Jessica Dahlheimer
Business Professional
Buffalo,MN
Summary
Vast knowledge in Healthcare administration; Customer Focused; Able to Train and Teach Others; Holds Respect for Cultural Diversity; Relationship Builder, Handles Conflict Management with Ease; 10 Key Proficient
Overview
27
27
years of professional experience
Work History
Payroll Specialist
Allstar Construction
11.2023 - 07.2024
- Performed calculations in overtime, vacation, and sick hours to provide accurate data to payroll processing database.
- Uploaded time records into computer system and made adjustments to create accurate database for payroll processing functions.
- Documented and processed all garnishments for bankruptcies, student loans, and child support orders.
- Maintained strict confidentiality of all payroll information and records.
- Developed and implemented new payroll policies and procedures according to changing laws and regulations.
- Confirmed compliance with all applicable federal, state and local payroll laws and regulations.
- Reconciled payroll discrepancies and responded to inquiries from employees.
- Reviewed personnel records to determine names, rates of pay, occupations of new hires and changes in wage rates.
Customer Specialist
UMR (division on United Health Group)
08.2022 - 10.2023
- Onboard new clients, walking them thru medical benefit options available to them and working with internal departments to ensure clear coverage and accurate payment of elected benefits
- Maintain operational expectations throughout the plan year
- Analyze claim data for unexpected denials; high-dollar claims
- Main contact for employer groups with benefits/claims questions that may arise.
Enrollment Trainer/Analyst
PreferredOne
11.2014 - 08.2022
- Introduce new staff to enrollment processes and policies, guiding them towards working independence and self-sufficiency
- Audit staff to ensure proper procedures and protocol are being applied
- Implement new policies; update expired and existing policies
- Guide existing staff through new processes; systems; lines of business
- Run and Maintain eligibility reports to ensure renewals are seamless.
Provider Enrollment Specialist
Fairview Health Services
03.2010 - 04.2014
- Prepare and manage providers initial credentialing data and documents
- Enroll providers with third party payers
- Assist providers with maintaining facility privileges and payer (re) enrollments.
Provider Relations Representative
PreferredOne
11.2001 - 08.2009
- Maintain, key, research and follow enrollment details for large provider groups contracted by Preferred One
- Educate Providers of medical and prescription pre-certification processes and procedures
- Assigned as Representative for Providers in the 5-state area specializing in Mental Health and Chemical Dependency provider needs; to maintain positive working relations and ensure that contractual obligations were being met
- Utilization Management Intake Representative
- Guide members, providers, and pharmacies through medical and pharmacy authorizations
- Answer incoming calls regarding hospital or surgery pre-certification’s
- Provide case management or routed cases to appropriate Case Managers based on level of detail required
- Process pharmacy overrides allowing members to receive approved medications
- Senior Enrollment Specialist
- Enroll and maintain membership for many, high profile employer groups nation wide
- Worked closely with employer groups regarding enrollment policies and contract requirements
- Backed up COBRA reps with overflow COBRA enrollments.
Benefits Assistant
Yale New Haven Health Services
09.1997 - 10.2001
- Delegate benefits information and materials to newly eligible employees
- Liaison between our employees and insurers on questionable or troubling situations
- Process the payout of life insurance policies for retirees.
Education
General Studies -
North Hennepin Community College
Brooklyn Park, MNHigh School Diploma - undefined
Genoa Senior High School
Genoa, NESkills
- Proficient with Microsoft Office including Teams, Word, Excel, PowerPoint, Access and Outlook
- Documentation Management
- Cross-Functional Teamwork
- Multi-tiered Support Systems
- Experience with iSolved, Facets; ADP; SharePoint; MCC
Timeline
Payroll Specialist
Allstar Construction
11.2023 - 07.2024
Customer Specialist
UMR (division on United Health Group)
08.2022 - 10.2023
Enrollment Trainer/Analyst
PreferredOne
11.2014 - 08.2022
Provider Enrollment Specialist
Fairview Health Services
03.2010 - 04.2014
Provider Relations Representative
PreferredOne
11.2001 - 08.2009
Benefits Assistant
Yale New Haven Health Services
09.1997 - 10.2001
General Studies -
North Hennepin Community College
High School Diploma - undefined
Genoa Senior High School
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