Experienced Supervisor leading team members on-time job completion. Assign tasks, train employees, provide feedback, mediate interpersonal conflicts and implement company procedures. Excellent communication and listening skills. Provide leadership and vision which drives teams to meet goals.
Overview
14
14
years of professional experience
Work History
Supervisor Technical Claims
Wisconsin Physician Services
02.2023 - Current
Oversaw daily operations of Systems and MIP departments, ensuring smooth workflow and timely completion of tasks.
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Evaluated employee performance and coached and trained to improve weak areas.
Maintained compliance with company policies, objectives, and communication goals.
Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
Achieved results by working with staff to meet established targets.
Resolved conflicts among team members promptly, maintaining harmonious working environment conducive to productivity.
Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
Demonstrated commitment to organization's core values, leading by example and fostering culture of excellence.
Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.
Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
Monitored workflow to improve employee time management and increase productivity.
Medicare Procedures Analyst
Wisconsin Physician Services
05.2021 - 02.2023
Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
Validated results and performed quality assurance to assess accuracy of data.
Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks.
Queried databases for information needed for report processing.
Recommended process improvements to continually identify, analyze and fix constraints and challenges.
Identified and resolved problems through root cause analysis and research.
Performed system analysis, documentation, testing, implementation, and user support for platform transitions.
Optimized core processes to improve business performance and operational agility.
Senior Operational Training Specialist
Wisconsin Physician Services
04.2020 - 05.2021
Assist training facilitators throughout training sessions for GHA.
Develop and uphold curriculum for Medicare Part A and Part B Claims, as well as Customer Service training courses.
Monitor quarterly release data for curriculum updates.
Processing Medicare Part A and B claims essential to maintaining knowledge.
Conduct training sessions on Medicare Part A and B Claims for both new hires and current staff members.
Teach new trainers Medicare curriculum
Create Operational Training departmental activities for team meetings
Maintain and track quality data for training classes and individual trainers
Perform quality audits for class documentation
Lead trainers during curriculum creation, monitor and identify goals are met
Ensure Operational Training Team is current with HR processes on termination
Maintain department standard operating procedures and work instructions.
Create and maintain onboarding program for Operational Training Department
Assist with onboarding new operational training specialists.
Followed all company policies and procedures to deliver quality work.
Developed strong client relationships through consistent communication and attentive service.
Operational Training Specialist
Wisconsin Physician Services
11.2015 - 04.2020
Develop and sustain curriculum packages for Medicare Claims and Customer Service.
Conduct training sessions for new employees and cross-training staff in Claims and Customer Service departments on Medicare Part A and B.
Monitor quarterly release information for curriculum updates.
Liaise with business units to assess training requirements.
Keep documentation updated for participants in training session.
Aid in creation of online learning modules that are relevant to curriculum for participants.
Customer Service Representative
Wisconsin Physician Services
06.2010 - 11.2015
Answer inquiries for Medicare Part A and Part B providers
Handled customer inquiries and suggestions courteously and professionally.
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Research complex written inquiries pertaining to Medicare guidelines, including local and national coverage determinations, Internet Only Manuals, and Federal Register
Investigate issues within Medicare systems to pinpoint instances of incorrect processing.
Provide support to newly trained staff.
Develop and deliver training modules for closure procedures.
Education
Associates in Applied Science- Medical Administrative Assistant -
John A Logan
Carterville, IL
01.2010
Skills
Proficient in Microsoft Office
Medicare processing Systems
Training and mentoring
Goal-Oriented
Staff Management
Employee Motivation
Complex Problem-Solving
Inventory Control
Staff Development
Page
2
Timeline
Supervisor Technical Claims
Wisconsin Physician Services
02.2023 - Current
Medicare Procedures Analyst
Wisconsin Physician Services
05.2021 - 02.2023
Senior Operational Training Specialist
Wisconsin Physician Services
04.2020 - 05.2021
Operational Training Specialist
Wisconsin Physician Services
11.2015 - 04.2020
Customer Service Representative
Wisconsin Physician Services
06.2010 - 11.2015
Associates in Applied Science- Medical Administrative Assistant -
John A Logan
Similar Profiles
Lisa WalsethLisa Walseth
Vice President of Operations at Wisconsin Physician ServicesVice President of Operations at Wisconsin Physician Services