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Associate Principal Engineer

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Healthcare professional with a Bachelor’s in Health Management and specialized experience in specialty pharmacy operations, regulatory documentation review, and compliance-focused workflow analysis. Skilled in identifying discrepancies, supporting audit readiness, and maintaining confidentiality standards aligned with HIPAA requirements. Detail-oriented analyst experienced in healthcare policy adherence and risk-aware decision support.

Claims Adjudicator with extensive experience in evaluating long-term care and mental health claims, ensuring compliance with policy guidelines and service level agreements. Revenue Cycle Manager skilled in implementing accounts receivable strategies to enhance cash flow and expedite reimbursement processes. Policy Compliance Expert proficient in conducting thorough policy analysis and documentation reviews to reduce fraud risks and maintain regulatory standards.

At Brightspeed LLC, I streamlined coordination processes and implemented organizational systems for not only the coordinator team i was a member of, but also for the employees that i was responsible for on a daily basis by keeping processes updated as well as creating new ones when new system tools would be implemented. Utilizing skills in MS Office, which included: Excel, Word, Power Point and Outlook) to communicate effectively with employees as well as their immediate supervisors., I enhanced as well as created new operational workflows and processes as the companies policies changed. My proactive approach to process improvement and staff coaching led to significant productivity increases, showcasing my ability to drive results and foster team collaboration.
As a Coordinator II, I was also tasked on a daily basis of handling scheduling change requests from employees as well as their immediate supervisors as business needs changed including overtime requests, PTO requests, and general schedule changes. I was also tasked with ensuring any deviations from an employees schedule not requested was documented on the employees schedule and made the supervisor aware of such deviation for any disciplinary actions needed.
In my role as a Coordinator II, I was tasked with ensuring all employees bi-weekly payroll was correct with any changes made in the 2 week payroll cycle and that any pay affecting changes were properly fed from our scheduling software, Genesys, to our payroll program, WFS, and that any changes not conveyed over were properly changed to ensure the employees payroll was correct.
I utilized several Microsoft programs, Excel, Power Point, Word and Outlook on a regular day to day basis to communicate, create and document various issues and/or projects that i was tasked with during my time as a Coordinator, including emails, new or updated process tool training videos, creating spreadsheets to collect various different types of data for team use as well as to share with employees and/or supervisors.
I also started at this company in the Technical Support position working with customers to resolve issues with their internet and/or phone systems. Dealing with a fast paced metric to ensure customers issues were resolved quickly as well as efficiently and that the customer was completely satisfied with the service i was providing them over the phone.
As a Technical Support specialist, I was also tasked with selling/upselling products offered by the company with a monthly sales metric we were encouraged to maintain and that I would meet and often times exceed on a monthly basis.

Results-driven benefits specialist with expertise in navigating complex verification processes. Strong analytical skills and in-depth knowledge of insurance protocols ensure accurate and timely benefit resolutions. Known for effective collaboration, adaptability, and steadfast commitment to achieving team goals. Highly reliable, with focus on precision and compliance in all tasks.

Kelly Curley

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Coordinator II

Claims Benefit Specialist

Dental Claims Representative

Education

Bachelor of Science - Human Resources Management

Associate of Applied Science - Human Resources Management

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Coordinator II

Claims Benefit Specialist

Dental Claims Representative

Bachelor of Science - Human Resources Management

Associate of Applied Science - Human Resources Management

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