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Quality Control Six Sigma

Location:
6451
Posted:
March 09, 2010

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Resume:

Kristie Maestrini

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

South Meriden, CT 06451

860-***-**** *************@*****.***

SUMMARY

A management professional with a specialty in insurance claims processing.

Certified Six Sigma Green Belt with strong analytical problem solving,

strategic planning and project management skills resulting in cost

reduction and increased efficiency. Strong business acumen developed

through various roles within the healthcare industry including billing

processing, dietary counseling, and nutritional supplement quality control.

Proven ability to work with internal and external business partners with

success in customer satisfaction. Highly effective communicator and team

builder.

PROFESSIONAL EXPERIENCE

QUEST DIAGNOSTICS, Wallingford, CT

2004-present

Supervisor, Revenue Services (2007-present)

Group Lead (2004-2007)

Manager overseeing the daily operations of the Billing Data Entry, Billing

Data Acquisition and Medical Coding departments to meet established goals

and to improve metrics year over year. Manage, develop, and train a team

of 21 direct reports responsible for data entry, missing information

resolution, and medical coding. Maintain the integrity of the department

by continuously tracking the quality of work performed and submitting

weekly output reports. Develop and maintain standard operating procedures

for department. Maintain weekly operational tracking metrics report for

distribution to executive management across the line of business including

the Director of Revenue Services and Controller.

o Managed and completed a Six Sigma Green Belt Project which is projected

to increase revenue by approximately $25,000 per month by increasing

responses to missing information requests. Currently working on an

extension of the project that is projected to increase revenue this year

by $500,000 to $700,000.

o Managed and completed a Six Sigma Green Belt Project based on designing a

process to increase employee retention through early intervention of

performance issues.

o Reduced bills in progress by $1,000,000 between December 2009 and January

2010 through continuous process improvement with an estimated reduction of

an additional $2,000,000 by May 2010.

o Completed a Six Sigma process improvement project resulting in a

reduction of front end write offs by 37% equal to $549,000.

o Improved the Employee Satisfaction Score to 78.6% in 2008. This score is

7.5 percentage points above the 2007 Front End score and 12.2 percentage

points above the 2008 business unit score.

o Co-leader for conversion from legacy system to new billing software

package. Responsible for smooth implementation of new system

resulting in standardization of corporate software.

o Co-leader for front end billing system enhancement designed to

increase employee productivity.

o Redesigned the processes of the Cash Applications and Insurance Billing

departments though application of LEAN principles resulting in the cross-

training of employees for a streamlined work flow and more efficient

staffing coverage.

Billing Coordinator 1 (2004)

Analyzed payment information from insurance companies to ensure proper

payment was made according to fee schedules. Ensured proper billing

information was sent to various insurance companies. Resubmitted claims

for items such as unit billing and new information.

Kristie Maestrini

108 Byron Road

South Meriden, CT 06451

860-***-****

*************@*****.***

REALISTIC NUTRITION, Cheshire, CT

2003-2004

President

Owner and founder of dietary consulting practice. Maintained client

records, developed marketing plan and tracking database, and maintained

accounting books.

o Designed and implemented a 10 week group weight loss class resulting

in an average of 4.2% weight loss per participant.

o Worked with high risk patients with multiple health risks including

uncontrolled diabetes, irritable bowel syndrome, celiac sprue, obesity

and heart disease.

DESIGNS FOR HEALTH, East Windsor, CT

2002-2003

Director of Quality Control

Designed, implemented and maintained the quality control program for

product line. Sourced and purchased the highest quality raw material and

packaging for nutrition supplements. Consulted nationally with health

professionals on the proper and most beneficial use of supplements.

o Ensured products met the standard of Good Manufacturing Practices by

selecting and monitoring manufacturers who maintained consistent

quality.

o Designed and monitored the Standards of Quality for Designs for Health

supplements utilizing methods laid out in the reference standards of

the United States Pharmacopeia.

WOMEN, INFANTS and CHILDREN, Kenai, AK

2000-2002

Registered Dietitian

Counseled women on healthy nutrition and child care practices. Supported

territory with 2000 clients. Responsible for monitoring and maintaining a

database of growth patterns and iron status.

COMPUTER SKILLS

Proficient in Microsoft Excel, SPC XL, Word, Access, PowerPoint, Outlook,

and Publisher

Familiar with MiniTab, Crystal Ball, and Visio

EDUCATION

MBA, Southern Connecticut State University

Course work completed December 2009, diploma to be conferred May 2010

Delta Mu Delta Honor Society

BS, Nutrition and Dietetics, Saint Joseph College

BA, Liberal Studies, Southern Connecticut State University

Honors College, Phi Sigma Sigma



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