Allison Schueler
Assistant Supervisor Medical Claims
Altha,FL
Summary
Motivated remote Assistant Supervisor eager to take on increasing responsibility to enhance business operations. Offering 21 years of experience in Health Insurance industry and willingness to take on any function using resourceful and adaptable approach.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Assistant Supervisor Medical Claims
Associated Administrators LLC
01.2021 - Current
- Managed daily tasks, delegating responsibilities effectively to optimize team resources and meet deadlines.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Submit documentation and reports to upper management.
- Work with management team to implement proper division of responsibilities.
- Address employee concerns promptly and professionally, maintaining high levels of job satisfaction among team members.
- Assisted in the development of training materials to ensure a consistent learning experience for new hires.
- Tracked progress toward departmental goals, adjusting strategies as needed to maximize efficiency.
- Supported Supervisor by preparing production reports and collating quality documentation.
- Evaluated employee performance and coached and trained to improve weak areas.
- Conducted regular performance reviews, providing constructive feedback designed to help employees reach their full potential.
- Recommended changes to policies and procedures to maximize team efficiency and productivity.
- Maintained professional demeanor by staying calm when addressing unhappy or angry members and providers.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Reviewed and approved payroll entries
Medical Claims Team Leader
Associated Administrators LLC
01.2019 - 12.2020
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards for high profile account.
- Built strong relationships with team through positive attitude and attentive response.
- Set performance expectations for the team, monitoring progress towards goals and providing constructive feedback as needed.
- Worked with team to identify areas of improvement and devised solutions based on findings.
- Conducted training and mentored team members to promote productivity and commitment to friendly service.
- Developed team members'' skills through targeted coaching sessions, resulting in improved individual performance.
Medical Claims Processor
Associated Administrators LLC
06.2016 - 12.2019
- Resolved complex claims issues for expedited processing and resolution for high profile account.
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Assisted in creation of departmental procedures and guidelines to maintain consistency across all team members'' work quality standards for new account.
- Analyzed policy details along with supporting documents provided by plan benefit to make informed decisions on claims approvals or denials.
- Mentored new hires on company policies, procedures, and best practices related to medical claims adjusting.
- Maintained strict compliance with HIPAA regulations, safeguarding patient privacy throughout claim evaluation process.
- Provided exceptional customer service to both internal and external stakeholders during entire claim lifecycle process.
- Identified patterns of fraudulent activities through meticulous analysis of medical claims data.
- Participated in cross-functional teams to address systemic issues within organization, contributing insights from medical claims perspective.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Maintained suspicious claims database and prepared reports for supervisors.
- Provided excellent customer service to participant phone calls to resolve disputes, give claims status requests, and provide benefit information to members.
Medical Claims Auditor
Associated Administrators LLC
03.2014 - 05.2016
- Audited claims for several plans with various benefit plan guidelines.
- Provided feedback to adjustors to strengthen their understanding and processing of plan benefits.
- Trained new hires, sharing knowledge and best practices to foster their professional growth within the team.
- Performed observations and evaluated supporting documents to supplement audit findings.
Medical Claims Team Leader
Associated Administrators LLC
03.2012 - 02.2014
- Supervised 5 team members to confirm compliance with set procedures on various benefit plans and quality requirements.
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
- Enforced performance expectations for the team, monitoring progress towards goals and providing constructive feedback as needed.
- Worked with team to identify areas of improvement and devised solutions based on findings.
- Conducted training and mentored team members to promote productivity, accuracy, and commitment to professional service.
- Evaluated staff performance and provided coaching to address inefficiencies.
Medical Claims Processor
Associated Administrators LLC
05.2008 - 02.2012
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered for several various benefit plans.
- Researched and resolved complex medical claims issues to support timely processing.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Office Manager
Bayside Auto Brokers LLC
09.1997 - 05.2008
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Maintained computer and physical filing systems.
- Updated reports, managed accounts, and generated reports for company database.
- Handled payroll processing for employees, ensuring timely payment and adherence to tax regulations.
- Created, maintained and updated filing systems for paper and electronic documents.
- Developed and maintained successful relationships with vendors, suppliers and contractors.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Conducted regular inventory assessments of office supplies, ordering necessary items proactively to prevent stock shortages.
- Managed office operations while scheduling appointments for department managers.
- Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
- Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns or issues promptly.
Bookkeeper
Bayside Towing And Transport
01.2004 - 01.2008
- Maintained and processed invoices, deposits, and money logs.
- Managed accounts payable and receivable activities, maintaining vendor relationships and positive cash flow.
- Handled payroll processing for employees, ensuring timely payment and adherence to tax regulations.
- Monitored incoming payments from clients, ensuring prompt application of funds against outstanding invoices.
Education
High School Diploma -
Joppatowne High School
Joppa, MD06.1991
Skills
- Records Management
- Training and mentoring
- Technical knowledge
- Sales Support
- Employee Performance Management
- Employee motivation and discipline
- Issue Resolution
- Marketing Coordination
- Personnel Management
Certification
Medical Terminology
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Assistant Supervisor Medical Claims
Associated Administrators LLC
01.2021 - Current
Medical Claims Team Leader
Associated Administrators LLC
01.2019 - 12.2020
Medical Claims Processor
Associated Administrators LLC
06.2016 - 12.2019
Medical Claims Auditor
Associated Administrators LLC
03.2014 - 05.2016
Medical Claims Team Leader
Associated Administrators LLC
03.2012 - 02.2014
Medical Claims Processor
Associated Administrators LLC
05.2008 - 02.2012
Bookkeeper
Bayside Towing And Transport
01.2004 - 01.2008
Office Manager
Bayside Auto Brokers LLC
09.1997 - 05.2008
High School Diploma -
Joppatowne High School
Medical Terminology
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