Evashta Stephan Email & Phone Number

Menomonee Falls, Wisconsin, United States

Menomonee Falls, Wisconsin, United States

Resolve complex claims payment inquiries by analyzing patient activity and related documentation (including enrollment, claims, and authorizations) and determine appropriate action to be taken.Serve as a resource to Customer Service by answering customer care inquiries regarding claims payment issues.Submit accurate and timely payments to providers by running exception reports and reviewing and correcting claim issues.Interpret and communicate accurate insurance coverage by having a comprehensive understanding of benefits for multiple markets.Develop efficiencies in the review of edit reports by reviewing procedures and making appropriate suggestions and adjustments to procedures.Research proper methods to handle claim exceptions such as untimely filed claims or specialty claims, and follow through on resolution.Process claim adjustments and recoup any potential overpayments.responsible for the maintenance of provider records and contracts by ensuring all information is loaded accurately in the system and appropriate fee schedules are assigned to providers.Correspond with client to resolve client inquiries or concerns in a timely and professional manner.Train new employees.

Menomonee Falls, Wi

Distribute and collect application materials, schedule interviews, conduct phone screens, interviews.Interview candidates.Preparing job offers.Coordinate pre-employment medical testing/drug screens for new hires.Maintain all applicant and interview records as required.Conduct Reference checks.Assist in coordinating on-boarding schedule and new hire paperwork.Conduct new employee orientation.Provide assistance for the enrollment and termination of employees in benefit plans.Act as back-up benefit liaison for employee questions/inquires.Prepare termination letters and packets.Generate and run reports as needed.Prepare and process payroll processing.Complete external salary surveys as requested.Assist in distribution of 90-day/annual performance appraisals.Schedule and track employee training.Track and maintain employee records.Track performance appraisals.30 Day new employee evaluation interview.Coordinate health related lunches and annual health risk assessments.Assist with the annual United Way campaign and other employee events.Assist HR Manager on departmental projects as necessary.Performs general office-support.

Mequon, Wi

Schedule conference rooms, travel arrangements for HR department and potential candidates. Assist in interviewing and on-boarding new employees by reviewing resumes, conducting phone screens, tracking phone screens and resumes, scheduling interviews, preparing offers, and processing new hire paperwork.Conduct reference checks and criminal background screening. Conduct new employee employment verification.Maintain and create new employee files.Maintain and track personal time off for HR department.Maintain and update all employee information into HR tracking system, ensuring accuracy of data, running routine monthly and quarterly reports (i.e., turnover).Prepare and coordinate the facilitation of various HR training programs and other departmental training as needed.Maintain and prepare company handbook for new employees.Use professional discretion in handling confidential matters related to personnel issues or sensitive employee data.Track employee information in HR tracking system by entering new hire training information, company related activities and employee records current.Coordinate additional administrative duties as needed for specialized projects and tasks.Itemized HR department expense reports monthly.Track and update personal time off for HR department.

Receive all capital expenditure purchase requests from all facilities. Review for completeness, making sure all necessary signatures, justifications, insurance certificates and required paperwork are attached. Distribute to appropriate Director for approval. Receive and process all invoices relating to capital expenditures and waste for payment, reviewing for accuracy and obtaining waivers when needed. Interacts with Purchasing and accounts payable for follow-up on capital purchase orders, payments and to resolve any issues. Work with Facility Administrators, Regional Directors and vendors to answer questions regarding Purchase Requisitions, Purchase Orders, invoices, etc. Maintain filing system for all facility orders. Answer multi-line phone on a daily basis, provide assistance or information, transfer calls or take messages.

Calculate premiums, refunds and adjustments.Compare information from application to criteria for policy reinstatement and approve reinstatement when criteria are met.Examine letters from policyholders or agents, original insurance applications, and other company documents to determine if changes are needed and effects of changes.Make follow up calls to members regarding discrepancies. Modify, update, and process existing policies and claims to reflect any change in beneficiary, amount of coverage, or type of insurance. Process monthly payments, one time draft payments via debit checking or savings acct and credit card. Frequently aided customer service call center department receiving inbound calls for administrative department resolving issues, payment arrangements and posting payments via one time draft or monthly draft set up.

Ba, Human Resource Management/ Health Care Management

Activities and Societies: ASHHRA- American Society for Healthcare Human Resources Administration Wounded Wings (My Time)-Volunteer.

High School Diploma, Music Major