Laura Kniskern
Melrose,FL
Summary
Conscientious Unit Manager proudly offering over 8 years of vast experience managing all incoming surgical appeals and strong knowledge of state fee schedules. Organized, outgoing and energetic with excellent verbal and written communication skills.
Overview
12
12
years of professional experience
Work History
Surgical Appeals Unit Manager
Travelers Insurance
09.2012 - Current
- Manage team of 10 direct reports
- Extensive knowledge of Workers' Compensation billing practices and regulations in all states including D.C.
- Identify billing anomalies for potential fraudulent activity
- Work closely with Compliance partner to ensure accuracy of bill review processing
- Partner with staff counsel when billing issues are identified
- Assist with state Fee Disputes to ensure accuracy of surgical bill reviews
- Close working relationship with Claim Professionals
- Direct contact for CSS client Baystate
- Manage SMART Engagement Team
- Oversee surgical phone team
Education
Technical - Nursing
Galen College of Nursing
St. Petersburg, FL10.1999
Skills
- Broad knowledge of Claim Platform, Enterprise Reporting, Excel, One Note, Optum Encoder, StrataWare
- Detail oriented
- Critical thinker with confidence to make independent decisions
- Capacity to resolve difficult billing issues
- Ability to quickly grasp new concepts
- Organized
Timeline
Surgical Appeals Unit Manager
Travelers Insurance
09.2012 - Current
Technical - Nursing
Galen College of Nursing