KIM DENNIS
214-***-**** adgrld@r.postjobfree.com Lewisville, Texas 75057
Summary
An unwavering commitment to Customer Service with empathy as the core component. Business oriented with over 25 years of progressive experience in healthcare operations. Extraordinary leadership with a positive and enthusiastic approach and a solid history of interpersonal communicative abilities. Team player - always looking forward to help others. Skills & Abilities
Leadership Problem Solving Customer Satisfaction Time Management Empathy Detail Oriented Dependability Effective Communication Siebel Technical Knowledge Quick Thinker Conflict Resolution ICD-10 Medical Terminology Proficient in Microsoft Products – Excel, Outlook, MS Word, MS Teams, PowerPoint, Skype Experience
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA PLANO, TX Group Disability Claims Intake Representative
Direct interaction with claimants, policyholders, providers and leave managers to monitor/track leaves Assist climates and physician office staff in completing and submitting necessary leave forms Exceptional customer service to internal and external customers; resolve customer requests timely and accurately; escalates concerns accordingly
Mentor new employees on intake procedures
Receives little instruction on day-to-day work, general instructions on new assignments 02/2019 - CURRENT
UNITED PARCEL SERVICE, DALLAS TEXAS
Seasonal Driver Helper Current Loader
Driver helper for 2 straight years
In this extremely fast-paced warehouse, I lift, lower and slide packages up to 70 lbs, sort according to the destination zip code and place on corresponding color-coded belt Stay focused on potential hazards like leaking or damaged packages Demonstrate physical fitness, stamina, and the ability to work without supervision Excellent communication skills
02/2018 – CURRENT
PRIME HEALTHCARE, PLANO, TX
Claim Denials Business Analyst
Track analyze and interpret trends in denied claims Document process flows and develop requirements for functional improvements Provide guidance and training for new procedures
Healthcare regulations and operational procedures subject matter expert 02/2018 – 02/2019
HEWLETT PACKARD ENTERPRISE 01/2014 – 02/2017
Medicare Business Analyst
Subject matter expert regarding Medicare regulations and operational procedures Review Regulatory and Compliance Communications
Generate detailed requirements and test plans for Unit/Alpha Testing Project manager for all CMS requirement assignments TRAILBLAZERHEALTH ENTERPRISES, LLC/MEDICARE PART A 03/1993 – 11/2012 Technical Analyst
Process Provider Change of Ownership/Change of Intermediary Create and distribute Change Requests and Information System Bulletins Extrapolate Part A claims data for provider education and fraudulent investigation reporting Facilitate quarterly Edit Effectiveness meetings for effectiveness of all Automated, Routine and Complex edits Prepare and distribute internal statistical reports Oversee all Reimbursement Reporting, Debt Management and Referral process for delinquent providers Prepare/Process repayment and/or voluntary refunds for providers with delinquent accounts Report Quarterly findings to CMS and Chief Financial Officer 2
Education
Eastfield Community College Healthcare Administration 2012 Communication
Active Listening, writing, speaking, presenting and motivation are a few of my strong points in communication. Leadership
Currently I mentor 4 employees as they transition from training to the Intake floor. Hobbies
Lifelong learner and love to stay active. A few of my favorite thing to do is kayak, fish, gardening but watching the Eagles fly across the lake at our cabin in Minnesota is, by far, my most favorite.