Bridget Bailey Email & Phone Number

St Paul, Minnesota, United States

Bloomington, Minnesota, United States

• Trained and mentored staff of three on policies and procedures to establish a strong and efficient foundation for audit practices to satisfy constantly evolving sets of compliance goals.• Prepared and presented claim appeals to Trustees at appeal meetings and prepared written correspondence to appellants in accordance with federal regulations.• Developed and implemented a new process to track claim appeals creating a more streamlined workflow and a central hub for inter-departmental… Show more • Trained and mentored staff of three on policies and procedures to establish a strong and efficient foundation for audit practices to satisfy constantly evolving sets of compliance goals.• Prepared and presented claim appeals to Trustees at appeal meetings and prepared written correspondence to appellants in accordance with federal regulations.• Developed and implemented a new process to track claim appeals creating a more streamlined workflow and a central hub for inter-departmental communication.• Assisted with coordination of external audit engagements acting as a subject matter expert in medical claims responding to inquiries in a knowledgeable and timely manner.• Maintained knowledge of applicable laws and regulations that impact the organization to ensure continued compliance and limit regulatory risks.• Analyzed data from audits to identify trends and made recommendations to Claims Department Head resulting in constructive feedback and staff development.• Prepared monthly reporting for President of company summarizing audit results for 30 funds to ensure organization's highest standards in financial and procedural accuracy are met. Show less

Bloomington, Minnesota, United States

• Audited claims and eligibility for 23 Taft-Hartley ERISA funds monthly ensuring processing accuracy by verifying all aspects of the claim have been handled according to the organization's processes and in compliance with federal regulations.• Researched issues related to claims processing to identify origins and advise management on corrective solutions.• Created and maintained spreadsheets reflecting financial and procedural accuracy of audits.• Developed training manual for… Show more • Audited claims and eligibility for 23 Taft-Hartley ERISA funds monthly ensuring processing accuracy by verifying all aspects of the claim have been handled according to the organization's processes and in compliance with federal regulations.• Researched issues related to claims processing to identify origins and advise management on corrective solutions.• Created and maintained spreadsheets reflecting financial and procedural accuracy of audits.• Developed training manual for department to better define the internal audit processes. Show less

Bloomington, Minnesota, United States

• Guided participants and beneficiaries of two defined benefit funds and one defined contribution fund through pension application process and reviewed and calculated pension payments.• Reconciled pension payment registers monthly and researched and resolved any inconsistencies.• Billed and collected pension contributions from employers quarterly.• Interpreted and followed the rules outlined in the summary plan description.

Bloomington, Minnesota, United States

• Delivered exceptional customer service to participants and providers by communicating important information and patiently listening to all issues.• Followed all HIPAA compliance guidelines to ensure protection of sensitive data.• Managed large volume of medical, short-term disability, HRA, and vision claims and customer service calls on daily basis and recognized as a top performer in department in volume of claims processed and accuracy.

Bachelor Of Arts (B.A.), Graphic Design

Graphic Design