Nampa, ID ***** 208-***-**** adz6wz@r.postjobfree.com

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CASSIE PERRY

PROFESSIONAL SUMMARY

Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success.

SKILLS

Skills Overview

Time Management

Teamwork

Organization Skills

Enrollment Management

Attention to Detail

Health Insurance

HIPAA

Microsoft Products

Team Building

Benefits Administration

Financial Audits

Health Policy

Customer Service Management

Problem Solving

Quality Management

Claims

Business Development

Critical Thinking

P&L Responsibility

Employee Coaching

Operations Management

Quality Improvement Strategy

Procedure Optimization

Process Improvement

WORK HISTORY

SR. OPERATIONS MANAGER 01/2023 to Current

St. Luke's Health Plan

Directly responsible for managing day to day operations, maintaining a collaborative culture among teams, providers, and clients for supervisor service and patient outcomes

Direct oversight of front and back-office administration, vendor, and provider relations

Work closely to integrate with the networks, provider care delivery, sales team, and product development

Support the enhancement of operations and the customer experience to connect people to affordable healthcare

Manage claims processing and report to support monthly P&L statements, reconciliations, accounts receivables, quarterly forecasting, and annual budgeting

Synthesize trends, risks, and opportunities into impactful materials and presentations to facilitate recommendations to leadership, executive teams and/or the Board of Directors

Maintain a comprehensive understanding of daily operations, policies, and procedures

Identify operational roadblocks and process gaps

Ensure effective roll out and adherence to workflow changes

Proactively solicit and problem solve issues faced by the administrative team.

OPERATIONS MANAGER 11/2018 to 01/2023

Blue Cross of Idaho

Managed between 40-50 employees within the operations area of Enrollment and Billing Services

Oversaw monthly invoicing, facilitate timely resolution, and triage information to deliver accurate revenue reporting

Implemented effective operational processes and lead process improvement work groups within department and cross functional

Oversaw analysis of key performance metrics to identify areas in need of training and improvement

Inspired and motivated employees to perform at their best through encouragement and incentive

Developed and interpreted policies, procedures, service standards, and workflows to support the consistent application of practices across functional areas

Provided guidance, counseling, and continuing education to staff

Coach, mentor, and assess performance of staff members

In collaboration with senior leadership, design, develop and implement focused functional area strategies

Provide service operations support to other areas within the organization

Developed strategic plans and procedures in support of operational effectiveness, enrollment and billing services goals and objectives

Implemented initiatives to increase member satisfaction

Oversaw analysis of key performance metrics to identify areas in need of training and improvement, as well as the identification of potential workflow improvements

Provided guidance, counseling, and continuing education to staff

Select, develop, coach, mentor, and assess performance of staff

In collaboration with senior leadership, design, develop and implement focused functional area strategies

Provided service operations support to other areas within the organization.

OPERATIONS SUPERVISOR 01/2014 to 10/2018

Blue Cross of Idaho

Supervised 10-12 employees within the operations area of Enrollment and Billing Services

Developed procedures in support of operational effectiveness, enrollment and billing services goals and objectives

Oversaw analysis of key performance metrics to identify areas in need of training and improvement, as well as the identification of potential workflow improvements

Provided day to day oversight

Participated in process improvement initiatives and implemented outcomes

Assisted in the development of departmental policies, procedures, service standards, and workflows

Ensured effective workflows, maximized system efficiencies, monitored quality performance, measured, and confirmed appropriate completion of work assignments

Participated in internal and external audits

Provided guidance, counseling, and continuing education opportunities to staff

Selected, developed, coached, mentored, and assessed performance of staff

Provided service operations support to other areas within the organization

Participated in goal setting for department.

INTERNAL AUDITOR II 05/2007 to 01/2014

Blue Cross of Idaho

Plan and perform internal audits and reviews on Member Touchpoint Measurements (MTM), BlueCard Host (LDLA), Inter-Plan Program, Subscriber and Group account audits

Coordinated findings and prepared monthly reports

Run weekly, bi-weekly, and monthly reports for Member Touchpoint Measurements (MTM) Quality Measures

Maintained confidentiality while auditing and researching Blue Cross of Idaho employee claims and inquiries

Accurately collected, prepared, and analyzed the Variance, Executive, Corporate, FEP, Scorecard, IPP Scorecard and IPP Enhanced Scorecard reports for issuance to Executive staff

Extracted and reconciled claim populations for monthly, quarterly, and annual reporting

Functioned as backup auditor for Federal Employee Program (FEP)

Monitored Internal Auditor I's quality work product while maintaining the integrity of the MTM and BlueCard Host LDLA audits

Prepared and submitted quarterly data submission and reporting information to the Blue Cross Blue Shield Association.

CLAIMS EXAMINER II 08/2001 to 05/2007

Blue Cross of Idaho

Processed Traditional, PPO, and Managed Care claims

Investigated reasons for edits of claims data and took appropriate action to correct claims

Recognized, investigated, and processed adjustments, responses to inquiries, requests for corrected claims, and recreated COB and AIQ requests

Coordinated benefits with Medicare, 2 Blues and Tertiary policies

Assisted with cash receipts

Wrote correspondence to providers regarding member's accounts.

EDUCATION

University of Phoenix, Phoenix, AZ

MBA, Business Administration, Expected in 08/2024

GPA: 4.00

University of Phoenix, Phoenix, AZ

Bachelor of Science (B.S), Healthcare Administration, 5/2012

GPA: 3.58

AFFILIATIONS

National Society of Leadership and Success

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