Iris Klinepeter Email and Phone Number

Ohev Sholom Temple 1993 current Hebrew School Teacher  Instructs 2nd grade students in Judaic and Hebrew studies  Develops weekly lesson plans in order to instruct 8 to 15 2nd grade students in learning about bible stories, Jewish Holidays, history of Israel, Hebrew letters and their vowels  Responsible for setting up rules and boundaries in order to reduce chaos within the classroom  Works with schools and Daycares to educate students about Jewish Holidays

MacuLogix, INC 2019-2020Administrative Assistant Schedules and organizes meetings, conferences and department activities for all members of the department and the CEO Handles confidential and sensitive non-routine information and explains policies when necessary Involved in opening and distributing mail and shipping department supplies to remote employees Prepares and sends out employee offer letters through DocuSign Conducts background checks through CBY for new hires Prepares personnel employee folders Order employee computers, business cards, company shirts and badges when needed Coordinates onboarding training schedules  Conducts onboarding human resources training  Updates department employee phone directory Works independently and within a team on special projects Proofreads copy for spelling, grammar and layout and makes changes where necessary Assists the department with data entry projects as needed Establishes, develops, updates and maintains the administrative filing system.  Responsible for ordering supplies for both the Headquarters and Manufacturing offices Codes invoices for accounts payable for payment Performs other duties assigned by the department

 Responsible for analyzing primary and secondary verification data in order to credential providers/practitioners into the Vibra Health Plan Network Collaborated with the internal IT team and the data analyst in order to construct the internal credentialing database Analyzes credentialing system issues and works closely with the IT team to bring them to resolution Conducts CSI Watch Dog Exclusions for the purpose of excluding providers/practitioners for possible fraud to be in compliance with CMS Verifies all received data invoices from all contracted delegated entities, Proview CAQH and Med Advantage CVO for payment  Maintains all credentialed providers files in accordance with NCQA Standards and CMS regulations through the On Base system Conducts yearly Delegated Credentialing Audits with all entities that have delegated credentialing agreements with Vibra Health Plan Write and update credentialing process/procedures Prepares all clean/unclean spreadsheets, member and provider complaints and policies and procedures for monthly credentialing committee meetings Prepares minutes from monthly credentialing committee meetings Prepares all monthly committee meeting invoices for outside committee members

 Assists the Director of Family Based Mental Health Services  Assists therapists wherever needed Assists in interviews for potential employees Enters and assigns Family Based referral cases to therapists Audits patients charts for compliance with CBHNP and DPW Conducts weekly content and service detail audits Prepares reports and enter data into spreadsheets that is pertinent to the Family Based Program Records minutes form staff meetings Assists the receptionist with answering the telephone for the organization File documents  Orders office supplies

Manager of Legislative Claims UnitCoordinated, researched, and resolved high-profile claims and inquiries received from legislative and treasury offices. Developed projects to help streamline claims processes.Created a user-friendly legislative manual to help legislative personnel deal with various constituents’ claims and research issues.Documented and handled employee personnel issues within the legislative claims unit.Managed and applied fraud detection guidelines for verification of original documents submitted for claims processing.Manager of Administration and Research Units 2004 - 2005 Managed a staff of thirteen employees in the administrative and research unit.  Developed procedures to streamline the process which enabled the unit to take a backlog of two year time frame of written inquiries regarding the locating of unclaimed property to a turnaround time frame of three weeks. Created a user’s desk manual for bureau research staff to use as a desk reference to aid in training of research inquires Prepared all letter invoices for payment of NAUPA, ACS and Audit Services billing invoices.  Maintained all employee personnel files within the bureau Coordinated events for the Holocaust Program.Administrative Officer 1 and 2 1996-2004 Assisted the Director of the Bureau of Unclaimed PropertyAssisted the Bureau Director with coordinating and scheduling meetingsAssisted the director with documenting and communicating employee personnel issues to help bring them to resolution.Kept a daily and monthly calendar organized for the directorScheduled all travel arrangements for the director and other employees within the bureauMaintained an organized file system for directors usePrepared all invoices for approval for staff training

Blue Cross Blue Shield, Pennsylvania 1984 - 1993 Medicare Correspondent – Responded to Medicare written inquiries with a thorough knowledge of the Medicare claims processing and audit guidelines Medicare Utilization Review Specialist - Analyzed and researched Medicare provider fraud  Medicare Claims Reviewer - Reviewed, audited, and analyzed medical criteria to determine payments through knowledge of Medicare claims processing guidelines. Medicare Claims Examiner - Data entry of Medicare claims, knowledge of ICD9 and CPT coding, Medical Terminology, and thorough knowledge of Medicare claims processing procedures.  Inquiry Control clerk - Reviewing and responding to public complaint inquiries concerning processed claims