Kathy Gartner Email & Phone Number

La Crosse, Wisconsin, United States

• Perform analysis of provider claims to ensure proper pricing of contracts, reimbursement policies and procedures.
• Process 100+ RHRP/VBA dental and medical claims daily using Mednet software system to confirm correct cost rates.
• Provide analytical expertise and accurate direction on pricing while meeting production goals.
• Settle fee schedule and service contract issues between providers, provder network management and clinical review operations.
• Communicate with providers to explain service codes and payment details.
• Obtain relevant evidence and information regarding disputed claims via internal tasks research.

La Crosse, Wisconsin Area

• Managed international freight damage claim process for seven Trane export regions.
• Audited 350 freight bills monthly and identified variances for export team to resolve.
• Maintained monthly freight spend database of $800K and generated regional reports to accounting.
• Scheduled and paid up to 10 HVAC technicians monthly for chiller repairs at ports and warehouses.
• Obtained US factory assessments and technical reports to justify replacement of units each week.
• Gathered evidence and filed freight damage claims with carriers for international sales offices.

La Crosse, Wisconsin, United States

• Filed domestic freight claims and provided corrective action to 110 sales offices, 11 industrial units, and hundreds of parts centers.
• Resolved more than 500 domestic freight claims annually with LTL transporters on behalf of Trane customers.
• Collected 40% more reimbursement than customers filing claims on their own.
• Acquired over $12 million in settlements from transporters on behalf of Trane customers.
• Documented and analyzed claims data with Excel spreadsheets, pivot tables, charts and graphs.

Bachelor Of Science Degree, Marketing

Associate Of Applied Science - Accounting Degree, Accounting

Evening classes to obtain an Associate Accounting Degree.