Promote continuous quality improvement in operations and in job performance.

Mercy is a MediTech 5.63 user.

2003-2009 Commercial Services Manager

Farm Bureau Financial Services

Responsible for 13 non-exempt employees, as well as the hiring and training of qualified staff. Respond to and resolve customer service requests according to company policies. Continue to develop coding and rating skills to assist the coders. Continue education and training programs. Develop and keep current job descriptions, salary grades, performance reviews and other pertinent factors involved in efficient and harmonious personnel relations. Review daily, weekly and monthly reports. Review workload, personal performance, company policies, practices and procedures and prepare necessary recommendations. Supervise and develop personnel and the coding processing functions in accordance with company policy and goals.

1996-2003 MSP Assistance Supervisor

Blue Cross Blue Shield of Kansas

To assist with the supervision of 14 non-exempt employees and to

help coordinate MSP Part A and Part B claims and correspondent

activities to ensure consistency, appropriateness and cost effective

Flow in the application of guidelines and CMS regulations. To

assist in the training of MSP Part A and B claims and

Correspondence activities. Responsible for weekly and monthly

Reports. Responsible for helping achieve all MSP claims and

Correspondence goals set forth by CMS. Identify "bottleneck"

Situations and work out appropriate solutions. Perform quality

Reviews. Help prepare and organize unit's work schedule for the

Day. Monitor backlog and aging reports for age of claims and

Correspondence to maintain acceptable levels. Answer

questions from employees, management, SSA, providers,

beneficiaries, institutions’ and other internal and external

Customers. Assist with the interviewing and selection process

for all new employees and consult with management to

Terminate employees when necessary. Give performance

Evaluations and salary increases to all unit employees. Prepare

daily production and backlog reports. Ensure that all CPE

Goals are met.

Education

Wetmore High School

Wetmore Kansas

References

Available upon request

Contact this candidate