Michelle Bergey Email & Phone Number

Portland, Oregon Area

• Co-founder of culinary tourism company and developer for the company's first international location in Portland, Oregon USA.• Multiple-role and versatile position overseeing all aspects of business operations, financial management, employee management, vendor relationships, and customer service.• Designed and implemented technology with focus on engaging and growing customer-base in each market. • Created effective digital marketing strategies for global campaigns and produced written and visual content for website and various media channels.• Managed a dynamic team of 3-5 employees, providing direct leadership and fostered a collaborative work environment.• Cultivated strategic partnerships locally and internationally, driving substantial business growth and increased direct sales.• Designed and executed all local tour routes and served as the main tour guide. Utilized expertise in route planning and logistics, local and global culinary traditions, and historical knowledge to enhance guest experience.

Portland, Oregon Area

• Reviewed claims, both pre and post payment, to ensure coverage coding, and billing requirements were met per Medicare, Medicaid, and National Coding guidelines. • Analyzed claims along with medical records, reports, and other medical documents to assess the need and requirement for a member’s medical procedure(s) according to Medicare and Medicaid coverage guidelines and internal policy.• Assisted the Education and Development department lead trainer in developing and creating company-wide training and curriculum for new claim system implementations. Assisted Education and Development Department with upcoming system trainings. • Created and edited training documents, department policies and procedures, and other reference documents. Responsible for recognizing source of claim issues and making suggestions for claim process improvements and changes.

Portland, Oregon Area

• Analyzed medical records, reports, and other medical documents to assess the need and requirements for a member’s medical procedure(s) according to Medicare and Medicaid coverage guidelines and internal policy. Sole processor of comprehensive authorization/determination requests for company’s government healthcare plans. • Assisted a clinical team of nurses and doctors by providing support in the review, research, and entry of authorization requests.• Responsible for training employees on the entry and processing of authorization requests for Government plans. Developed and revised training materials, policies, procedures, and other reference documents.