Marie (Hulslander) Blomgren
Rosemount,MN
Summary
Experienced administrative and operations support professional with a keen eye for detail. Skilled in appeals management, provider relations, and pharmacy operations. Demonstrated track record of effectively managing data, maintaining records, and streamlining processes. Seeking to apply expertise in documentation and quality control to excel in the Exam Production Associate role at ARRT.
Overview
20
20
years of professional experience
Work History
Appeals and Grievances Federal Specialist
UCare
04.2023 - 10.2024
- Researched, analyzed, and resolved average of 40 appeals per week for Medicare members, ensuring compliance with regulatory standards and deadlines
- Managed correspondence preparation, ensuring accuracy and clarity in member and provider communications
- Maintained detailed records, edited documents, and produced reports to summarize case activities
- Ensured adherence to quality control processes, focusing on accuracy and efficiency.
Provider Relations Specialist Senior / Network Operations Representative
Prime Therapeutics
01.2016 - 04.2023
- Developed and distributed educational materials and reports, ensuring clear communication with providers
- Managed creation and maintenance of databases, including contract records and provider information
- Spearheaded process improvements, enhancing department efficiency and accuracy of documentation
- Coordinated and provided support for team meetings and workshops, managing logistics and materials
- Served as liaison between departments ranging from 4 to 150 people, ensuring consistent communication and collaboration.
Certified Pharmacy Technician
Park Nicollet/Tria Pharmacy
08.2014 - 01.2016
- Managed pharmacy operations, including data entry, prescription processing, and inventory management
- Facilitated clear communication between patients, healthcare providers, and insurance companies
- Maintained accurate records for billing, reconciliation, and inventory processes
- Conducted pharmacy tasks including prescription processing and patient inquiries
- Created sterile compounding workflow standard operating procedures
Certified Pharmacy Technician
Target Pharmacy
05.2010 - 08.2014
- Managed pharmacy operations, including data entry, prescription processing, and inventory management
- Facilitated clear communication between patients, healthcare providers, and insurance companies
- Maintained accurate records for billing, reconciliation, and inventory processes
- Conducted pharmacy tasks including prescription processing and patient inquiries
- Assisted in developing efficient processes to enhance pharmacy operations
- Supported daily pharmacy operations, ensuring accurate record-keeping and customer service.
Certified Pharmacy Technician
Regina Medical Center
07.2004 - 01.2011
- Managed pharmacy operations, including data entry, prescription processing, and inventory management
- Facilitated clear communication between patients, healthcare providers, and insurance companies
- Maintained accurate records for billing, reconciliation, and inventory processes
- Conducted pharmacy tasks including prescription processing and patient inquiries
- Assisted in developing efficient processes to enhance pharmacy operations
- Supported daily pharmacy operations, ensuring accurate record-keeping and customer service.
Education
Bachelor of Arts (B.A) - Liberal Arts
College of St. Catherine
St. Paul, MN05.2025
General Education - undefined
Normandale Community College
Bloomington, MN01.2010
Skills
- Photoshop
- MS Office Suite
- Excellent Verbal and Written Communication
- Direction and Task Delegation
- Independent Analytic Problem-Solving
- Teamwork and Collaboration
- Detail Oriented
- Project Management
- Training and Development
- Contract Management
- Contract Negotiation
- Compliance360
- Data Analysis
- Quality Assurance
Timeline
Appeals and Grievances Federal Specialist
UCare
04.2023 - 10.2024
Provider Relations Specialist Senior / Network Operations Representative
Prime Therapeutics
01.2016 - 04.2023
Certified Pharmacy Technician
Park Nicollet/Tria Pharmacy
08.2014 - 01.2016
Certified Pharmacy Technician
Target Pharmacy
05.2010 - 08.2014
Certified Pharmacy Technician
Regina Medical Center
07.2004 - 01.2011
Bachelor of Arts (B.A) - Liberal Arts
College of St. Catherine
General Education - undefined
Normandale Community College
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