Summary
Overview
Work History
Skills
Timeline
Generic

Cathy Carlisle

Cheyenne,WY

Summary

Dynamic healthcare professional with 20 years of experience, including a pivotal role at Wyoming Senior Citizens Inc. Proven expertise in accounts receivable and extensive customer service, adept at problem-solving and critical thinking. Successfully educated diverse populations on Medicare options, enhancing client understanding and satisfaction.

Overview

21
21
years of professional experience

Work History

WSHIIP / SMP Coordinator

Wyoming Senior Citizens Inc
08.2013 - 07.2025

As the Wyoming State Health Insurance Information Program Coordinator, I educated people of all ages across the state of Wyoming regarding all aspects of Medicare including:

  • Parts A and B costs and coverages
  • Part D prescription drug plan options and costs
  • Supplemental and Medigap plan costs and options
  • Medicare advantage plan options

I would start by screening for eligibility of Medicare as well as Medicare Savings Programs. I assisted with new enrollment and changes in enrollment of Medicare plans, as well as advised when and where clients could enroll and make changed in their current plans. A part of this included helping navigate the Medicare.gov website and advising how Medicare works with other insurance plans. If a client was eligible for a Medicare Savings Program I would also assist with educating them on their premiums and low income subsidy to help with medicare prescription premiums and medication costs. I could not do this alone so I also trained and oversaw 10 + volunteers in 6 different counties across Wyoming. I would travel to these 6 counties and provide educational presentations to community partners, organizations, and employees. I also made sure to attend every annual to keep up to date on any updates or changes about Medicare.

As the Senior Medicare Patrol Coordinator I helped clients with their Medicare and Medicaid claim handling and billing questions, as well as reporting any potential fraud to the office of inspector general and the centers for Medicare and Medicaid services

I was trained for the receptionist position, as well, so that we had backup coverage. This position entailed answering incoming phone calls and directing them to the appropriate department, data entry, reconciling the cash box, copy reports, and postage.

Customer Service Supervisor

Mountain Benefits Management Co.
08.2010 - 07.2013

With 20 years of experience in the healthcare industry, I supervised written and verbal inquiries regarding plan coverage and claims questions to ensure excellence in customer service as well as a timely resolve. Insurance billing-transferring EDI claims to incoming and outgoing services, PPO maintenance, accounts receivable and payable to include weekly check accumulation to include balance of checks and sending payments to providers and members. I as attained collections experience within this position.

Accounts Receivable Clerk/Denial Management

Cheyenne Radiology Group
11.2004 - 08.2010

Computed, classified, and recorded numerical data to keep billing records complete. I was able to perform any combination of routine calculating, posting, and verifying to obtain primary billing data for use in maintaining billing records. Checked the accuracy of figures, calculations, and postings pertaining to business transactions recorded by other workers. EDI claim processing, working denial to ensure proper billing and obtaining needed documentation for both inside and outside sources. Extensive customer service skills.

Customer Service Associate

HR Block
01.2005 - 04.2010

This was a seasonal position done during tax season. I answered the heavy phone lines, scheduled and confirmed appointments, checked customer in and out, took payments and have experience with cash drawer reconcilliation.

Skills

  • Accounts receivable
  • Patient and insurance
  • Copy and fax machines
  • 10 key by touch
  • Attention to detail
  • Time management, flexibility and adaptability
  • Dependable and responsible
  • Multitasking Abilities / Multi line phone system
  • Critical thinking and problem solving
  • Appeals
  • Teamwork and collaboration
  • Extensive customer service

Timeline

WSHIIP / SMP Coordinator

Wyoming Senior Citizens Inc
08.2013 - 07.2025

Customer Service Supervisor

Mountain Benefits Management Co.
08.2010 - 07.2013

Customer Service Associate

HR Block
01.2005 - 04.2010

Accounts Receivable Clerk/Denial Management

Cheyenne Radiology Group
11.2004 - 08.2010
Cathy Carlisle