Anna LaVigne
Shoreview,USA
Summary
Dynamic professional with extensive experience in training curriculum development and enhancing provider and patient satisfaction at State of Minnesota Department of Human Services and Progressive Insurance. Delivers effective communication, successfully resolved complex claims issues, improving claims management processes. Committed to delivering high-quality training and support in healthcare services.
Overview
11
11
years of professional experience
Work History
Provider Trainer
State of Minnesota Department of Human Services
St Paul, Minnesota
01.2025 - 06.2025
- Developed curriculum and materials, delivering presentations on Minnesota Health Care Programs to provider types.
- Researched sources to cultivate comprehensive understanding of MHCP coverage, policies, and billing procedures.
- Possessed in-depth knowledge of all provider basics, programs, and services relevant to assigned providers.
- Created accurate, collaborative training sessions to ensure proper coverage of MHCP policies and procedures.
- Resolved complex CRM cases by leading e-learning platforms, delivering content effectively.
- Conducted presentations to enhance provider comprehension of MHCP services and requirements.
- Designed materials aligning with best practices for clarity and effectiveness in training delivery.
- Maintained up-to-date knowledge on MHCP changes to inform training content and strategies.
Medical Claims Intermediate-Complexity PIP Claims
Progressive Insurance
Shoreview, MN
10.2017 - 12.2024
- Reviewed Personal Injury Plan (PIP) coverages to identify and resolve coverage issues.
- Investigated loss events and injuries to determine coverage and appropriate actions.
- Evaluated claims for fraud indicators and underwriting concerns.
- Maintained communication with involved parties via written and verbal updates during claims process.
- Requested Independent Medical Examinations (IME) to determine treatment needs or benefit termination.
- Managed requests for medical treatment, equipment, and peer reviews while adjusting reserves as necessary.
Patient Account Representative/Appointment Coordinator
Stillwater Medical Group
Stillwater, MN
09.2014 - 10.2017
- Processed claims and posted charges to payers, ensuring timely completion.
- Achieved maximum reimbursement for services rendered through effective resolution of denials.
- Submitted accurate billing data to appropriate insurance providers for prompt processing.
- Conducted thorough reviews for Medicare and Medicaid compliance.
- Managed patient appointments, including scheduling, confirmations, and addressing conflicts.
- Coordinated logistics for appointments, including room bookings and equipment setup.
Education
High School Diploma -
Stillwater High School
Stillwater, MN01.2005
Some College (No Degree) - Business Communications - In Process
University of Phoenix
Phoenix, AZSkills
- Microsoft - All software
- MMIS, MN-ITS, UB04, X12
- Epic
- ISO, ClaimsPro, Accurint
- E-learning platforms
- Medical billing and claims analysis
- Provider education and training
- Communication skills
- Problem solving
- Subject matter expertise
- Health information systems
- Claims management
- Presentation skills
Qualifying Summary
- Possesses and demonstrates strong professional conduct, sharing knowledge with others, collaborating with internal and external industry professionals, counsel, and other important stakeholders.
- Effectively presents and discusses loss facts and issues in discussion to peers and members of management to collaborate settlement agreements.
Timeline
Provider Trainer
State of Minnesota Department of Human Services
01.2025 - 06.2025
Medical Claims Intermediate-Complexity PIP Claims
Progressive Insurance
10.2017 - 12.2024
Patient Account Representative/Appointment Coordinator
Stillwater Medical Group
09.2014 - 10.2017
High School Diploma -
Stillwater High School
Some College (No Degree) - Business Communications - In Process
University of Phoenix
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