Project Manager Management

Sally Turk

*** ******** ******, *********, ** ***60

Home: 608-***-**** Business: 608-***-****

Email: ******@*******.*** (home)

Objective To use my business and insurance experience, strong

organizational abilities to obtain a responsible challenging,

administrative position with a growth oriented company.

Experience Unity Health Insurance, Sauk City, WI 1985-

Present

Business Analyst II

. Create software specifications, create and perform testing

plans for functionality updates on public website, secure

portal, claims processing system and software applications.

. Serve a Project Manager for projects utilizing Microsoft

Project software, leading team and oversight meetings,

utilizing organization skills to ensure tasks are

completed accurately and in a timely manner

. Manage complete EDI process, increasing EDI transaction

numbers and cutting administrative expenses. Assigned as

an EDI BA role during complete computer conversion to Epic

software.

Provider Relations Analyst

. Ensure successful implementation of provider contract

specifications including fee schedule revisions to ensure

accurate claims processing

. Review complex claims and physician notes to determine

claims payments.

. Responsible for upgrading and testing new claimcheck

software and review output for claims determination

EDI Analyst

. Participate in the development, testing and implementation

of electronic submission of all HIPAA compliant

transactions.

. Solicit new trade partners to successfully submit

electronic submissions.

. Increase EDI claims rate by 10% in six months after

existing providers were successful submitting in the HIPAA

compliant format.

Operations and Software Support Manager

. Supervise the activities of Computer Operators and Software

Testing Analysts.

. Project Manager for many Unity projects including Y2K, all

modifications to the claims processing system, Imaging and

Workflow, OCR to EDI, Operational tasks for Unity merger.

Medical Claims Supervisor

. Manage claims team in processing health claims on an on-

line

computer system.

. Develop and implement new policies and procedures. Played

key role in a total computer conversion.

. Draft new Claims Manuals.

. Initiate and implement a work standards incentive program.

. Interview, hire, train, discipline claims staff.

Benefit Management Corporation, Madison, WI 1983-1985

Manager - Contract/New Issue

. Assist new clients in developing new employee benefits.

. Manage entire process of drafting new and revising

existing products, contracts and benefit booklets.

. Responsible for administering new business and for managing

and training new employees to process the daily

administration through member offices.

. Created administration handbook, member office

training manuals and underwriting proposal materials.

Education

University of Wisconsin 1978-2005

Project Management Certificate,

Mid-Management Certificate

Interpersonal Communication for Managers, Listening

Power Development, Personnel Law For Supervisors,

Project Management, System Testing and Quality

Assurance

Central Life Assurance Company

Social Styles Awareness, Life Office Management

Association I, Management Supervision And

Organizational Effectiveness, Supervisory Skills,

Health Insurance Association Of America- Group I & II

Continuing Education- Lotus 1-2-3, Psychology, Medical Terminology,

Ethics in Medicine, Project Management and many management seminars.

Knowledge in Word, Excel, Microsoft Project, Access, Business Objects.

Madison Area Technical College-Liberal Studies

1976

________________________________________________________________________

Associations Lions Club member, Treasurer for Wild West Days, Board of

Directors for Mazomanie Swim Team, Manager and Coach for

soccer and basketball, Society of Group Contract Analysts,

American Legion Auxiliary, Wisconsin Insurance Club,

National Association Of Health Underwriters, National Honor

Society

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