Stephanie Welsh
Redmond,OR
Summary
Highly-motivated business professional with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
9
9
years of professional experience
Work History
Director of Operations
Shasta Administrative Services
Redmond, Oregon
07.2021 - 06.2024
- Manage day-to-day operations of a large staff in multiple departments.
- Develop and implement operational strategies to maximize efficiency, reduce costs, and improve customer satisfaction.
- Coordinate activities between different departments to ensure successful completion of projects.
- Create policies and procedures for improved workflow processes.
- Provide leadership and guidance to subordinate managers and supervisors.
- Oversee the implementation of new technology solutions designed to streamline processes.
- Identify areas where process improvements could be made resulting in increased productivity.
- Communicate clear and consistent messages regarding departmental goals to produce desired results.
Claims System Implementation Supervisor
Shasta Administrative Services
Redmond, OR
08.2019 - 07.2021
- Developed and implemented plans for successful project completion.
- Created and managed schedules for team members to ensure effective delivery of tasks.
- Monitored progress on projects and identified areas needing improvement.
- Provided guidance, support, and training to staff as needed.
- Assigned tasks to team members based on their skill sets and availability.
- Established clear communication with all stakeholders in the implementation process.
- Worked closely with other departments to ensure smooth integration of services.
- Performed regular reviews of existing procedures and policies to identify potential improvements.
- Collaborated with vendors to ensure timely delivery of materials or services necessary for implementation projects.
- Conducted quality assurance tests prior to releasing products into production environment.
- Analyzed workflows and established priorities for daily operations.
Claims Supervisor
Shasta Administrative Services
Redmond, OR
01.2019 - 08.2019
- Developed departmental policies and procedures for processing claims according to applicable laws and regulations.
- Researched complex claim issues in order to resolve examiner questions in processing
- Reviewed and approved payments made on insurance claims within established guidelines.
- Monitored and tracked performance metrics such as turnaround times, resolution rates, denial rates. for the Claims Department.
- Collaborated with other departments to identify areas of improvement in the claims process.
Claims Reprocesser III
Shasta Administrative Services
Redmond, OR
02.2015 - 01.2019
- Investigated, researched, and resolved discrepancies in claims payments
- Claims reprocessing of medical, dental and vision claims
- Use tracking system to prioritize and complete multiple tasks by deadlines
- Request over payments and process refunds once received
- Void and reissue payments on stop payment checks
- Read and interpret HCFA and UB4 claims along with understanding CPT & ICD10 codes to properly process claims
- Extensive knowledge of plans benefits and ensure claims process as they should
- Ability to understand other insurers EOB's to correctly pay and coordinate benefits
Education
Associates of General Education - Medical
Central Oregon Community College
Bend, OR06-2016
High School Diploma -
McNary High School
Keizer, OR06-1995
Skills
- Process Improvements
- Operations Oversight
- Risk Mitigation
- Strategic Planning
- Database Maintenance
- Cross-functional team management
- Program Optimization
- Adaptability and Flexibility
- Decision-Making
Accomplishments
- Executive Member for the Mphasis User Group
References
References available upon request.
Timeline
Director of Operations
Shasta Administrative Services
07.2021 - 06.2024
Claims System Implementation Supervisor
Shasta Administrative Services
08.2019 - 07.2021
Claims Supervisor
Shasta Administrative Services
01.2019 - 08.2019
Claims Reprocesser III
Shasta Administrative Services
02.2015 - 01.2019
Associates of General Education - Medical
Central Oregon Community College
High School Diploma -
McNary High School
Similar Profiles
Mary BushMary Bush
Plan Building Specialist/FSA Coordinator at Shasta Administrative ServicesPlan Building Specialist/FSA Coordinator at Shasta Administrative Services
Mary WaltersMary Walters
Customer Service Representative 3 at Shasta Administrative ServicesCustomer Service Representative 3 at Shasta Administrative Services
Izabelle WelshIzabelle Welsh
Claims Processor at Shasta Administrative ServicesClaims Processor at Shasta Administrative Services