Karen St. Germain
Crossville,TN
Summary
Provide support working in a fast-paced environment demanding strong organizational, technical, and interpersonal skills.
Support professional offering substantial expertise in administrative support and customer service. Known for strong focus on team collaboration and achieving results. Flexibly adapts to changing needs and ensures reliability and efficiency. Exhibits excellent communication and organizational skills sought by employers.
Overview
16
16
years of professional experience
Work History
Senior Audit Support Assistant
Cotiviti
09.2019 - Current
- Provided administrative support to enhance team efficiency and communication.
- Led initiatives to improve workflow processes, resulting in increased productivity.
- Cultivated strong working relationships with clients by delivering personalized service tailored to their specific needs and preferences.
- Adapted quickly to changing priorities while managing daily caseloads efficiently under tight deadlines.
Validation Associate
West Corporation
08.2015 - Current
- Research and investigate medical claims data utilizing approximately twelve different systems to identify overpaid/incorrectly paid claims.
- Identify and validate potential overpayments, and process per established processes and procedures.
- Place calls to other insurance companies to verify other insurance information.
- Reviewing supplied EOB’s for possible incorrect coordination of benefits.
- Research and correct improperly coordinated benefits
- Work with a variety of claims including Medicare, Facility in-patient and out-patient, physician services, etc.
Validation Associate
West Corporation
08.2015 - 09.2019
- Research and investigate medical claims data utilizing approximately twelve different systems to identify overpaid/incorrectly paid claims.
- Identify and validate potential overpayments, and process per established processes and procedures.
- Place calls to other insurance companies to verify other insurance information.
- Reviewing supplied EOB’s for possible incorrect coordination of benefits.
- Research and correct improperly coordinated benefits
- Work with a variety of claims including Medicare, Facility in-patient and out-patient, physician services, etc.
Recovery Specialist Special Handling
West Corporation
07.2012 - 08.2015
- Review claims listed for overpayments to recover the overpaid amount of the medical claim.
- Create spreadsheets using Excel per provider guidelines for obtaining and processing refunds.
- Place calls to providers to secure the overpayments per processes and procedures.
- Mentor new trainee’s and assist them in achieving their required goals.
Recovery Specialist Special Handling
West Corporation
07.2012 - 08.2015
- Review claims listed for overpayments to recover the overpaid amount of the medical claim.
- Create spreadsheets using Excel per provider guidelines for obtaining and processing refunds.
- Place calls to providers to secure the overpayments per processes and procedures.
- Mentor new trainee’s and assist them in achieving their required goals.
Substitute Teacher Associate
Troy School District 30C
08.2010 - 07.2012
- Work with children one on one, or in small group for better understanding of required work.
- Assist teachers with projects or other side work as needed.
- Assist young children with getting on and off assigned busses before and after school.
- Accompany children to classes to insure better focus on class work.
Substitute Teacher Associate
Troy School District 30C
08.2010 - 07.2012
- Work with children one on one, or in small group for better understanding of required work.
- Assist teachers with projects or other side work as needed.
- Assist young children with getting on and off assigned busses before and after school.
- Accompany children to classes to insure better focus on class work.
Education
Associates Degree - Liberal Arts & Science
Morton College
Diploma - undefined
Immaculate Heart of Mary High School
Skills
- Strong organization
- Professionalism and etiquette
- Resourcefulness and initiative
- Teamwork and collaboration
- Problem-solving
- Customer service
- Attention to detail
- Telephone and email etiquette
- Multitasking and time management
Timeline
Senior Audit Support Assistant
Cotiviti
09.2019 - Current
Validation Associate
West Corporation
08.2015 - Current
Validation Associate
West Corporation
08.2015 - 09.2019
Recovery Specialist Special Handling
West Corporation
07.2012 - 08.2015
Recovery Specialist Special Handling
West Corporation
07.2012 - 08.2015
Substitute Teacher Associate
Troy School District 30C
08.2010 - 07.2012
Substitute Teacher Associate
Troy School District 30C
08.2010 - 07.2012
Diploma - undefined
Immaculate Heart of Mary High School
Associates Degree - Liberal Arts & Science
Morton College
certification
Para Pro Assessment Test | Score 465