Summary
Overview
Work History
Education
Skills
Timeline
OperationsManager

Brandi Presgraves

Front Royal

Summary

Hardworking, reliable and driven individual looking to provide my 21 years of office and client service-based experience to work for an organization that will allow me to utilize my customer service and office management skills in a position that will allow growth, Skilled in process improvement, compliance management, and cross-functional leadership. Proven track record of reducing costs, improving efficiency, and ensuring high-quality service delivery in fast-paced environments

Overview

21
21
years of professional experience

Work History

Operations Manager

Genex/Emperion
05.2021 - Current
  • Oversee end-to-end operations for IME, managing scheduling, provider coordination, and client communications for insurance, legal, and employer partners.
  • Lead and develop a team of coordinators and support staff, ensuring accuracy, compliance, and timely case processing.
  • Maintain compliance with HIPAA and regulatory standards while implementing quality control measures to minimize errors and delays.
  • Strengthen provider network relationships and optimize scheduling to improve turnaround times and client satisfaction.
  • Monitor performance metrics, budgets, and workflows, identifying opportunities for process improvements that increase efficiency and reduce costs.
  • Prepare reports and analytics on case volume, provider utilization, and service performance for senior leadership and clients.

Senior IME Scheduler/ Team Lead for Travelers Ins.

Genex Services
06.2016 - 05.2021
  • Schedules IME and Peer Reviews for National Teams accounts. Provides backup coverage to non-national teams.
  • Managed between 25 and 30 new referrals per day.
  • Generates notification letters as specified per state per customer.
  • Trained new employees for IME scheduler position.
  • Answers all questions and provided help to my 3 teammates as needed.
  • Maintains customer satisfaction with forward thinking strategies focused on addressing the customer needs and concerns.
  • Updates clients on information of the current IME status at all times.
  • Processes billing and invoices in TimeTrack.
  • Responsible for handling and processing all disapproval claims from clients.

IME Scheduler, Quality Assurance Dept/Peer Review Coordinator

Med-Eval INC
11.2005 - 02.2016
  • Responsible for 15 Insurance companies and their workers compensation claims.
  • I scheduled IME’s, gathered and sorted medical records, determined the type of physician that needed to see the claimant.
  • I took care of all the processing and receiving back the report, making sure issues were addressed in the report.
  • Made phone calls to follow up with adjuster’s regarding their patient’s reports.
  • Maintained all medical records/reports regarding peer reviews.
  • Scheduled patients for independent medical evaluations and other types of evaluations.
  • Scheduled film and record reviews.
  • Handled all excel spreadsheets.
  • Handled medical billing by codes in spreadsheets for all Auto & Care Sentry claims.
  • Handled Quality assurance for Travelers Insurance in New Jersey DPR (Decision Point Review) program & pre-cert request for the Auto (PIP) adjusters.
  • As well as scheduled depositions and court appearances for Auto & Workers Comp.

Administrative Assistant to Provider Relations

Med-Eval INC
09.2004 - 11.2005
  • Responsible for researching/contracting doctors.
  • Supported all administrative needs to the director of provider relations ex: Filing, Organizing, Taking phone calls etc.
  • Responsible for all incoming contracts/waivers, entering and updating them in the system.
  • Created/maintained all data entry as well as excel spreadsheets.

Receptionist

Med-Eval INC
06.2004 - 09.2004
  • Coordinated and delegated daily reception/office support duties for another receptionist.
  • Coordinated activities as main scheduler for HR and Office Support Services.
  • Ordered and maintained office supplies.
  • Reconciled purchase orders and expense reports/receipts.
  • Answered and directed multiple incoming calls to persons/departments.
  • Processed all outgoing patient letters and incoming mail.
  • Responsible for sending/receiving all registered mail to include certified, and priority services.
  • Processed adjuster reports.
  • Supported payroll process.
  • Updated Client database and patient/client records.

Receptionist

West End Trailer Repair
05.2004 - 06.2004
  • Responsible for all incoming phone calls and incoming mail.
  • Ordered and maintained office supplies.
  • Maintained all bookkeeping up to date.

Education

High School - Business, Marketing, Cosmetology Seals on Diploma

Fauquier High School
01.2004

Skills

  • Proficient in MS Office 95-2000
  • Proficient in Microsoft Windows 95-2000
  • Proficient in client relations
  • Meticulous attention to detail
  • Dedicated professional commitment
  • Expertise in workers' compensation and liability terminology
  • Cost reduction through vendor renegotiation
  • Directed launch of a case management solution to enhance efficiency
  • Achieved significant client satisfaction improvement

Timeline

Operations Manager

Genex/Emperion
05.2021 - Current

Senior IME Scheduler/ Team Lead for Travelers Ins.

Genex Services
06.2016 - 05.2021

IME Scheduler, Quality Assurance Dept/Peer Review Coordinator

Med-Eval INC
11.2005 - 02.2016

Administrative Assistant to Provider Relations

Med-Eval INC
09.2004 - 11.2005

Receptionist

Med-Eval INC
06.2004 - 09.2004

Receptionist

West End Trailer Repair
05.2004 - 06.2004

High School - Business, Marketing, Cosmetology Seals on Diploma

Fauquier High School

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