Summary
Overview
Work History
Education
Skills
Timeline
Generic

Stephanie FEHMIE

Las Vegas

Summary

Detail-oriented customer service professional with 20+ years of experience working in high-volume, fast-paced environments in healthcare, retail, and hospitality, delivering high-quality customer experiences. Skilled in planning and executing against performance metrics and sales goals.

Overview

12
12
years of professional experience

Work History

Resolution Analyst/Appeals Coordinator Sr.

United Healthcare
03.2012 - Current
  • Consistently achieved quality and customer satisfaction metrics.
  • Awarded quarterly bonus for delivering a direct, positive, impact on customer service experience.
  • Resolved hundreds of provider and member appeals and escalations, including claims, and appeals with an understanding of multiple processes and systems across multiple healthcare business segments.
  • Facilitated continuous interaction between providers, medical groups, facilities, laboratories, and members, resulting in 100% quality rate.
  • Acted as a key contact for issue resolution and customer advocacy.
  • Identified and investigated trends in appeals and grievances.
  • Skilled in post service, pre-service, hospice, and readmission appeals.
  • Experience with both Cosmos and NICE platforms.

Kids Supervisor-Parties and Events

Life Time Summerlin
10.2023 - 04.2024
  • Greeted, acknowledged, and interacted with members and guests in a friendly and professional manner.
  • Fostered children’s cognitive, social, emotional, and physical development by instructing organized activities in accordance with the Kids Academy Schedule.
  • Prepared and set up for classes and transferred kids to and from programming.
  • Maintained records of children’s attendance, development, and incidents.
  • Monitored and interacted with children to maintain a safe and healthy environment with respect to the toys, sports equipment, other children, and surroundings.
  • Utilized positive behavior management techniques and communicated clearly with parents and team members.
  • Promoted all Junior programming to increase participation in all Kids & Aquatics programming.
  • Maintained the Kids Academy and other program areas by following the cleaning checklist and performing assigned tasks. Restocked supplies after each class.
  • Handled incidents and emergencies in a calm and professional manner.
  • Maintained the operational documentation, audits and delegates cleaning checklist and staffing responsibilities.
  • Completed Team Member Evaluations, provided feedback and coaching as needed.

Education

Associates of Arts -

College of Southern Nevada
01.2023

Certificate - Clinical Medical Assistant

Central County Regional Occupational Program
10.2008

Certificate - Administrative Medical Assistant

Casa Loma College
12.2006

Diploma - General Studies

Westminster High School
06.1998

Skills

  • Effective Time Management
  • Microsoft Office
  • Communication Skills
  • Leadership
  • Customer Service
  • Team Leadership
  • Financial Management
  • Relationship Management
  • Communication
  • Problem Solving
  • MS Office
  • Google Suite
  • Time Management
  • Remote Working
  • Data Entry
  • Admin and Operations
  • Financial Acumen Cash Handling

Timeline

Kids Supervisor-Parties and Events

Life Time Summerlin
10.2023 - 04.2024

Resolution Analyst/Appeals Coordinator Sr.

United Healthcare
03.2012 - Current

Associates of Arts -

College of Southern Nevada

Certificate - Clinical Medical Assistant

Central County Regional Occupational Program

Certificate - Administrative Medical Assistant

Casa Loma College

Diploma - General Studies

Westminster High School

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Stephanie FEHMIE