Summary
Overview
Work History
Education
Skills
Websites
Timeline
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Halie Krause

Summary

Versatile provider relations coordinator committed to maintaining high customer satisfaction by providing friendly, fast service for all needs. Skillful in researching and resolving billing discrepancies and claims. I possess in-depth knowledge of various insurance plans and policies. Disciplined and energetic professional well-versed in medical claim appeal processing, and clinical relations. Communicative and detail-oriented individual with excellent interpersonal abilities.

Overview

6
6
years of professional experience

Work History

Office Assistant

Vivint
04.2023 - 09.2023
  • Managed office for sales managers and representatives
  • Triaged emails for corporate and sales managers
  • Assist with ordering supplies and incentives
  • Assist with getting sales representatives licensed
  • Act as a liaison between corporate and sales representatives.

Provider Relations Coordinator

Centene Corporation
12.2020 - 06.2022
  • Managed and triaged incoming emails to Provider Relations inbox
  • If email resolution could not be performed then a ticket would be assigned to a state rep for further assistance
  • Escalated issues appropriately to management
  • Maintained continued education regarding benefit/state/plan and company projects
  • Coordinated with other departments in Envolve to assist them with emails in correspondence to claims, authorizations, customer service, finance, networking, etc.

Program Coordinator

Wellcare
02.2019 - 12.2020
  • Balanced 75+ outbound calls daily enrolling members into children's medical services plan
  • Completed coordination tasks for enrolled members which included fulfilling customer needs
  • Trained and assigned coordination projects to fellow coworkers
  • Continuously built strong working relationships & trust with business provider
  • Maintained high marketplace satisfaction
  • Flexible in multiple work environments, transitioned to working remotely after obtaining 3 consecutive 100% passing audits in an office setting
  • Received the Champion Award for exemplifying the meaning of one team, and effectively completing tasks assigned in a timely manner.

Patient Care Technician

Sarasota Memorial Hospital
08.2017 - 02.2019
  • Contributed to patient care for a 44-bed unit focusing on in-patient rehabilitation
  • Cared for patients with Parkinson's, Dementia, Diabetes, Cancer, and Alzheimer's
  • Assisted patients post orthopedic, heart surgery and trauma
  • Helped to regularly train incoming staff in new procedures and unit duties
  • Assisted nurses, doctors, physical therapists, occupational therapists, & speech therapists & dieticians with patient care needs
  • Used durable medical equipment to assist with helping patients with everyday needs
  • Demonstrated interpersonal relationship skills, which promoted communication and interaction with patients, families, physicians, nursing staff, therapists and other health care professionals
  • Experience with documenting patient treatment information and activities of daily living into Epic electronic medical records.

Education

Bachelor of Science - Health Science

DePaul University
Chicago, IL
06.2016

Skills

  • Positive, adaptable, able to work independently and manage time well, team-oriented with strong skills in communication, organizing, and a quick learner Proficient in Microsoft Office including Excel, Outlook, PowerPoint & Word

Timeline

Office Assistant

Vivint
04.2023 - 09.2023

Provider Relations Coordinator

Centene Corporation
12.2020 - 06.2022

Program Coordinator

Wellcare
02.2019 - 12.2020

Patient Care Technician

Sarasota Memorial Hospital
08.2017 - 02.2019

Bachelor of Science - Health Science

DePaul University

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Halie Krause