Katie Pflueger
Scottsdale
Summary
Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results.
Overview
24
24
years of professional experience
Work History
Billing and Insurance Specialist
Integrated Pediatric Therapy Associates
01.2022 - Current
- Maintained confidentiality of patient finances, records, and health statuses.
- Followed up on denials, late payments, extensions and other special circumstances.
- Maintained high standards of customer service by building relationships with clients.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Resolved discrepancies in insurance payments by collaborating with carriers.
- Communicated effectively with members of operations, finance, and clinical departments.
- Processed eligibility and benefits verification and authorization requests.
- Monitored changes in insurance industry to stay compliant with relevant laws and regulations.
Home Health Care Provider
C&D Choices
05.2021 - 01.2022
- Assisted patients with dressing, grooming and feeding needs, helping to overcome and adapt to mobility restrictions.
- Completed household management tasks for clients within private home settings.
- Assisted patients with handling daily chores and errands by transporting to appointments, cleaning personal spaces and purchasing supplies.
- Provided patients with assistance in completing daily tasks, reducing daily burden on family members.
- Helped patients safely transition between sleeping surfaces and mobility assistance such as wheelchairs by providing consistent support.
Medical Esthetician
Front Range Dermatology
05.2019 - 05.2020
- Sterilized equipment for patient treatments.
- Analyzed skin condition and made appropriate product recommendations.
- Fostered friendly, warm and exceptional customer experience.
- Recommended retail products for at-home use.
- Assessed condition of clients' skin in order to make recommendations to improve skin quality.
- Educated patients on treatment options.
- Assisted manager with daily spa operations.
- Carried out product inventory checks, charting and consultations.
Medical Staff Administrative Assistant
Banner Health
07.2016 - 05.2019
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Implemented successful healthcare program through professionalism, quality of care, medical teaching and patient satisfaction.
- Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
- On Call Schedule for all 3 hospitals in Northern Colorado.
Licensed Insurance Representative
State Farm
03.2005 - 07.2016
- Calculated quotes and educated potential clients on insurance options.
- Recommended type and amount of coverage based on analysis of customers' circumstances using persuasive sales techniques.
- Leveraged knowledge of company insurance products and services to advise customers on appropriate choices.
- Obtained underwriting approval by completing application for coverage.
- Upsold additional products and services after identifying customer needs and requirements.
- Developed sales leads from direct referrals, networking and targeted marketing campaigns.
Assistant Manager/Loan Officer
CitiFinancial
03.2001 - 03.2004
- Reviewed and validated details of loan applications and closing documentation.
- Collected and compiled paperwork such as title abstracts, insurance paperwork, loan files and tax histories.
- Set up, stored and updated customer files, department records and regulatory paperwork.
- Communicated acceptance or rejection to applicants via mail, email, telephone or personal consultations.
- Filed completed loan applications with underwriting and made approval or denial recommendations.
- Verified credit histories, personal references and employment backgrounds for each applicant.
- Trained and managed 8 sales staff and achieved significant improvements in productivity.
Education
Bachelor of Arts - Journalism Public Relations/Advertising Media
University of Northern Colorado
Greeley, CO12.2001
Skills
- Leadership and Management 10 Years
- Sales and Marketing 10 Years
- Customer Service 10 years
- EMR Systems
- Administrative Support
- Training Team Members
- Account Management
- Documentation abilities
- Policy analysis
- Claims Management
Timeline
Billing and Insurance Specialist
Integrated Pediatric Therapy Associates
01.2022 - Current
Home Health Care Provider
C&D Choices
05.2021 - 01.2022
Medical Esthetician
Front Range Dermatology
05.2019 - 05.2020
Medical Staff Administrative Assistant
Banner Health
07.2016 - 05.2019
Licensed Insurance Representative
State Farm
03.2005 - 07.2016
Assistant Manager/Loan Officer
CitiFinancial
03.2001 - 03.2004
Bachelor of Arts - Journalism Public Relations/Advertising Media
University of Northern Colorado
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