Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

Kate Eroshenko

Grand Junction,CO

Summary

Experienced professional with strong attention to detail, critical thinking and problem resolution skills. Authorized to work in the US for any employer

Overview

1
1
Language
1
1
Certification
22
22
years of professional experience

Work History

Revenue Process Improvement Specialist

Community Hospital
05.2022 - Current
  • Research payer denials related to referral, pre-authorization, notifications, medical necessity, non-covered services, and billing resulting in denials and delays in payment.
  • Medicare,Medicaid, and third-party guidelines , policies and procedures.
  • Submit retro-authorizations in accordance with payer requirements in response to authorization denials.
  • Identify denial patterns and escalate to management as appropriate with sufficient information for additional follow-up, and/or root cause resolution.
  • Make recommendations for additions/revisions/deletions to work queues and claim edits to improve efficiency and reduce denials.
  • Review payor communications, identifying risk for loss reimbursement related to medical policies and prior authorization requirements; escalates potential issues to clinical stakeholders, managed care contracting, and Revenue
  • Cycle leadership as appropriate.
  • Identify opportunities for process improvement and actively participate in process improvement initiatives.

Paralegal

Stephen L. Laiche P.C.
07.2020 - 05.2022
  • Assisted with casework, took instructions, maintained up-to-date case files, and drafted legal documents to support case progression.
  • Implemented any recommendations made by attorney following monthly file reviews ensuring that these were dealt with promptly
  • Ensured compliance with file management.
  • Visited inmates in jail and assisted with hearings and trials in the courtroom.
  • Managed outlook calendar and ensured deadlines were met.

Client Success Specialist

Picaboo Yearbooks
02.2019 - 06.2020
  • Facilitated onboarding process for new clients to ensure smooth integration into services.
  • Performed video demos and software walkthroughs via GoToMeeting
  • Worked closely with development team regarding bug issues, logged tickets and addressed them to development team if needed
  • Managed account renewals for clients in absence of assigned Account Executive to maintain service continuity.
  • Processed customer account changes.
  • Participated in sales and tech meetings to discuss project updates.
  • Recorded and organized customer interactions to effectively track requests, issues, and resolutions.
  • Attended sales/tech meetings when needed.

Legal Assistant

Wegener Scarborough Younge & Hockensmith, LLP
01.2015 - 01.2019
  • Kept cases organized by establishing and organizing files; monitored file databases in case management software; confirmed case status with attorneys.
  • Assisted in trial/mediation preparation, analyzed and compiled data, received, sorted and delivered incoming mail to the correct parties. Opened/closed new matters. Drafted emails and correspondence.
  • Coordinated communication with courts regarding petition statuses and granted orders, ensuring accurate and timely processing.

Night Auditor

Springhill Suites by Marriott
01.2014 - 01.2015
  • Responded to incoming calls in a professional manner in a professional manner/making reservations; Performed check-ins and check-outs efficiently, ensuring a smooth transition for guests; posted/corrected charges to guest accounts; balanced the revenue from all sources accurately and managed nightly hotel operations.
  • Reconciled nightly folios, payments, and transactions to complete accurate audit closeout.
  • Balanced front desk cash drawers and corrected discrepancies before morning handoff.
  • Processed late check-ins, early departures, and guest requests with professional service.

General Manager

Sunglass Depot
04.2012 - 11.2012
  • Managed daily operations efficiently. closing/opening register, closing/opening credit card machine, putting money in a safe, making schedule, calculating employee's hours, meeting the day's sale goal, organizing new merchandise.
  • Directed daily store operations to maintain merchandising standards, inventory accuracy, and customer service consistency.
  • Led sales associates through coaching, scheduling, and performance expectations aligned with revenue goals.
  • Managed inventory control, replenishment, and shrink reduction across high-volume sunglasses assortments.

Sales Clerk/photographer

Old Time Photos
04.2009 - 01.2012
  • Welcomed customers into store; provided information about photo styles, took photos, previewed photos, printed and framed.
  • Assisted guests with portrait package selection and explained photography options clearly.
  • Processed sales transactions accurately using point-of-sale systems and cash-handling procedures.
  • Coordinated customer check-in, order details, and photo pickup with consistent attention.

Office Clerk

ALROSA Ltd
01.2005 - 01.2007
  • Processed documents using MS Word for accurate presentation. ;entered data for reports, collected and organized reports from internships, created Excel documents; answered the telephone and represented the company in a professional and businesslike manner.
  • Managed incoming and outgoing correspondence, ensuring timely document routing and tracking.
  • Organized filing systems for contracts, invoices, and personnel records.
  • Maintained accurate data entry in office databases and spreadsheets.

Education

Psychology - Bachelor's degree

Colorado Mesa University
Grand Junction, CO
01-2028

AA - International Relations

Siberian Institute of International Relations &Regional Geography
Novosibirsk, RU
05-2009

High school diploma - undefined

Mirnyy High School
Mirnyy, RU
01-2007

Skills

  • Claims processing
  • Denial management
  • Healthcare regulations
  • Appeals
  • Document analysis
  • Data analysis
  • Process optimization
  • Time management
  • Technical aptitude
  • Microsoft Office
  • Excel
  • Microsoft Word
  • Google Workspace
  • Google Docs
  • BQE Core Software
  • Sage Timeslips
  • CRM Software
  • Databases
  • Zendesk
  • DocuSign
  • Slack
  • Adobe Acrobat
  • Office administration
  • Administrative experience
  • Records management
  • Paralegal experience
  • Legal research
  • Legal drafting
  • Customer service
  • Client assistance
  • Customer relations
  • Microsoft Office
  • Business development
  • Communication skills
  • Attention to detail
  • Critical thinking
  • Problem solving
  • Outlook
  • Microsoft PowerPoint
  • Editing
  • GoToMeeting
  • IAM
  • Administrative experience
  • Sage Timeslips
  • Administrative experience
  • Microsoft PowerPoint
  • Denial management
  • Data analysis
  • Litigation
  • Process optimization
  • GoToMeeting

Certification

  • Certified Notary Public
  • Driver's License

Languages

Russian
Native or Bilingual

Timeline

Revenue Process Improvement Specialist

Community Hospital
05.2022 - Current

Paralegal

Stephen L. Laiche P.C.
07.2020 - 05.2022

Client Success Specialist

Picaboo Yearbooks
02.2019 - 06.2020

Legal Assistant

Wegener Scarborough Younge & Hockensmith, LLP
01.2015 - 01.2019

Night Auditor

Springhill Suites by Marriott
01.2014 - 01.2015

General Manager

Sunglass Depot
04.2012 - 11.2012

Sales Clerk/photographer

Old Time Photos
04.2009 - 01.2012

Office Clerk

ALROSA Ltd
01.2005 - 01.2007

High school diploma - undefined

Mirnyy High School

AA - International Relations

Siberian Institute of International Relations &Regional Geography

Psychology - Bachelor's degree

Colorado Mesa University
Kate Eroshenko