Open To Work
Stephanie Lippert
Bend,OR
Summary
Seasoned Claims Trainer known for high productivity and efficient task completion. Possess deep understanding of claims processing, regulatory compliance, and training program development. Excel in communication, leadership, and problem-solving to enhance team performance and knowledge retention. Strengths include creating comprehensive training materials, developing curriculum, and fostering a supportive learning environment for team members.
Overview
28
28
years of professional experience
Work History
Government Claims Trainer
PacificSource
Bend, USA
12.2019 - 12.2025
- Train Claims Analysts (Levels 1–3) and Claims Audit Specialists for Medicare and Medicaid lines of business.
- Develop, update, and maintain all desktop documentation, job aids, and training materials.
- Assessed training needs and tailored content for diverse learning styles.
- Provide subject-matter expertise on claims processing systems, including Facets, Office 365, SharePoint, and OnBase.
- Serve as the primary resource for government claims questions and complex claim scenarios.
- Collaborate with Facets Business Support on mapping, clinical edits, CMS/OAR compliance, and process automation.
- Assign work based on inventory needs, and maintain training matrices for all analysts.
- Track analyst errors, identify trends, and deliver targeted refresher training.
- Process SharePoint Task Adjustment requests related to provider contracts, benefits, eligibility, and corrections.
- Conduct Benefit Determination Form audits to ensure accurate benefit configuration in Facets.
- Support team leads with performance reviews, development plans, and Workday learning assignments.
- Act as a Large Dollar Audit, Coordination of Benefits, D-SNP, and Contract Interpretation Subject Matter Expert (SME).
- Analyze and process up to 200 claims per day across all analyst roles when not actively training.
- Conducted ongoing research into best practices related to claims processing.
Government Claims Analyst III
PacificSource
Bend, USA
02.2017 - 11.2019
- Analyzed up to 200 medical and hospital claims per day for Medicare and Medicaid, including COB, and corrected claims.
- Served as a New West financial subject matter expert in the QNXT system, and provided backup support to the Medical Claims Audit team.
- Trained analysts, maintained training matrices, and supported development plans.
- Created and updated desktop instructions, and workflow documentation.
- Tracked analyst errors and delivered supplemental training.
- Managed daily inventory and pended report assignments.
- Processed SharePoint Task Adjustment requests, and performed Benefit Determination Form audits.
- Coordinated team-building events and contributed to the Employee Appreciation and Charity of Choice committees.
Medical Claims Specialist
Ameriben IEC Group
Meridian, USA
04.2014 - 04.2017
- Analyzed claims for self‑funded groups using GBAS, including COB, TPL, Medicare, Tribal Health, HCFA 1500, UB‑92, and eligibility documentation.
- Entered subscriber reimbursements and used external pricing tools for hospital claims.
- Served as SME for adjustment requests and handled pre‑authorizations, referrals, and chart note reviews.
- Processed adjustments due to errors, contract updates, and benefit configuration changes.
- Collaborated with remote analysts for training and process consistency.
- Reviewed documentation for accuracy and compliance with healthcare regulations.
- Communicated with healthcare providers regarding claim status and requirements.
Medical Claims Analyst
QVI Risk Solutions
Bend, USA
10.2011 - 09.2014
- Processed and analyzed claims in GBAS and RIMS for Medicare, Medicaid, COB, and TPL.
- Handled paper and EDI claims, external pricing, and pre‑certification requirements.
- Sent COB and accident letters and managed FSA paperwork preparation and filing.
- Analyzed medical claims for accuracy and compliance with regulatory standards.
- Assisted in developing internal processes for efficient handling of medical claims.
- Performed data entry into multiple computer systems related to health insurance benefits and claims processing.
Senior Claims Support Processor
MODA Health (ODS Companies)
Bend, USA
08.2008 - 08.2011
- Managed unit queues including adjustments, refunds, ITS calls, and file reviews.
- Processed voids, reissued checks, and communicated with providers.
- Monitored overpayment spreadsheets and reviewed third‑party overpayment reports.
- Supported eligibility and programming corrections and provided backup to customer service and claims teams.
- Processed COB, Medicare, and Medicaid claims and priced claims through external vendors.
- Reviewed claims submissions for accuracy and completeness regularly.
Sawyer
Jeld-Wen Windows & Doors
Bend, OR
03.2006 - 08.2008
- Running a multi-cam CNC router and chop saw.
- Cut and routed all interior sides of stationary and operating windows.
- Recycled leftover wood product, tallying units, and applying all necessary documentation of window units.
- Maintained equipment to ensure optimal performance and safety standards.
- Collaborated with team members to meet production deadlines efficiently.
- Inspected materials for quality and compliance with specifications.
- Adjusted machinery settings for different wood types and thicknesses.
- Assisted in inventory management of raw materials and finished products.
Medical Records Clerk
St Charles Medical Center
Bend, OR
03.2004 - 01.2006
- Maintained accurate patient records and ensured compliance with HIPAA regulations.
- Organized and filed medical documents for easy retrieval by healthcare staff.
- Filed outpatient diagnostic reports, NICU reports, ER reports, ultrasound reports, and surgery reports.
- Coordinated with healthcare professionals to obtain missing or incomplete records.
- Handled confidential patient information with discretion and professionalism.
- Safeguarded patient records, managing data transfers in compliance with HIPAA standards and organizational regulations.
- Retrieved medical charts for healthcare staff for filing in medical records.
- Processed incoming medical records requests from patients and external providers.
Store Manager
McDonald's
Bend, OR
08.1997 - 02.2004
- Trained and conducted new employee orientation.
- Planned maintenance for all facilities.
- Scheduled between 50 and 100 crew members.
- Trained and supervised staff to promote teamwork and service excellence.
- Prepared daily, weekly, and monthly profit and loss statements, and ran monthly inventory and sales reports.
- Implemented inventory control procedures to maintain stock levels.
- Ensured compliance with health and safety regulations in food preparation.
- Conducted performance evaluations to identify employee development needs.
- Resolved customer complaints promptly to enhance satisfaction levels.
- Collaborated with corporate teams on promotional campaigns and training initiatives.
- Managed inventory tracking and physical inventory counts to minimize loss.
- Balanced sales, reconciled cash and made bank deposits to facilitate opening and closing duties.
- Reviewed customer feedback to make operational improvements and promote satisfaction.
- Updated POS system with new products and promotional offers.
Education
Advanced Shift Management Training - Certificate
PortlandPortland
Basic Shift Management Training - Certificate
VancouverVancouver
Leadership Connection -
PacificSource
BendBend
Skills
- Claims systems expertise in Facets, RIMS, and GBAS
- Medicare, Medicaid, D-SNP training
- Curriculum development
- Standard Operating Procedure writing
- Training and performance support
- CMS guidelines for both Medicare and state of Oregon
- Provider contract interpretation
- AI-assisted tools
- Workflow optimization and automation
- Data-driven process improvement
- Microsoft Office Suite of products
- SharePoint
- OnBase
- Auditing
- Inventory management
- Written and verbal communication
- Analytical problem-solving
- Windows OS
- 10-key
- Typing - 60 WPM
References
References available upon request.
Work Preference
Job Search Status
Open to workWork Type
Full TimeLocation Preference
RemoteSalary Range
$60000/yr - $200000/yrTimeline
Government Claims Trainer
PacificSource
12.2019 - 12.2025
Government Claims Analyst III
PacificSource
02.2017 - 11.2019
Medical Claims Specialist
Ameriben IEC Group
04.2014 - 04.2017
Medical Claims Analyst
QVI Risk Solutions
10.2011 - 09.2014
Senior Claims Support Processor
MODA Health (ODS Companies)
08.2008 - 08.2011
Sawyer
Jeld-Wen Windows & Doors
03.2006 - 08.2008
Medical Records Clerk
St Charles Medical Center
03.2004 - 01.2006
Store Manager
McDonald's
08.1997 - 02.2004
Advanced Shift Management Training - Certificate
Basic Shift Management Training - Certificate
Leadership Connection -
PacificSource