Karen Baccetti
Redmond,WA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Highly motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Configuration professional with proven track record of managing and optimizing system configurations for improved performance. Known for collaborative approach and ability to adapt to evolving project requirements. Skilled in data analysis and configuration tools, consistently meeting high standards.
Overview
9
9
years of professional experience
Work History
Product Configuration Analyst 3
Premera Blue Cross of Washington
03.2005 - 09.2007
- Prepared related documentation for on-time delivery.
- Provided accurate, timely information on infrastructure system and system configuration for group products.
- Shared configuration status and configuration audits.
- Worked and aligned with project’s configuration management and sales plan.
- Implemented large group configuration with new and complex benefits.
- Tested and helped implement access database to help streamline configuration process.
- Helped implement buddy system audit before products went live or to Team Auditor.
- Performed job shadows for those interested.
- Provided training for new employees moving into small and midsize group.
Product Configuration Analyst 1
Premera Blue Cross of Washington
03.2005 - 09.2005
- Implemented small group and mid-size groups benefits based on understanding of benefits and contracts provided by sales with required deadline required.
- Established documentation and procedures for building groups configuration plans.
- Provided training for new employees.
- Established job shadow opportunities for those interested in departments role at Premera.
Membership and Billing Technical Support
Premera Blue Cross of Washington
09.2000 - 03.2005
- Assisted customers in identifying issues and explained solutions to restore service and functionality.
- Documented support interactions for future reference.
- Used auditing system to manage, process, support actions and requests.
- Resolved a diverse range of technical issues across multiple systems with I.T., customer service, and the Flex Department.
- Supported Flex Eligibility Department during high volumes times paying claims and maintaining members claims eligibility.
- Implemented a new auditing system for Membership and Billing.
- Provided training for current and new employees.
- Helped migrate to new system including working with Technical Writer to write and test new procedures.
- Supported Team Leader, Project Managers, and Account Managers.
Membership and Billing Representative
Premera Blue Cross of Washington
11.1998 - 09.2000
- Reviewed and solved account and billing discrepancies.
- Assessed accounts for payment status and reached out to groups.
- Coordinated with groups representative and Account Managers to resolve issues.
- Worked effectively with prescription, vision and dental carriers to maintain current eligibility of groups employees.
- Worked with Customer Service to quickly resolve issues.
- Was main point of contact for 12 groups and backup contact for 20 more.
- Provided training for group representatives that did eligibility and enrollment on their worksite.
- Reviewed groups’ bills and enrollment to make sure eligibility was maintained.
Education
B.S. - Healthcare Administration/Healthcare Management
Southern New Hampshire University
Information Technology
Everett College
Everett, WAMedical Terminology
Everett College
Everett, WAAssociate of Arts - Medical Billing And Coding
Everett Community College
Everett, WA06-2027
Skills
- Group and Individual Instruction
- Organizational Management
- Monthly Billing Management
- Positive Reinforcement Strategies
- Effective Listening
- Issue Resolution
- Faculty Support
- Critical Thinking
- Learning Strategies
- Excel, Word, PowerPoint
- Problem-Solving Skills
- Project Management
- Compliance
- Activity-Based Learning
Accomplishments
- Resolved product issue through group testing.
- Documented and resolved errors which led to improved customer satisfaction.
- Achieved auditing processes by completing group plans with accuracy and efficiency.
- Collaborated with team across several departments in the development of greater effiecency.
- Achieved collaborative success by introducing job shadowing for greater overall success for all areas.
- Supervised team of [10] staff members.
Volunteer Experience
Statewide Health Insurance Benefits Advisor (SHIBA) Volunteer
provide free, unbiased health insurance counseling to Medicare beneficiaries.
Assist clients in understanding Medicare plans and enrollment processes.
Develop strong communication and interpersonal skills to effectively interact with diverse population.
Working on SHIBA certification and required training.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Product Configuration Analyst 3
Premera Blue Cross of Washington
03.2005 - 09.2007
Product Configuration Analyst 1
Premera Blue Cross of Washington
03.2005 - 09.2005
Membership and Billing Technical Support
Premera Blue Cross of Washington
09.2000 - 03.2005
Membership and Billing Representative
Premera Blue Cross of Washington
11.1998 - 09.2000
Information Technology
Everett College
Medical Terminology
Everett College
B.S. - Healthcare Administration/Healthcare Management
Southern New Hampshire University
Associate of Arts - Medical Billing And Coding
Everett Community College
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