Customer Service Project Manager

Sara Steadman

*** * **** *

Murray, UT *****

801-***-**** Cell

801-***-**** Home

Qualifications

Project Management, CPT, HCPCS and ICD-9 coding, COBRA, Medicare, Medicaid, HIPAA, Stop Loss, Workers Comp, Subrogation, HSA, Cafeteria Plan (FSA/HRA), Insurance claims UB 92s and HCFAs; medical terminology; typing 60 WPM, 10 key by touch; extensive public relations.

Computer

DHS, Blue Card, Power, Lawson, AMISYS, Facets, Reflections, Diamond, OMNI, Act II, Act III, Erisco, NASCO, RIMS, Corel Paradox, Microsoft Windows, MS DOS, IBM PC & AS400, WordPerfect, Microsoft Word, Microsoft Works, Lotus 1,2,3, Quattro Pro, Excel, LAN, Placemate, EZCAP, ELDORADO.

Professional Experience

Delta Health Systems, Salt Lake City, UT

10 -

BLUE CROSS/BLUE CARD SPECIALIST

Responsible for all Blue Card report for 5 clients. Responsible for maintaining, tracking & processing of priority/aged claims in a timely manner (by deadline). Obtain Medial Records via B2 system for all claims that may require Medical Review. Delegate completed Review to appropriate processor for immediate completion. Contact for Blue Cross on all claims issues for research.

Jacobson Solutions, Chicago, IL

03 - 10

Assignments:

Newark, NJ Provider Enrollment

Layfette, IN Team Lead

Troy, MI Claims Processor

Durham, NC Auditor/SME

Dallas, TX Financial Representative

Springfield, IL Financial Representative

Denver, Co Provider Enrollment/Provider Relation

Perform User Acceptance Testing (UAT) in Facets 4.8 - 5.0

Updated Facets Upgrade documentation and train pricing staff on new functions

Worked closely with Facets configuration and provided them with claim analysis

First Health, Salt Lake City, UT

01 - 03

CLAIMS SUPERVISOR/ELIGIBILITY SUPERVISOR

Hired, trained and assigned daily tasks for BEs and referral clerks. Paid and released claims, audited claims and referrals. Kept track of timesheets, daily productivity, attended weekly meetings and conference calls. Client contact for questions concerning claims and eligibility.

P5 Electronic Health Services, Salt Lake City, UT

00 - 01

CUSTOMER SERVICE TRAINER

Trained all customer service reps and processors on all claims systems. Paid and released claims. Audited claims and incoming customer service calls.

Claim Net, Salt Lake City, UT

98 - 00

PROJECT MANAGER

Defined and documented business processes through functional requirements definition, business case development, and testing. Collaborated with technical team to convert business requirement specifications into technical design specifications to be used by the technical team. Provided an appropriate level of project management to ensure timely and quality deliverables. Identified and communicated risks and recommended solutions. Assisted in process implementation - provided training input and served as a resource to answer questions. The systems I worked on mostly were AMISYS, Facets and Diamond; however I worked on other systems listed above.

Insurance Staffers, Chicago. IL

PROJECT COORDINATOR

97-98

Managed 80 travel processors, hired trained, and assigned daily tasks to the processors. Managed time sheets, daily productivity, attended meetings, and conference calls. Liaison between corporate office and processors.

FHP of Utah, SLC, UT

SENOIR CLAIMS COORDINATOR

92 - 97

Back up claims supervisor, auditing of processors claims, knowledge of C.O.B., stoploss and subrogation, Medicare and Workers Compensation claims.

Foundation Health Corporation Sacramento, CA

CLAIMS ANALYST/CLAIMS SUPERVISOR

82-92

Researching patient accounts for payment adjustments. Claims processing (several forms). Trained new employees in claims department.

Education

Elk Grove High School

ICD-9 Coding/ Consumes River College

EXCEL Customer Service/ FHP of Utah

Business Writing/ FHP of Utah

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