Kymberly McClain
Joshua Tree,CA
Summary
Encouraging manager 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
9
9
years of professional experience
Work History
Deputy Director of Operations
Morongo Basin ARCH
03.2024 - 08.2024
- Ensured regulatory compliance within all aspects of operations, mitigating potential risks, and maintaining strong reputation in industry.
- Implemented new technology solutions to enhance overall operational performance and increase productivity levels.
- Enhanced operational efficiency by streamlining processes and implementing best practices in daily operations.
- Increased employee retention rates by fostering positive work environment through team-building activities and open communication channels.
- Collaborated with senior leadership to develop strategic plans for organizational growth and development.
- Oversaw day-to-day operations to keep organization running smoothly while meeting business goals.
- Identified and pursued business development opportunities to grow organization and increase revenue.
- Handled problematic customers and clients to assist lower-level employees and maintain excellent customer service.
- Tracked employee attendance and punctuality, addressing repeat problems quickly to prevent long-term habits.
- Observed each employee's individual strengths and initiated mentoring program to improve areas of weakness.
- Reported issues to higher management with great detail.
Project Manager
Morongo Basin ARCH
10.2022 - 04.2024
- Spearheaded CalAim Project from Concept to Completion.
- Developed comprehensive project plans with clear timelines, milestones, and budget requirements, ensuring timely delivery of high-quality results.
- Delivered exceptional customer satisfaction by proactively addressing client concerns and meeting or exceeding expectations throughout engagement process.
- Monitored progress against established goals, adjusting schedules and resources as needed to keep projects on track.
- Developed strong relationships with stakeholders through regular communication updates, fostering trust and confidence in team''s ability to deliver results.
- Identified plans and resources required to meet project goals and objectives.
- Coordinated with cross-functional teams to resolve project issues and mitigate risks.
- Monitored project performance to identify areas of improvement and make adjustments.
- Managed projects from procurement to commission.
- Improved stakeholder satisfaction with detailed project updates and proactive issue resolution.
- Developed comprehensive risk management plans, minimizing project delays and unexpected challenges.
Lived Experience Advisory Board
Office of Care Coordination
06.2021 - 07.2023
- Participated in regular board meetings to provide constructive feedback on proposed projects or plans that aligned with the organization's mission statement.
- Enhanced organizational reputation through active participation in industry conferences, panel discussions, and networking events.
- Increased Advisory Board effectiveness by providing strategic guidance and insight into industry trends.
- Mentored executive leadership team on best practices for decision-making and problem-solving techniques.
- Provided valuable input on the creation and execution of corporate social responsibility programs, reinforcing the organization''s commitment to ethical practices.
- Established strong relationships with key stakeholders to foster collaboration and promote a shared vision for organization's future success.
- Facilitated knowledge exchange across industries by organizing seminars featuring prominent guest speakers from various sectors.
- Collaborated with other board members to develop and execute programs and initiatives to advance organizational mission.
- Provided guidance and leadership on strategic planning initiatives and organizational development.
- Served as advocate and ambassador for organization by fully engaging, identifying, and securing resources and partnerships to advance mission.
Residential Program Manager and Consultant
Bright Start
12.2019 - 05.2020
- Spearheaded opening of Residential Facility from concept to completion.
- Coordinated services and therapy for residents and managed attendance for scheduled appointments.
- Responded to injuries, accidents and allegations of abuse and misconduct by following company policies and when appropriate, law enforcement.
- Created a supportive living environment where residents felt comfortable expressing their thoughts or emotions openly during group sessions or one-on-one meetings.
- Collaborated with interdisciplinary teams to develop comprehensive care plans that addressed each resident's unique needs and goals.
- Increased community engagement for residents with organization of social activities, outings, and volunteer opportunities.
- Coordinated with healthcare providers to ensure timely access to necessary medical services for each resident within the program.
- Promoted independence among residents by developing personalized skill-building activities in daily living tasks such as meal preparation or self-care routines.
- Improved resident satisfaction by implementing person-centered care plans and individualized support strategies.
Medical Claims Specialist
Contracted
07.2015 - 12.2019
- Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
- Minimized errors in claims submissions through regular cross-checking of CPT and ICD codes against medical documentation.
- Ensured strict adherence to HIPAA guidelines while handling sensitive patient information during billing process.
- Streamlined billing processes for improved efficiency through implementation of electronic payment systems.
- Reduced processing time with thorough pre-authorization requests, ensuring prompt approvals for patient procedures.
- Stayed up to date with industry developments and changes in insurance policies to ensure ongoing compliance and adaptability in billing practices.
- Improved cash flow by promptly posting payments and reconciling accounts on daily basis.
- Provided exceptional customer service to patients when discussing billing matters, demonstrating empathy and professionalism at all times.
- Optimized revenue recovery efforts by efficiently identifying underpayments and resolving discrepancies with payers.
- Demonstrated adaptability by quickly adjusting examination priorities in response to changes in workload or company objectives.
- Served as subject matter expert within department, providing guidance and support to colleagues regarding complex coding scenarios or challenging billing situations.
- Researched and resolved complex medical claims issues to support timely processing.
Education
High School Diploma -
Birmingham Community Charter High School
Van Nuys, CA06.1999
Skills
- Operations Management
- Logistics Management
- Scheduling Management
- Workforce Planning
- Strategic Planning
- Business Analysis
- Organizational Development
- Risk Management
- Operations Oversight
- Process Improvement
- Marketing
- Cross-Functional Collaboration
- Customer Service
- Problem-Solving
- Time Management
- Attention to Detail
- Problem-solving abilities
- Multitasking
- Effective Communication
- Organizational Skills
- Active Listening
- Decision-Making
- Effective leader
- Customer Relation
- Task Prioritization
- Self Motivation
- Interpersonal Skills
- Analytical Thinking
- Goal Setting
- Hiring and Onboarding
- Data Analysis
- Performance Improvements
- Team Collaboration
Timeline
Deputy Director of Operations
Morongo Basin ARCH
03.2024 - 08.2024
Project Manager
Morongo Basin ARCH
10.2022 - 04.2024
Lived Experience Advisory Board
Office of Care Coordination
06.2021 - 07.2023
Residential Program Manager and Consultant
Bright Start
12.2019 - 05.2020
Medical Claims Specialist
Contracted
07.2015 - 12.2019
High School Diploma -
Birmingham Community Charter High School
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