Mary Peterson
Biloxi,MS
Summary
Experienced leader and team player. Managed multiple teams and able to balance various business needs. Enthusiastic about helping people develop professional skills and providing a positive customer experience.
Overview
12
12
years of professional experience
Work History
Denials Management Specialist
Memorial Hospital at Gulfport-Biloxi, MS
2024.04 - Current
- Analyze insurance claims denials in order to determine appeal options.
- Identify denial trends in order to prevent future denials.
- Collaborate with coders and billers to resolve denied claims.
Third Party Collector
Memorial Hospital at Gulfport-Gulfport, MS
2022.09 - 2024.04
- Monitor inpatient encounters to achieve maximum reimbursement through consistent follow up with insurance companies, including Medicare.
- Achieved monthly targets consistently by prioritizing tasks effectively and staying organized throughout high-volume periods.
- File reconsiderations to health insurance companies to resolve payment denials.
Operations Manager
Cotiviti
2021.06 - 2022.05
- Operations manager for subrogation team primarily focused on investigation and payment recovery.
- Supervised operations staff and kept employees compliant with company policies and procedures.
- Achieved higher employee retention rates by fostering a positive work environment.
Operations Manager
HMS-Omaha, NE
2019.12 - 2021.05
- Supervised operations staff and kept employees compliant with company policies and procedures.
- Successfully led teams through the transition to remote work environment.
- Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
- Established positive and effective communication among staff and organization leadership, reducing miscommunications, and missed deadlines.
- Conducted regular performance reviews, identifying areas for improvement and developing action plans to address them.
Operations Manager
Intrado-Omaha, NE
2015.03 - 2019.12
- Shared Services Manager for several teams including training team, vendor management, research, subrogation and insurance verification.
- Led hiring, onboarding and training of new hires to fulfill business requirements, including tracking of compliance training for business unit.
- Interacted well with clients to build connections and nurture relationships.
Operations Supervisor
Intrado; formerly West Corporation-Omaha, NE
2012.03 - 2015.03
- Managed day to day needs for subrogation team, including investigative and recovery.
- Enhanced customer service training for team to protect clients brand.
- Motivated and trained employees to maximize team productivity.
Education
Bachelor's degree - Secondary Education
University of Nebraska
Lincoln, NE05.1993
Skills
Communication skills
Operations Management
Team Management
Training & development
Microsoft Excel
Performance Management
Client services
Analytical Thinking
Issue Research
Customer Relations
Timeline
Denials Management Specialist
Memorial Hospital at Gulfport-Biloxi, MS
2024.04 - Current
Third Party Collector
Memorial Hospital at Gulfport-Gulfport, MS
2022.09 - 2024.04
Operations Manager
Cotiviti
2021.06 - 2022.05
Operations Manager
HMS-Omaha, NE
2019.12 - 2021.05
Operations Manager
Intrado-Omaha, NE
2015.03 - 2019.12
Operations Supervisor
Intrado; formerly West Corporation-Omaha, NE
2012.03 - 2015.03
Bachelor's degree - Secondary Education
University of Nebraska
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