Karilyn Brown
South Jordan,UT
Summary
Experienced Medical Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering many years of experience and willingness to take on any challenge.
Overview
27
27
years of professional experience
Work History
Insurance Specialist
Cottonwood OB/GYN
07.2023 - Current
- Answer incoming calls, investigate and resolve issues involving insurance (including unpaid claims), review insurance aging reports, research benefits for OB patients and review them at their appointment, and enter bills and send claims to the clearinghouse.
Health Benefit Advisor
Public Employees Health Program
02.2017 - 04.2023
- Received and responded to incoming phone calls from policyholders, claimants, and providers
- Educate members and providers on website tools and navigation
- Troubleshoot website account issues including setup, password resets, deletions, and various website issues
- Assist members in making changes through the website
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options
- Checked employees' benefits enrollment for accuracy and inputted data.
Specimen Processor II/Lead
IdentiGene
10.2012 - 12.2017
- Led the team of specimen processors by working to optimize, improve and ensure the most efficient processes were employed and performed with precision accuracy
- Assisted in organizing and directing the responsibilities of the specimen processors including training and documenting competency as needed
- Coordinated problem resolution efforts in specimen processing by working with laboratory staff, data analysis, and case production teams
- Contacted customers by phone to resolve exceptions so that cases could be started in a timely manner.
Exception Handler
IdentiGene
01.2009 - 10.2012
- Resolved DNA paternity cases with exceptions (personal and legal)
- Spoke with customers to resolve case issues and act as an expert resource for questions from client services
- Produced high quality and volume of work
- Was consistently a top performer with exceptions and follow-up items
Seminar Coordinator
Achieve Global
05.1999 - 01.2009
- Negotiated contracts with venues, vendors and suppliers to obtain best rates and services
- Monitored and controlled event expenditures to meet budgets
- Managed administrative logistics of events planning, event booking, and event promotions
- Worked with multiple departments to check proper billing information
- Developed and maintained billing procedures to make timely payments
- Processed and verified invoices to secure accuracy of billing information
- Provided excellent customer service, developed and maintained client relationships.
Customer Service Lead/Account Representative
Achieve Global
03.1998 - 05.1999
- Followed up with customers about resolved issues to maintain high standards of customer service
- Increased efficiency and performance by monitoring team member productivity and providing feedback
- Cross-trained and backed up other customer service managers
- Promptly responded to inquiries and requests from prospective customers
- Met customer call guidelines for service levels, handle time and productivity
- Responded to customer requests, offered excellent support and tailored recommendations to address needs
- Trained new personnel regarding company operations, policies and services
- Updated account information to maintain customer records
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Education
Certificate - Medical Assisting
Jordan Technical Center
06.1987
High School Diploma -
Bingham High School
South Jordan, UT05.1987
Skills
- Documentation skills
- Policy analysis
- Documentation abilities
- Reporting skills
- Account Management
- Reporting abilities
- Claims Management
Timeline
Insurance Specialist
Cottonwood OB/GYN
07.2023 - Current
Health Benefit Advisor
Public Employees Health Program
02.2017 - 04.2023
Specimen Processor II/Lead
IdentiGene
10.2012 - 12.2017
Exception Handler
IdentiGene
01.2009 - 10.2012
Seminar Coordinator
Achieve Global
05.1999 - 01.2009
Customer Service Lead/Account Representative
Achieve Global
03.1998 - 05.1999
Certificate - Medical Assisting
Jordan Technical Center
High School Diploma -
Bingham High School
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