Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

Mona Kishpaugh

Colton,OR

Summary

Dedicated customer care professional with extensive experience handling sensitive issues and providing quality support to patients and members. Clear understanding of HIPPA compliance and proficient in utilizing electronic medical records program for requesting and sending medical records. Proven track record of resolving problems and improving Customer Satisfaction. Ready to contribute to team success in achieving company goals.

Overview

26
26
years of professional experience
1
1
Certification

Work History

Inside Sales Representative & Warranty Specialist

Builders FirstSource
Clackamas, OR
11.2023 - Current
  • Prepared weekly reports summarizing service and warranty activities.
  • Delivered superior customer support to improve account retention rate.
  • Leveraged computer system to input customer orders and pricing information.
  • Listen to customer needs to identify and recommend warranty service options.
  • Facilitated communication between customers, vendors, and internal departments during the claims process.
  • Prepared reports detailing current status of outstanding warranties as well as trends associated with specific products or manufacturers.
  • Maintained warranty database, ensuring all records were accurate and up-to-date.
  • Assisted claimants, providers and clients with problems or questions regarding claims.

Case Management Assistant

Innovative Care Management
Portland, OR
02.1999 - 08.2023
  • Consistently participated in Case Management and staff meetings conducted through Microsoft Teams
  • Managed inventory of office supplies and educational materials, ensuring timely replenishment as per requirements.
  • Working knowledge of a wide range of office machines.
  • Triaged Case Management calls, assisted families and doctors with prior authorizations, explained denial rationale of services, verified patient eligibility and benefits, provided PPO information to members.
  • Collect key referral contact information, enter data for prior authorizations. Obtain supporting documentation for various home health services, DME, ancillary testing, inpatient hospice, outpatient hospice, and a variety of surgeries and organ transplants.

Education

Continuing education in Cyber Security Awareness -

Clearwater Compliance
01-2023

HIPPA Training for Business Assoc. -

Clearwater Compliance
01-2023

Certificate in Medical Terminology and Medical Office Procedures -

Business Computer Institute
Beaverton, OR
01.1995

Skills

  • Dependable and Responsible
  • Strong Organizational Skills
  • Professional and positive demeanor
  • Problem-Solving / Active Listener
  • Exceptional Written and Verbal Communication
  • Superior Customer Service
  • Teamwork and Collaboration
  • Attention to Detail
  • Multitasking and Prioritizing
  • Proper Telephone Etiquette
  • Cultural Awareness
  • Flexible and Adaptable
  • Telecommuting Experience

Certification

  • Basic Life Support (BLS) Certification Course, 07/05/23 - 07/05/25, American Health Training
  • Notary Commission, 07/18/23 - 07/17/27, State of Oregon

References

Available upon request

Timeline

Inside Sales Representative & Warranty Specialist

Builders FirstSource
11.2023 - Current

Case Management Assistant

Innovative Care Management
02.1999 - 08.2023

Continuing education in Cyber Security Awareness -

Clearwater Compliance

HIPPA Training for Business Assoc. -

Clearwater Compliance

Certificate in Medical Terminology and Medical Office Procedures -

Business Computer Institute

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Mona Kishpaugh