Kristine Dolly
205 Twin Oaks Way, Chelsea,USA
Summary
Proven ability to collaborate effectively within teams while delivering exceptional service and driving sales growth. Seeking an Account Management position where I can leverage my 23 years of expertise and contribute to organizational success. Committed to fostering positive client relationships and enhancing overall customer satisfaction.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Internal Account Manager
Blue Cross and Blue Shield of Alabama
Birmingham, Alabama
10.2024 - Current
- Managed client relationships, ensuring satisfaction and retention of accounts.
- Collaborated with cross-functional teams to provide tailored solutions for clients.
- Analyzed account performance data to identify opportunities for improvement.
- Developed and implemented strategies to enhance customer engagement and loyalty.
National Accounts Specialist
Blue Cross and Blue Shield of Alabama
01.2022 - Current
- Complete Inter-plan financial analysis for groups with over 251 contracts to underwriting during group’s renewal month
- Implement custom pricing plan profiles to underwriting and submit Letters of Agreement to Host plans
- Create and send Access Fee Applicability forms for Self-Funded Groups to sales team before annual renewals
- Support requests from sales team regarding National Account issues in a timely manner
- Provide requested reports to Sales team including Discount Analysis (NDAT, Bim Analysis, and HPN Discount), Disruption Analysis, GEO Access, Network Access Compare, Provider Counts, Snapshots, and Weighted Dental Analysis
- Utilize Insights Reporting tool for Claims Counts, Access Fees and Claims Utilization
- Implement new Select Networks for groups
- Assign prefixes and manage display arrangements through the Prefix Management Portal
- Manage the Host email box ALInterPlanRequests@bcbsal.org
- Maintain compliance with Blue Cross Association guidelines related to Inter-Plan policy and cedes
- Maintain compliance with Federal regulations such as Consolidated Appropriations Act (CAA)
Senior Accounting Clerk
Blue Cross and Blue Shield of Alabama
01.2019 - 01.2022
- Managed Accounts Payables invoices and purchase orders within guidelines of Corporate Operating Policy.
- Reviewed and approved employee expense reports in Concur within guidelines of Corporate Operating Policy.
- Researched and answered questions from vendors and internal associates in VPS_Inquiries@bcbsal.org mailbox.
Claims Inquiry Analyst
Blue Cross and Blue Shield of Alabama
01.2018 - 01.2019
- Benchmarked in Phase 1 Training within the first 6 weeks.
- Benchmarked in Phase 2 ITS Claims Training within the first 12 weeks.
- Worked suspended claims, stop tables, and inquiries from Customer Service, COB, and ITS Host plans.
EDI Technical Services
Cahaba GBA
Douglasville, Georgia
01.2017 - 2018
- Managed comprehensive review and processing of Medicare Part A and B EDI applications, maintaining alignment with CMS standards.
- Enabled EDI access for providers, billing services, and clearinghouses to enhance claims processing efficiency.
- Facilitated ASCA audit letter preparation and distribution to providers.
- Assisted in support of EDI provider calls when necessary to maintain required service levels.
Senior Accounting Clerk
Blue Cross and Blue Shield of Alabama
01.2015 - 01.2017
- Managed Accounts Payables invoices and purchase orders within guidelines of Corporate Operating Policy.
- Reviewed and approved employee expense reports in Concur within guidelines of Corporate Operating Policy.
- Researched and answered questions from vendors and internal associates in VPS_Inquiries@bcbsal.org mailbox.
Group Direct Analyst
Blue Cross and Blue Shield of Alabama
01.2013 - 01.2015
- Managed processing of accounts receivables, including checks and cash payments for individual and group premium payments.
- Balanced check and cash deposits daily, ensuring timely and accurate financial transactions.
- Supported Customer Service and Enrollment Service Representatives with online credit card payment processing.
- Documented month-end journal entries in Epicor, ensuring compliance with accounting standards for in-charge staff accountant.
Enrollment Services Representative
Blue Cross and Blue Shield of Alabama
01.2005 - 01.2013
- Managed 1,200 small underwritten group accounts and 15 large, self-funded group accounts, focusing on strategic growth and retention.
- Oversaw updates and maintenance of subscriber eligibility and membership enrollment processes.
Customer Relations Specialist
Blue Cross and Blue Shield of Alabama
01.2002 - 01.2005
- Assisted with customers regarding insurance benefits, claims and healthcare questions.
- Promoted to Customer Relations Specialist in 18 months from hire date.
Education
Bachelor of Science - Business, Management
Faulkner University
Birmingham, Alabama01-2017
Core Curriculum towards Bachelor of Science - undefined
University of Alabama at Birmingham
Birmingham, Alabama01-1996
Skills
- Teamwork and collaboration
- Attention to detail
- Independent decision maker
- Proficient problem solver
- Multitasking Abilities
- Excellent written and verbal communication
Certification
- Insurance Producer License - Accident & Health or Sickness Life
- Alabama Department of Insurance License No: 178512, NPN: 7077143
- Effective 01/2025 to present
Timeline
Internal Account Manager
Blue Cross and Blue Shield of Alabama
10.2024 - Current
National Accounts Specialist
Blue Cross and Blue Shield of Alabama
01.2022 - Current
Senior Accounting Clerk
Blue Cross and Blue Shield of Alabama
01.2019 - 01.2022
Claims Inquiry Analyst
Blue Cross and Blue Shield of Alabama
01.2018 - 01.2019
EDI Technical Services
Cahaba GBA
01.2017 - 2018
Senior Accounting Clerk
Blue Cross and Blue Shield of Alabama
01.2015 - 01.2017
Group Direct Analyst
Blue Cross and Blue Shield of Alabama
01.2013 - 01.2015
Enrollment Services Representative
Blue Cross and Blue Shield of Alabama
01.2005 - 01.2013
Customer Relations Specialist
Blue Cross and Blue Shield of Alabama
01.2002 - 01.2005
Core Curriculum towards Bachelor of Science - undefined
University of Alabama at Birmingham
Bachelor of Science - Business, Management
Faulkner University
Software & Technology
Proficient with Microsoft Applications, Teams and Webex. Experienced with internal BCBS programs including: TotalView, GEMS, Navigator, CIS, DORS, BOL, JIRA, PEGA, MMS, Group Access, Insights, TORI and BlueWeb.