Kim Anderson
Melissa,Tx
Summary
Experienced and results-driven healthcare professional with over 28 years of expertise in provider data management, patient experience, and process optimization. Proven ability to lead cross-functional teams, oversee million-dollar contracts, and implement process improvements. Dedicated to driving operational excellence and achieving organizational goals.
Overview
28
28
years of professional experience
Work History
Contract Management Expert/Network Program Special
United Healthcare
03.2009 - 05.2025
- Oversaw facility and ancillary contracts, ensuring compliance with terms and operational policies.
- Managed rate escalators and updated chargemasters for accurate payment.
- Validated contracts pre-execution, preventing errors and ensuring the use of accurate templates.
- Partnered with teams to minimize claim rework, and enhance operational efficiency.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
- Demonstrated respect, friendliness and willingness to help wherever needed.
Provider Installation Specialist
United Healthcare
01.2003 - 02.2009
- Reviewed provider information to ensure accuracy in all claim payment platforms
- Loaded hospital/ancillary contracts for Commercial, Medicare and Medicaid into the various claim paying platforms
- Performed troubleshooting for claim paying issues when received
- Prioritized complex workload effectively to meet deadlines without sacrificing quality or attention to detail.
- Managed multiple provider installation projects simultaneously, ensuring timely completion and optimal results.
- Provided training and support to new team members on best practices for managing a successful provider installation project.
Sr Research Analyst
United Healthcare
01.2001 - 12.2002
- Conduct in-depth claims research, identifying and resolving process inefficiencies.
- Led adjustments and process improvement initiatives, coordinating across divisions.
Provider Services Representative
United Healthcare
12.1996 - 12.2000
- Delivered excellent customer service by resolving claims issues and conducting root-cause analysis.
- Streamlined operations by managing a high volume of incoming calls for medical providers seeking information or assistance.
- Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
Skills
- Expert in platforms including NDB, COSMOS, FACETS, NICE, PULSE and NDB
- Proficient in Microsoft Office Suite (Word, Excel, Outlook) and SharePoint
- Strong communication, relationship building, and problem-solving abilities
- Adept in training and mentoring team members for organizational success
- Customer service
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
- Friendly, positive attitude
- Dependable and responsible
- Multitasking Abilities
- Flexible and adaptable
Timeline
Contract Management Expert/Network Program Special
United Healthcare
03.2009 - 05.2025
Provider Installation Specialist
United Healthcare
01.2003 - 02.2009
Sr Research Analyst
United Healthcare
01.2001 - 12.2002
Provider Services Representative
United Healthcare
12.1996 - 12.2000
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