Kellie Best
San Tan Valley,AZ
Summary
Encouraging supervisor and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
2
2
years of professional experience
Work History
Claims Operations Supervisor
DISYS – Epiq Global Systems
2023.12 - Current
- Organized and lead new hire classes and training, including onboarding process and system set up
- Consulted and collaborated with Client Services and Contact Center leadership to implement new procedures for immediate need projects
- Subject matter expert in exception items that require a detailed level of research to correct
- Reviewed and approved project billing for all members of my team
- Delivered verbal and written warnings as well as performance plans for those below the acceptable quality threshold.
Quality Assurance Lead for Claims Operations
DISYS - Epiq Global Systems
2022.09 - 2023.12
- Successfully lead a team of QC analysts to maintain or exceed a quality score of 96%
- Created collaboration reports to inform of trends and errors in processing analysts as well as QC analysts
- Provided coaching, training and weekly 1 on 1s with all analysts on my team to maintain a high level of quality and understanding
- Created helpful tip sheet documents on all processes and assisted in updating published procedures as needed
- Identified Root Cause Analysis for Internal Audit and created a Action to Prevent plan.
Claims/ Data Analyst
Bright Health
2021.11 - 2022.06
- Successfully assisted this start up company with negotiating lower costs in the Florida division
- Worked closely with HCA, Cone and Mecklenburg to resolve aging claims issues and configuration issues in AS400
- Enabled Bright Health to renegotiate the contract for a lower price
- Mentored claims examiners with adjudicating commercial claims both inpatient and outpatient as well as emergency claims and LTC
- Created job aids along with a helpline chat for any questions
- Worked closely with upper management on a daily basis and provided project updates and concerns.
Education
App Academy Online Courses For Coding Bootcamp - Programming Languages
App Academy
Online 12.2024
Registered Medical Assistant -
Apollo College
Mesa, AZ01.2006
High school diploma -
Hamilton High School
Chandler, AZ01.2004
Skills
- Training (4 years)
- Creative Direction
- Operations Management
- Fluent in Peoplesoft, Facets, Qnxt, NextGen EMR, Valencia, Facilitator, CRM, CMx, Calabrio, Talkdesk, SAP, AS400, MedForce, Salesforce and Workday.
- Customer Service
- Analysis skills
- Medical terminology
- Communication skills
- Computer skills
- Organizational skills
- Fluent in Microsoft Office 365 including Excel, Word, Pivot tables, PowerPoint, OneNote and OneDrive
Timeline
Claims Operations Supervisor
DISYS – Epiq Global Systems
2023.12 - Current
Quality Assurance Lead for Claims Operations
DISYS - Epiq Global Systems
2022.09 - 2023.12
Claims/ Data Analyst
Bright Health
2021.11 - 2022.06
App Academy Online Courses For Coding Bootcamp - Programming Languages
App Academy
Registered Medical Assistant -
Apollo College
High school diploma -
Hamilton High School
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