Katlyn Stafford
Lake County,IL
Summary
Results driven business professional with extensive customer service and project management experience. Ability to deliver high quality results for customers while building strong internal and external relationships and exceed company expectations.
Overview
14
14
years of professional experience
Work History
RCM Training and Quality Assurance Specialist
Medline Industries, Inc
09.2019 - Current
- Monitor and evaluate employee performance for monthly evaluations.
- Create and update SOPs for Documentation, Verification, and Prior Authorization teams.
- Identified patterns and trends and provided actionable insights.
- Coordinate and conduct group and individual training sessions based on learning needs for new and current employees.
- Produced training manuals, presentations and resources for enhanced learning.
- Evaluate success of training programs and recommended improvements to upper management to enhance effectiveness.
- Process requests from third parties to gather patient medical records according to HIPAA.
- Provided coaching and mentoring to employees.
Verification Specialist
Medline Industries, Inc
02.2018 - 09.2019
- Verified client information by analyzing existing evidence on file.
- Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Updated patient records with accurate, current insurance policy information.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
Data Entry Clerk
Medline Industries, Inc
05.2016 - 01.2018
- Received and placed 100+ patient orders initiated by Home Health Agencies
- Contact Home Health Agencies via phone and email to resolve discrepancies
- Place 70 orders in SAP each month
- Exhibited high energy and professionalism when dealing with Home Health Agencies.
- Maintained up-to-date knowledge of product and service changes.
Claims Processor
Mangrove Employer Services/COBRAsource Inc.
06.2009 - 05.2016
- Utilized specialized software to process incoming FSA, DCA, and HRA, and Limited FSA claims
- Complied with regulations and guidelines related to claims processing to maintain quality and adherence to standards.
- Assisted in onboarding of new claims processors to familiarize with company procedures, policies and processes.
- Managed workload and priorities to meet claims processing meet deadlines.
- Process elections, terminations, and changes for participants in accordance with ERISA regulations
Education
General Education
College of Lake County
Grayslake, ILSkills
- Quality Assurance
- New Hire Training
- Performance Tracking and Evaluation
- Employee Coaching
- Performance Evaluation
- Program Management
- Training Material Updates
- Process Improvement
- Team Collaboration
- Proficient in: ICD 10, HCPCS, SAP, OnBase, Sharepoint, Microsoft Office, Five9/Virtual Observer, and Waystar
Timeline
RCM Training and Quality Assurance Specialist
Medline Industries, Inc
09.2019 - Current
Verification Specialist
Medline Industries, Inc
02.2018 - 09.2019
Data Entry Clerk
Medline Industries, Inc
05.2016 - 01.2018
Claims Processor
Mangrove Employer Services/COBRAsource Inc.
06.2009 - 05.2016
General Education
College of Lake County
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