Kaitlin Willis
Surprise
Summary
Seasoned professional with 7 years of experience in insurance verification, billing, and administration, 1 year experience with FMLA management. Seeking a Benefits Management or Leave of Absence Management type of role. Excelled in group operations, achieving a 100% CX Evaluation Score and adept in using Salesforce Lightning. Holds an MBA with a background in creating and auditing insurance-related processes as well with major knowledge of FMLA processes.
Overview
10
10
years of professional experience
Work History
FMLA Case Manager
Guardian
Surprise
08.2024 - Current
- Manage FMLA and other state claims and ensured compliance with federal regulations.
- Maintain case files and documented all communications effectively.
- Analyze trends in FMLA usage to identify areas for process improvement.
- Review documentation for accuracy and completeness before processing claims.
- Coordinate with employers and their employees to gather necessary medical information.
- Assist in developing policies related to employee leaves of absence.
Group Operations Specialist
Gusto
08.2022 - Current
- Conduct insurance and rate verifications, ensuring accuracy in employer and employee demographics and correcting insurance cost discrepancies.
- Utilize Salesforce Lightning and other tools for auditing group insurance terminations and updating company resources, maintaining a commitment to process improvement.
- Participate in peer reviews, pilot programs for UHC tool and text expander, and consistently achieve a Customer Experience Average Evaluation Score of 100%, with a Weekly Production Average of 7.48.
Patient Care Coordinator
Silverdale Dental Center
Silverdale
02.2021 - 06.2021
- Managed patient administrative processes, including insurance verification, billing, and processing direct payments, ensuring a seamless financial experience for patients.
- Coordinated patient flow through efficient check-in and check-out procedures and adept use of Open Dental software, contributing to the clinic's operational effectiveness.
- Facilitated patient care by developing comprehensive treatment plans and maintaining organized records through proficient scanning and scheduling.
Patient Care Coordinator/Administration
Providence Medical Group
Spokane
10.2018 - 01.2021
- Coordinated patient care by managing referrals, scheduling appointments, and preparing pre-operative clearances, ensuring efficient patient flow and satisfaction.
- Maintained accurate electronic medical records through diligent scanning and systematic organization, contributing to the integrity of patient information.
- Assisted with administrative functions, including payroll processing and insurance verification, while proficiently utilizing Excel and Word to support office operations.
Billing Liaison
Systems Design, LLC
Poulsbo
09.2015 - 03.2018
- Managed the full cycle of accounts receivable and payable, ensuring timely and accurate financial transactions.
- Conducted detailed audits of insurance payments to maintain compliance and rectify discrepancies.
- Established and oversaw a specialized department for motor vehicle collision billing, enhancing organizational efficiency.
Education
Masters in Business Administration - Business Administration
University of Phoenix
08.2022
Bachelors of Science and Certificate of Business Management - Business Management
University of Phoenix
01.2021
Skills
- Ethical Judgment
- Leadership Qualities
- Critical Thinking
- Case management
- Customer service
- Team collaboration
- Effective communication
- Problem solving
- Attention to detail
- Time management
- Conflict resolution
- HIPAA compliance
- FMLA expertise
- Benefits administration
- Motivational skills
Timeline
FMLA Case Manager
Guardian
08.2024 - Current
Group Operations Specialist
Gusto
08.2022 - Current
Patient Care Coordinator
Silverdale Dental Center
02.2021 - 06.2021
Patient Care Coordinator/Administration
Providence Medical Group
10.2018 - 01.2021
Billing Liaison
Systems Design, LLC
09.2015 - 03.2018
Masters in Business Administration - Business Administration
University of Phoenix
Bachelors of Science and Certificate of Business Management - Business Management
University of Phoenix