Summary
Overview
Work History
Education
Skills
Timeline
Generic

ASHLEY KEASEY

Johnston,IA

Summary

Skilled Team Lead bringing expertise in operations and project management. Helps achieve goals by coordinating resources, schedules, and team members to meet demands. Seeks every opportunity to improve operations and team performance.

Overview

17
17
years of professional experience

Work History

Senior Specialist Team Lead

Cotiviti
08.2010 - Current
  • Motivate and supervise employees in the COB unit that audit claims across multiple clients including BSCA, Regence, Excellus, HCSC, Cigna and Wellpoint.
  • Prioritizes work, meets deadlines and works to achieve client and company goals.
  • Self-motivated, with a strong sense of personal responsibility.
  • Works effectively in fast-paced environments.
  • Pulls daily reports to monitor inventory worked and to direct staff to the appropriate work queues daily
  • Skilled at working independently and collaboratively in a team environment.
  • Spearhead weekly meetings with staff to review goals, expectations and discuss areas for improvement
  • Monthly review of individual stats to drive the team to their goals
  • Perform semi-annual and annual performance reviews
  • Engages in weekly team meetings
  • Participates in monthly client meetings
  • Report quality error trends to team

Team Lead

West (Accent)
08.2008 - 08.2010
  • Supported 15 employees on the Anthem Blue Cross Blue Shield line of business
  • Responsible for answering all questions from the COB and contract teams
  • Assisted supervisor by reviewing inventory to direct staff in their daily work
  • Participated in weekly team meetings and prepared updates about changes to processes and procedures
  • Updated training material as needed
  • Engaged in client meetings to discuss questions or concerns and updated staff on any changes or feedback from the client

Validator

West (Accent)
05.2007 - 08.2010
  • Reviewed claims paid by United Healthcare to find overpayment opportunities
  • Coordinated benefits with multiple insurance companies
  • Made provider outreach to obtain pertinent claim information
  • Reviewed contracts between providers and United Healthcare to ensure claims were paid accurately
  • Hit monthly production metrics and quality metrics
  • Promoted from a Tier 1 to a Tier 2 and then a Tier 3 before being promoted to a team lead

Education

Psychology and Business Management

DES MOINES AREA COMMUNITY COLLEGE
Ankeny, IA
01.2010

CNA classes - clinical hours in a nursing home

Des Moines Community College
Ankeny, IA
01.2003

Skills

  • Strong verbal and written communication skills
  • Team management
  • Goal setting and meeting goals
  • Creating and keeping deadlines
  • Project management
  • Decision making
  • Adaptability
  • Strong problem solving skills
  • Proficient with computers and computer programs such as Microsoft, Tableau, SharePoint and WebEx
  • Ability to successfully manage staff in a virtual environment

Timeline

Senior Specialist Team Lead

Cotiviti
08.2010 - Current

Team Lead

West (Accent)
08.2008 - 08.2010

Validator

West (Accent)
05.2007 - 08.2010

Psychology and Business Management

DES MOINES AREA COMMUNITY COLLEGE

CNA classes - clinical hours in a nursing home

Des Moines Community College
ASHLEY KEASEY