Summary
Overview
Work History
Education
Skills
Timeline
Generic

Mandy Ulmen

Weston,WI

Summary

Business Operations & Project Management Professional with 25+ years of experience leading healthcare business offices, managing cross-functional teams, and streamlining operations. Skilled in project management, process development, and compliance oversight. Recognized for driving organizational efficiency, implementing large-scale systems, and fostering team culture.

Overview

26
26
years of professional experience

Work History

Business Office Coordinator

Know Allergy
01.2022 - Current
  • All the same responsibilities as those held at Allergy, Asthma & Dermatology Associates. After the company dissolved, one of the partners launched Know Allergy, where my role and responsibilities remained unchanged.

Business Office Manager

Allergy, Asthma & Dermatology Associates
06.2012 - 01.2022
  • Built and led a Managed Care department for a group of 7 specialty clinics. Develop policies and procedures for the Managed Care department as well as the Billing department and nursing teams. Managed employees for each department.
  • Project Manager for all system-related projects.
  • Interviewed potential employees, perform chart audits, provides team-building opportunities, performance evaluations, personal coaching, and disciplinary action when necessary.
  • Designed and provide various levels of training for staff ranging from clerical staff to nursing and providers.
  • Managed provider credentialing and contracting, including negotiating performance-based contracts.
  • Responsible for government compliance, as well as MACRA/MIPS regulations.
  • Participated in billing, account follow-up, appeals, auditing, and managed care
  • Managed marketing and social media.
  • Provided IT support for clinic staff.
  • Organized company events and appreciation programs.
  • Project Manager for the transition from paper charts to NextGen Electronic Health Records, which included designing the system build in conjunction with the workflow, documenting procedures and training program, and performing training of clinical and non-clinical staff.

Financial Counselor

Legacy Health Systems
03.2009 - 03.2012
  • Provided financial counseling to patients, addressing individual concerns and guiding them through options, including discussion of Legacy Health's charity program.
  • Explained processes so patients can become advocates for themselves with their insurance carriers.

Referral Coordinator

Southwest Washington Medical Center
10.2007 - 09.2008
  • Processed all insurance verifications, referrals, authorizations, and appeals.
  • Managed all scheduling, phone calls, and patient requests from their initial contact with the weight loss surgery center through their information session and initial visits.
  • Handled all follow-up insurance questions. Hosted all weight-loss surgery information sessions held by the surgeons; signed in the participants, presented the insurance portion of the session, and answered questions from the participants at the end of each session.

Clerical III

Southwest Washington Medical Center
05.2005 - 10.2007
  • Handled all phone calls and messages, patient scheduling, chart maintenance, insurance verification, supply purchasing, and all general office duties.
  • Trained and supervised the assistant.
  • Provided assistance and managed requests from the nine clinical staff members of the Neuro Rehabilitation department. patients,

Senior Benefit Analyst

A&I Benefit Plan Administrators
01.2000 - 01.2003
  • Analyzed and processed appeals for all the groups insured by A&I, as well as created and maintained a HIPAA compliance tracking database.
  • Processed medical and disability claims for several employment groups.
  • Assisted with procedure development and implementation.
  • Acted as a resource for junior benefit analysts and data entry personnel.
  • Updated and maintained the company website.

Education

Human Resources Management

Western Governors University
Salt Lake City, UT

Skills

  • Proficient in Microsoft Office Suite
  • Social media strategy
  • EHR systems management
  • Project management
  • Process development & improvement
  • Team leadership
  • Training & staff development
  • Event planning & marketing

Timeline

Business Office Coordinator

Know Allergy
01.2022 - Current

Business Office Manager

Allergy, Asthma & Dermatology Associates
06.2012 - 01.2022

Financial Counselor

Legacy Health Systems
03.2009 - 03.2012

Referral Coordinator

Southwest Washington Medical Center
10.2007 - 09.2008

Clerical III

Southwest Washington Medical Center
05.2005 - 10.2007

Senior Benefit Analyst

A&I Benefit Plan Administrators
01.2000 - 01.2003

Human Resources Management

Western Governors University
Mandy Ulmen