Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kimberly Murrell

Birmingham

Summary

Experienced professional with over 15 years of dedication at Blue Cross and Blue Shield of Alabama. Demonstrated track record of improving peer relationships as well as implementing and improving procedures by testing methods and data analysis to continue to improve and support people and work culture initiatives. Disciplined professional with systematic approach to fostering collaborative relationships across divisions. Applies excellent attention to detail and critical reasoning to successfully execute daily task and goals. Detail-oriented with a strong background in collecting and analyzing quality measures and making recommendations for process and quality improvements. Organized and dependable candidate successful at managing multiple priorities with a positive and results driven attitude. Willingness to take on added responsibilities to meet team goals.

Overview

16
16
years of professional experience

Work History

Senior Group Control Analyst

BCBS Of AL
11.2017 - Current
  • Assessed the impact of new procedures and products for new and existing groups, ensuring proper implementation into current systems ensuring accuracy and timeliness.
  • Compiled information for internal and external customers establishing trust and maintaining lasting accountability measures.
  • Collaborated with cross-divisional teams to develop and implement strategies to maintain accurate and efficient operations.
  • Provided targeted support during inventory management and reconciliation process.
  • Facilitated weekly staff meetings as well as yearly Roadmap/Planning Sessions
  • Enhanced efficiency by streamlining workflows and implementing process improvements for control analysis.
  • Increased operational effectiveness by analyzing business processes and suggesting areas for improvement.
  • Developed training materials for staff members, enhancing their understanding of internal controls and best practices.
  • Developed and implemented procedures to meet departmental quality standards as well as quarterly PWIG goals.

Enrollment Services Representative

BCBSAL
01.2015 - 11.2017
  • Maintained detailed and accurate records between multiple databases and programs.
  • Investigated issues and created solutions for dedicated groups.
  • Input accurate enrollment, payment details and managed reports in GEMS, MMS, MRO Group Access and PEGA
  • Fostered new business relationships through inbound calls from existing groups.
  • Conducted thorough reviews of applicant documentation, ensuring accuracy and completeness before submission for enrollment.
  • Managed high call volumes while maintaining professionalism and a strong focus on groups needs.
  • Provided one-on-one assistance to groups which included unique circumstances and/or challenges during the enrollment process, ensuring each individual received personalized support.
  • Reduced application processing times by developing a comprehensive checklist for document submissions.
  • Developed rapport with customers through empathetic listening skills, fostering trust and confidence in BCBS services.
  • Served as an effective liaison between the Enrollment Services department and other internal teams.

Provider Intake Clerk

Cahaba GBA
09.2011 - 12.2014
  • Key all provider/facility demographic and enrollment data from applications.
  • Achieves weekly performance goals targeted by the department.
  • Research/ Telephone develop to gather all details to appropriately enroll provider/facility.
  • Utilize multiple systems necessary to respond to the provider inquiries.
  • Ensure adequate follow-up is performed to each provider/physician.
  • Enhanced provider/ physician satisfaction with prompt and accurate data entry, ensuring timely processing of crucial documents.

Claims/Inquiry Analyst

BCBSAL
02.2010 - 08.2011
  • Probes for information to ensure clarification to resolve claim disputes.
  • Validated results and performed quality assurance to assess accuracy of claims data.
  • Queried databases for information needed for rejected claim adjudication.
  • Responds to Customer Service inquiries in a timely and professional manner.
  • Implemented knowledge of Medical terminology, ICD-9, and/or CPT coding daily to process claims, refunds and adjustments
  • Identified and resolved problems through root cause analysis and research.


Customer Accounts - Utility Phone Clerk

BCBSAL
11.2008 - 02.2010
  • Maintained high levels of accuracy in data entry tasks, ensuring all customer records were up-to-date and accurate.
  • Upheld strict confidentiality protocols when discussing sensitive group information over the phone or via email correspondence.
  • Provided backup receptionist duties during peak periods as needed, ensuring efficient office operations.
  • Managed multi-line phone system effectively, minimizing caller wait times and dropped calls.
  • Contributed to a positive workplace environment through exceptional teamwork and collaboration with colleagues.
  • Demonstrated excellent problem-solving skills when handling complex customer inquiries or complaints.
  • Enhanced company reputation by providing friendly, professional service to all callers.
  • Performed various clerical duties by filing and faxing documents and creating customer databases.
  • Responds to inbound customer calls in a professional manner.


Education

Bachelor of Science - Human Resource Management

Faulkner University
Birmingham, AL
05.2015

Skills

  • Peer Coaching and Mentoring
  • Facilitating workgroups to meet Organizational goals
  • Documentation Review
  • Demonstrates strong verbal, written communication and presentation skills
  • Experience in managing and delivering training projects and materials in a timely manner
  • Skilled in working effectively with all levels of cross-divisional employees
  • Monitor progress of newly implemented processes and procedures
  • Implement yearly Professional Growth Plan

Timeline

Senior Group Control Analyst

BCBS Of AL
11.2017 - Current

Enrollment Services Representative

BCBSAL
01.2015 - 11.2017

Provider Intake Clerk

Cahaba GBA
09.2011 - 12.2014

Claims/Inquiry Analyst

BCBSAL
02.2010 - 08.2011

Customer Accounts - Utility Phone Clerk

BCBSAL
11.2008 - 02.2010

Bachelor of Science - Human Resource Management

Faulkner University

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Kimberly Murrell