Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

Heather Bower

Mechanicsburg,PA

Summary

Possesses strong analytical and problem-solving skills. Effective interpersonal communication skills with a variety of audiences, from entry level employees through executives. This includes both written and verbal communication, as well as listening and collaborating in a team environment. Detail oriented, organized, and able to prioritize tasks to meet deadlines.

Overview

27
27
years of professional experience
1
1
Certification

Work History

Event Manager

Visaggio's Ristorante
Enola, USA
06.2024 - 03.2025
  • Hired and trained staff for cross-functional assignments and verified employee knowledge of specific procedures related to each event type.
  • Monitored event budgets to ensure accuracy and efficiency in spending.
  • Developed and implemented event plans, including budgets, venues, catering, décor, entertainment and special guests.
  • Maintained relationships with existing partners while cultivating new ones.
  • Selected catering services for different types of events, balancing cost, menu and term options against client demands.
  • Served as primary contact person responsible for responding to inquiries about events.
  • Met with customers to give tours of the event rooms
  • Supported accurate financial record-keeping by closely checking invoices and approving payments.
  • Designed contracts, collected fees, and booked venues for events.

Associate Business Analyst

Capital Blue Cross
Harrisburg, PA
01.2022 - 05.2024
  • Conducted competitive analysis to inform strategic planning and positioning.
  • Managed projects and served as primary liaison between client and multiple internal groups to clarify goals and meet standards and deadlines.
  • Met virtually with multiple departments to solidify requirements.
  • Reviewed and analyzed business requirements to develop detailed functional specifications.
  • Delivered timely support by tracking issues and communicating resolutions to the operations teams.
  • Developed test plans and conducted unit testing to ensure the accuracy of plan requirements.
  • Provided recommendations to leadership teams on process and policy improvements.
  • Created, analyzed, and validated detailed functional specifications.
  • Performed root cause analysis of complex problems in order to recommend process improvements.
  • Presented actionable improvements to increase process and policy adherence.

Operations Supervisor

Gallagher Bassett, Inc
Mechanicsburg, PA
02.2014 - 01.2022
  • Assisted workers' compensation adjusters with updating their claim diaries and technical issues.
  • I wrote checks for settlement demands from attorneys and sent them by next-day UPS.
  • Worked directly with managed care, physicians, and attorneys for records and invoices that were due.
  • Trained new employees on proper job functions and company policies and procedures.
  • Implemented new operational procedures, resulting in an increase in process efficiency.
  • Identified areas for improvement and implemented new processes to enhance quality and performance.
  • Conducted regular performance evaluations, providing feedback and development opportunities to staff.
  • Developed strong relationships with customers through excellent customer service practices.
  • Managed daily operations, assigned tasks, and monitored progress.
  • Recruited, interviewed and selected employees to fill vacant roles.
  • Provided support to other departments as needed to meet organizational goals.
  • Facilitated cross-departmental collaboration to streamline operations and enhance service delivery.
  • Mentored and motivated employees to enhance their knowledge of workers' compensation by providing one-on-one training and assigning online courses.

Patient Accounts Manager

Evangelical Community Hospital
Lewisburg, PA
01.2011 - 01.2014
  • Worked on aged trial balance reports and transmittal reports to positively impact accounts receivable.
  • Assisted physician offices with authorizations, referrals, and pre-certifications.
  • Worked closely with insurance companies on claims processing errors and corrections that need to be made, as well as payment status.
  • Collaborated with other departments within the organization to resolve any issues related to patient accounts.
  • Monitored and maintained account balances, processed payments, and reconciled discrepancies in a timely manner.
  • Maintained updated knowledge of healthcare laws, regulations, guidelines that may affect the department's operations.
  • Reviewed medical records and hospital statements to verify accuracy of patient accounts, ensuring compliance with all applicable regulations.
  • Provided customer service to patients by responding to inquiries via telephone, in-person or email.
  • Participated in meetings with internal stakeholders or external vendors as needed.
  • Submitted electronic bills following facility and legal compliance standards.

Senior Accounts Manager

Lycoming Auto Trust, LLC
Montoursville, PA
01.2009 - 01.2011
  • Managed customer accounts, which included invoicing and processing payments.
  • Prepared paperwork and calculated figures for repossessions and car repairs.
  • I consulted with customers regarding non-pay and collection issues.
  • Skipped traced accounts to locate severely delinquent customers.
  • Trained new staff on their job duties and responsibilities.
  • Performed weekly closing activities such as journal entries, account reconciliations, accruals and deferrals.
  • Developed and maintained accurate records of financial transactions.
  • Worked effectively in team environments to make the workplace more productive.
  • Managed time effectively to ensure tasks were completed on schedule and deadlines were met.
  • Recognized by management for providing exceptional customer service.

Medical Coder/Workers Compensation Adjuster

Capital Blue Cross/Independence Blue Cross
Harrisburg, PA
12.1997 - 08.2008
  • I was the initial contact for new workers' compensation claims. I entered claim information details into the system.
  • Conducted a 3-point contact to determine compensability on newly submitted workers' compensation claims.
  • Prepared forms and submitted to the Department of Labor for each injured worker by the state law deadline.
  • Calculated an injured worker's compensation payroll check on approved claims.
  • I contacted new business clients to introduce them to our company, and I sent them our claims kit by mail or email.
  • Created an online injury claim form for employers to complete rather than faxing.
  • Communicated either by phone or email, to treating doctors, claimants, attorneys, nurse case managers, and surveillance companies.
  • Investigated potentially fraudulent claims with focus on thoroughness, quality, and cost control.
  • Reduced loss ratios through fair and prompt processing of claims.
  • Prepared claim file copies and submitted them to our attorney assigned to a case to assist with settlement negotiations.
  • Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
  • Actively participated in continuing education courses related to workers' compensation laws and regulations.
  • Reviewed invoices from health care providers for accuracy prior to payment processing.
  • Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
  • Collaborated closely with team members to achieve project objectives and meet deadlines.
  • Prioritized and organized tasks to efficiently accomplish service goals.
  • Updated and maintained databases with current information.
  • Provided support for coding queries raised by coders or staff members regarding specific cases or coding issues.
  • Assisted with the development of coding policies and procedures.
  • Resolved coding discrepancies and denials to maximize reimbursement.
  • Collaborated with other departments such as billing, clinical documentation improvement, quality assurance to ensure accurate coding practices are being followed.

Education

Cumberland Perry Vocational School
Mechanicsburg, PA

Skills

  • Management
  • Customer service
  • Medical terminology
  • Medical records
  • Medical coding
  • Patient account representative
  • Account management
  • Event management
  • Medical insurance
  • Disability insurance
  • Workers' compensation
  • Floral design
  • Home caregiver
  • Working with people with disabilities
  • Attention to detail
  • Problem solving
  • Effective communication
  • Mentor

Certification

Driver's License, 12/01/23, 12/31/27

References

References available upon request.

Timeline

Event Manager

Visaggio's Ristorante
06.2024 - 03.2025

Associate Business Analyst

Capital Blue Cross
01.2022 - 05.2024

Operations Supervisor

Gallagher Bassett, Inc
02.2014 - 01.2022

Patient Accounts Manager

Evangelical Community Hospital
01.2011 - 01.2014

Senior Accounts Manager

Lycoming Auto Trust, LLC
01.2009 - 01.2011

Medical Coder/Workers Compensation Adjuster

Capital Blue Cross/Independence Blue Cross
12.1997 - 08.2008

Cumberland Perry Vocational School

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Heather Bower