Resourceful professional with 20+ years of stellar record in directing
Resume:
Catherine Mullett
Biddeford, Maine • 207-***-****
Exceptionally driven and resourceful with 20+ years’ record-setting history in leading dynamic teams as well as analyzing and processing claims in medical insurance industry. Customer engagement champion with impressive track record in delivering best-in-class service; strength in directing administrative operations, organizing training sessions, and ensuring execution of claim action plans. Reputed as decision-maker, resilient, and master problem solver with robust acumen to interpret and settle claims by utilizing autonomous judgment in a fast-paced environment. Performance-focused with high-impact leadership and talent for managing recruitment process and employee records. Instrumental in cultivating strong business alliances; proven excellence in leveraging road-tested communication, interpersonal, and organizational abilities.
QUALIFICATIONS SUMMARY
Insurance Claims Analyst
Claims Information Analysis
Claim Settlement
Insurance Invoices Reconciliation
Claims Confirmation
Claims Auditor & Quality Assurance
Risk Identification
Continuous Quality Improvement
Policies & Procedures Compliance
Claims & Customer Service Audit
HR & Administrative Management
Training & Development
Payroll Management
Agile Culture Development
HR Operations Management
CERTIFICATIONS
Train-the-Trainer Workshop Certification
Health Reach
Health Care Financing Administration: Quality Call Monitoring
Centers of Medicare and Medicaid Services
KEY ACCOMPLISHMENTS
Showed exceptional leadership and directed 10+ customer service representatives.
Successfully boosted efficiency and customer service quality through tactical execution of customer service reward program.
Accomplished delegated project of Centers for Medicare and Medicaid Services by spearheading quality call management process implementation.
Nominated for Galen D Powers Award upon extraordinary leadership.
PROFESSIONAL EXPERIENCE
Covetrus, Portland, Maine 2019 – 2020
Health Resources Coordinator
Collected and reviewed insurance invoices to reconcile and identify discrepancies. Used ADP Workforce and Workday to accurately retain employee records and profiles. Collaborated with new hires to communicate benefits. Exhibited management strength and managed benefits and payroll mailbox to effectively answer each correspondence. Liaised with employees to promptly resolve inquiries and address complaints.
Led benefit and payroll changes while considering payroll schedules and deadlines.
Displayed an exceptional ability of learning and gained knowledge of state and federal laws that govern employee rights and benefits.
Health Management Systems, Remote 2008 – 2019
Provider Services Analyst – Credit Balance
Displayed analytical traits and analyzed patient accounts to find accuracy in insurance payments. Collected and reviewed report of each patient account to determine cause of credit balance. Evaluated and endorsed payments, adjustments of each account.
Successfully reacquired $500K+ in Medicaid per annum.
Built professional expertise in hospital accounting systems and Medicaid payment procedures.
Boosted customer satisfaction level by fulfilling contractual requirements.
ADDITIONAL EXPERIENCE
Business Analyst – Biddeford, ME National Heritage Insurance Company – Medicare Administrative Contractor
Contact this candidate