Karolin L. Email & Phone Number

Seattle, Washington, United States

Grade 4 position within the Accounting & Eligibility department of a third party administrator serving a wide range of clients with the Washington Teamsters Welfare Trust fund.  Regular communication with clients, members, and insurance carriers to resolve health coverage issues and answer questions Balance monthly bills, apply coverages timely, and communicate with clients regarding overages, shortages, and unpaid bills Responsible for approximately 200 clients, 4000+ members’ coverage monthly

Seattle, Wa

Produced and sent COBRA offer letters to qualifying members in a timely manner, in accordance with COBRA law, in addition to setting up and managing self-pay accounts for members electing to continue coverage. Reviewed and monitored accounts to maintain adherence to federal standards. Primary point of contact between members and the Plan, answering questions, researching and requesting updates to member healthcare coverage eligibility.

Seattle, Washington, United States

Data entry for enrollment services supporting member eligibility and access to benefits, as per the guidelines of each Trust Fund administered, as well as ensuring new membership information packets sent timely to all newly qualified members. Maintained office supplies and calculated postage required on a daily basis. Provided support to accounting clerks in entering data for monthly balancing and eligibility updates. Provide assistance to Northwest Administrators, Inc. in the Accounting and Eligibility department, specializing in data maintenance for member records, filing, mailing new hire packets, and enrolling new members in a timely manner.

Seattle, Wa

Provide assistance to Northwest Administrators, Inc. in the Accounting and Eligibility department, specializing in data maintenance for member records, filing, mailing new hire packets, and enrolling new members in a timely manner. Enter and track hours for current members, and research eligibility and coverage, using primarily ACE software, as well as intranet and SQL server databases. Also maintain supplies for mail and new hire packets, keeping inventory and ordering more as necessary. Sort and distribute incoming and returned mail.

Lynnwood, Wa

Provided intake coordination services for Community Health Plan of Washington's "Apple Health" product, through Health Integrated. Data entry for health insurance processing, discreet handling of PHI and intimate working knowledge of HIPAA regulations, support for medical management staff.

Seattle, Wa

Data entry for health insurance processing (receiving, analyzing and entering information related to members' episodes of health care), including extensive use of CPT and ICD-9 codes; discreetly handling protected health information; communicating with providers to obtain information and clarify requirements; ensuring prompt, accurate transfer of information regarding member care and claims, using the Jiva, Adaptis, QNXT and Xcelys programs; helped revise the copy editing and quality assurance process to meet NCQA and State standards; support for nurse review staff.

Seattle, Wa

Provided temporary assistance transitioning into employment with Community Health Plan of Washington, providing production support (clerical work, data entry, mail) to the Intake Coordination team in the Medical Management department.

Greater Seattle Area

Provided temporary assistance to a number of different companies including the Washington Talking Book and Braille Library (reception), and the Washington Office of Administrative Hearings (clerical, mail, production support to judges and their assistants, assembling and filing cases).

Seattle, Wa

Worked with a Head Teacher, offering support for education and classroom management, parent/teacher relations, and maintaining supplies. Also occasionally filled the role of Secretary, operating the front desk for the center, greeting visitors, students and parents, fielding phone calls, organizing and filing papers. Also, assisted the School Director with organizing and managing the annual fundraiser, including coordination of volunteers, schedules, personnel, supplies, and research into costs and availability.

Seattle, Wa

Worked closely in association with the director of the non-profit to plan and coordinate the after-school program for the center. Coordinated and supervised 4-5 volunteers, as well as supervising and tutoring 8-10 elementary school children, 3 days a week, in addition to taking part in training and planning sessions.

Representative of the company on the sales floor; customer service; shipping and receiving; management of closing staff (three people) and duties (counting down tills, depositing money in safe, housekeeping, security).

Bachelor Of Arts, English Literature, Over Gpa Of 3.3

Activities and Societies: Became involved with the campus chapter of International Justice Mission, an international non-profit.

Education record

Activities and Societies: Drama department, prop acquisition and preparation