Kate M. Email & Phone Number

Salt Lake City, Ut, Us

• Reviewed and conducted pre-implementation audits to determine if systems and programs under development are compliant with business approval policies.• Auditing all workflow processes for cross-functional teams utilizing SalesForce, Oracle CX, and Complink systems.• Collaborated with others within the organization in revamping the Quality Assurance program which saw a substantial increase in processing accuracy by 75.00%.• Assessed data obtained from various departments to conceptualize and define operational problems.• Creating and distributing all individual, team, and department-based reports seeking areas of improvement.• Acted as liaison between various departments throughout the organization with concise and professional communication.• Achieved a 100.00% client satisfaction rating by consistently meeting all Service Level Agreements.

• Approved and denied medical related claims based off IRS and compliance guidelines. • Analyzing medical related documentation to ensure the correct billing structures were implemented.• Contacting insured or other involved persons to obtain missing information.• Partnered with various departments across the organization in resolving customer and client escalations.• Oversaw and designed training materials used to support cross-functional teams.