Summary
Overview
Work History
Education
Skills
Timeline
Generic

Angela Stapelkamp

Decorah,IA

Summary

Detail-oriented individual with exceptional communication, organization, and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Assertive results-oriented professional with several years of diverse experience from healthcare provider contracting, social media managing and content creation, personal assistant administration, and record keeping. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives. Skilled in enhancing systems and providing a large margin cost savings for previous employers' business objectives. Proven success in leading projects from start to finish and contributing to organizational growth and success in all previous roles.

Overview

17
17
years of professional experience

Work History

Social Media Manager, Record Keeper

The Hungry Ginger
07.2024 - Current
  • Manager of scheduling events, event planning, organizing schedule and keeping team on track.
  • Social media managing, creating all social media posts, including scheduled event details and menu, social media analytics and performance.
  • Ensures all guidelines are in place including but not limited to handling: annual truck and food trailer insurance, state food regulations, inspections and guidelines.
  • Creative eye to assist with marketing and bringing new ideas to the team.
  • Corresponding to all emails, social media comments and direct messages, customer inquiries.
  • Duties include all record keeping, account managing, bank ledger, customer service, general office duties.
  • State of Iowa food licensing, insurance, sales tax, etc.


Contract Negotiator

One Call
06.2023 - 07.2025
  • Daily tasks include network development and recruitment of doctors and provider offices nationwide to join our network with implementation support, product support, sales and customer nominations.
  • I analyze Total Spend Analysis, Revenue Growth of One Call, Operations coverage and building the One Call Network through margin preservations and pricing analysis. I prepare contracts and negotiate with providers nationwide based on Medicare, Work Comp and other pricing benchmarks.
  • I prepare provider contracts through One Call and assist with the success of our Sales, Provider Engagement, Credentialing, Provider Data Management departments and assist with re-education and special projects to support the company’s growth and margins.
  • Regularly perform network gap analysis and create strategic action plans to improve adequacy of the company’s network.
  • I am responsible for ensuring cost and margins are favorable to One Call adhering to our established pricing parameters. I quickly articulate my knowledge of Network pricing parameters and Network adequacy, which overall supports the success of One Call’s Network development and overall growth.
  • Determine the best cost saving opportunities and optimization of pricing strategies. I work actively evaluating provider’s coverage area based on different zip codes, counties, and steering the most appropriate provider options per specific product based on the region they are located nationwide.
  • Responsible for development, implementation and cost-effective provider contracting arrangements for assigned worker’s compensation products. Improves company margins, grows revenue and proactively develops network adequacy through negotiating skills with existing and prospective providers nationwide.
  • Responsible for the partnership maintenance between existing network panel and building long lasting relationships with doctors and provider’s facilities.

Lead Workers Compensation, Motor Vehicle Accident and Attorney Lien Prior Authorization Specialist for Diagnostic Imaging/Centralized Service Representative II

Envision Radiology
04.2018 - 06.2023
  • Lead worker’s compensation, motor vehicle accident, and attorney lien diagnostic imaging authorization representative for 17 Health Images facilities of Colorado, Orthopedic Centers of Colorado and Colorado Springs Imaging facilities.
  • Assigned as sole and lead representative to recreate, find best processes for, and completely redesign the process and guidelines for all facilities for work comp, motor vehicle accidents and attorney lien authorization guidelines.
  • Created 50-page manual and trained all prior authorization representatives of processes, while maintaining and being the sole contact and authorization representative for this specialty que.
  • Daily task of overseeing specialty ques for all facilities, training prior auth reps requests for specialty que, contacting referring provider’s offices requesting clinical notes supporting the patient’s claim/injury to start prior authorization request, verifying claim numbers, injury dates and starting authorization requests for diagnostic imaging.
  • Working with numerous insurance companies, attorney’s offices and insurance Adjuster’s to request and obtain approval of prior authorization for our injured patients.
  • Assigned to a special project for Medsolutions Cigna and to find the best way to critique authorization processes for Medsolutions Cigna insurance patients when submitting authorizations through eForce. Assigned the Colorado authorization department Point of Contact during this time.
  • Responsibilities include verifying patient demographics, insurance information, making sure patients insurance benefits are active to obtain authorization, and verify orders and clinicals from the referring provider’s office with correct CPT and ICD-10 diagnosis codes for ordered exam. Begin authorization requests through insurance portals, communicating with patients, insurance companies, referring doctor’s offices and several facilities regarding exam information for diagnostic imaging. Requesting medical documentation from referring providers and directing their offices for peer to peer with insurance companies on denied authorizations.

Accounts Receivable Representative for Hospital Billing, Specialty Billing Department for Behavioral Health

Gundersen Health System
07.2017 - 04.2018
  • Representative responsible for claim and billing follow-up for any hospital billing outpatient behavioral health work ques involving government payers, Medicaid and Medicare.
  • Maintain knowledge and updates of medical billing and coding for insurance based on federal regulations and payer guidelines.
  • Ensure claims are being processed correctly, have prior authorization and paid by government insurance. This involves disputing claims that are unpaid by government insurances and HMOs, appeals and reconsiderations of claims to obtain net payment.

Patient Liaison Optometry Clinic

Gundersen Health System
12.2015 - 07.2017
  • Provide customer service to patients by answering phone calls, appointment check-in/check-out, triage emergent phone calls, schedule emergency eye appointments, routine eye exams, post-op and pre-ops of cataract surgery and contact lens fittings.
  • Respond to doctor scheduling requests, update patient’s protected health information, update, verify and add any patient medical or vision insurance, pre-register patient information, receive appropriate signatures and authorization for all Gundersen patient paperwork, work with Gundersen’s financial guidelines and collect payment through Simplee Pay portal.
  • Became the Patient Liaison super user for Iowa Medicaid insurance questions in the optometry department.
  • Completed Gundersen Lutheran Ophthalmic Career Advancement Program courses and testing.
  • Completed Certified Patient Service Specialist (CPSS) course and testing and certified through BSM Consulting.

Lead Abstract Administrative Assistant

Howard County Abstract & Title Company
01.2009 - 12.2015
  • Scan Iowa Court Online advanced system at Howard County Clerk’s office for recent recording judgments for personal lien indexes in preparation for abstractor, index documents and legal descriptions on land title records and personal liens.
  • Enter legal descriptions into Microsoft Excel spreadsheets, assist customer’s questions.
  • Additional general office duties include: typing reports using Microsoft Word, delivering reports, file documents, receptionist, deposit payments, balance checkbooks on Quattro Pro, fax, make copies, scan documents, and typist.

Education

Bachelor of Science -

Upper Iowa University
05.2013

Associate of Arts - undefined

Northeast Iowa Community College
12.2011

High School Diploma -

Crestwood High School
05.2009

Skills

  • Detail-oriented with exquisite attention to detail
  • Organization skills to a fault with love for checking off a to-do list
  • Chosen lead in several previous roles and key team player "the glue" for managing a project for the team
  • 15 years customer service skills, thrives leading a team and working specifically with strong key players on the team
  • Proven experience to thrive working independently remote work from home since 2017
  • Passion for creating success for the company and fulfilling my role to its fullest potential
  • Born-and-bred Midwestern gal with a "can do" attitude and friendly persona to match

Timeline

Social Media Manager, Record Keeper

The Hungry Ginger
07.2024 - Current

Contract Negotiator

One Call
06.2023 - 07.2025

Lead Workers Compensation, Motor Vehicle Accident and Attorney Lien Prior Authorization Specialist for Diagnostic Imaging/Centralized Service Representative II

Envision Radiology
04.2018 - 06.2023

Accounts Receivable Representative for Hospital Billing, Specialty Billing Department for Behavioral Health

Gundersen Health System
07.2017 - 04.2018

Patient Liaison Optometry Clinic

Gundersen Health System
12.2015 - 07.2017

Lead Abstract Administrative Assistant

Howard County Abstract & Title Company
01.2009 - 12.2015

Associate of Arts - undefined

Northeast Iowa Community College

Bachelor of Science -

Upper Iowa University

High School Diploma -

Crestwood High School

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Angela Stapelkamp