Kasi Hilley
Altus,OK
Summary
Experienced with customer service management, communication, and issue resolution. Utilizes strategic approaches to enhance customer experiences and streamline service processes. Track record of effectively managing customer interactions and resolving concerns.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Provider Relations Manager BH
Humana
09.2024 - Current
- Fostered strong, positive relationships with key providers by coordinating, facilitating and leading partnership meetings and identifying on-site enrollment opportunities.
- Established strong relationships with key stakeholders in the healthcare industry, positioning the organization as a trusted partner in patient care.
- Answered provider inquiries via email, telephone and written correspondence.
- Coordinated educational events for providers aimed at increasing awareness of regulatory changes as well as best practices in patient care delivery.
- Increased provider satisfaction scores 90% by collecting and credentialing demographic updates, investigating claims and inquiries and overseeing network integrity.
Behavioral Health Provider Representative
Humana
02.2024 - 09.2024
- Managed a diverse portfolio of healthcare providers, effectively balancing their needs with organizational objectives..
- Established strong relationships with healthcare providers, fostering trust and loyalty between parties.
- Evaluated potential partnership opportunities with external organizations, pursuing collaborations that expanded access to care for patients within the network.
- Evaluated and treated approximately 12 facilities in general practice medical environment.
- Improved patient satisfaction by providing compassionate and efficient care.
Account Manager
Equalize RCM Services
01.2003 - 02.2024
- Provided comprehensive reporting on account performance, enabling clients to make data-driven decisions about future investments.
- Successfully resolved escalated issues, preventing potential loss of valuable clients while maintaining positive relationships with all parties involved.
- Increased client satisfaction by building strong relationships and addressing their needs promptly.
- Conducted regular account reviews to identify areas for improvement and ensure continued success.
- Cultivated long-term relationships with key stakeholders in assigned accounts, fostering trust and loyalty among clients.
Revenue Cycle Manager
Mangum Regional Medical Center
09.2020 - 12.2022
- Monitored and guided revenue cycle operations.
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Maintained a thorough understanding of regulatory requirements, ensuring compliance throughout all aspects of the revenue cycle.
- Provided staff training on revenue cycle management best practices, increasing productivity across the department.
- Served as a liaison between the organization''s leadership team members and payers during contract negotiations, securing favorable terms for reimbursement rates.
Human Resources Representative
Mangum Regional Medical Center
01.2020 - 09.2020
- Provided guidance to managers regarding employee relations issues, promoting fair treatment across all departments.
- Reduced employee conflicts through proactive mediation and conflict resolution strategies.
- Ensured legal compliance in all HR practices, minimizing potential liabilities for the organization.
- Optimized HR operations by utilizing technology solutions, such as applicant tracking systems and HRIS platforms.
- Responded to employee inquiries, questions and complaints and guided and directed employee relations issues to support workforce analysis, performance management and other core HR functions.
Administrative Assistant
Carter Healthcare
07.2019 - 11.2019
- Managed filing system, entered data and completed other clerical tasks.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Managed paper and electronic filing systems by routing various documents, taking messages and managing incoming and outgoing mail.
- Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
Revenue Manager/Office Manager
Altus Family Vision
03.2017 - 07.2019
- Managed reservations systems effectively, optimizing stay patterns to increase room occupancy rates.
- Assisted in budget development processes, ensuring alignment with company-wide revenue goals and objectives.
- Established strong client relationships, negotiating contracts to maximize overall company earnings.
- Developed dynamic pricing models, capturing additional revenue opportunities from fluctuating markets.
- Facilitated cross-functional collaboration between departments, fostering a culture of continuous improvement in achieving shared financial targets.
Project Interviewer
OU Department , Pediatrics
04.2016 - 06.2017
- Conducted interviews with participants to assess eligibility.
- Evaluated candidate responses using a structured scoring system, ensuring objective decision-making during the selection process.
- Increased candidate engagement by conducting thorough and personable interviews.
- Collaborated with other HR team members to develop more comprehensive and successful interview processes.
- Coordinated post-interview debriefs with hiring teams to discuss candidate strengths, weaknesses, and overall fit within the organization.
Office Manager
Jackson County Memorial Hospital
09.2008 - 04.2016
- Conducted regular inventory assessments of office supplies, ordering necessary items proactively to prevent stock shortages.
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Trained personnel in equipment maintenance and enforced participation in exercises focused on developing key skills.
- Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns or issues promptly.
Education
High School Diploma -
Tipton High School
Tipton, OKMedical Assistant Certificate -
SW Technology
Bachelor of Science - Healthcare Administration
WGU
Skills
- Health plan operations
- Strategic business relationships
- Healthcare industry
- Member enrollment
- Workflow Analysis
- Provider relationship management
- Educational presentations
- Teamwork and collaboration
- Time management
- Problem-solving abilities
Accomplishments
- Consistently maintained high customer satisfaction ratings.
- Have received Employee of the Month in every position.
- Received the ABC award from JCMH.
- Have been promoted within my positions very quickly.
Certification
- Certified Medical Administrative Assistant
Timeline
Provider Relations Manager BH
Humana
09.2024 - Current
Behavioral Health Provider Representative
Humana
02.2024 - 09.2024
Revenue Cycle Manager
Mangum Regional Medical Center
09.2020 - 12.2022
Human Resources Representative
Mangum Regional Medical Center
01.2020 - 09.2020
Administrative Assistant
Carter Healthcare
07.2019 - 11.2019
Revenue Manager/Office Manager
Altus Family Vision
03.2017 - 07.2019
Project Interviewer
OU Department , Pediatrics
04.2016 - 06.2017
Office Manager
Jackson County Memorial Hospital
09.2008 - 04.2016
Account Manager
Equalize RCM Services
01.2003 - 02.2024
Medical Assistant Certificate -
SW Technology
- Certified Medical Administrative Assistant
High School Diploma -
Tipton High School
Bachelor of Science - Healthcare Administration
WGU
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