Kim Bremer

Experience

• 

  BlueCross BlueShield of South Carolina

  Aug 1978 - Nov 1985

  Manager

  Major medical claims processing, supervised call center for all lines of business except Medicare, marketing assistant, Champus Dental manager, Human Resources to establish Florence office.

• 

  Thompson Dental Company (now Patterson Dental)

  Dec 1985 - May 1996

  Special Marketing/Dental School Rep (

  Introduced new dental supply products in SC and GA; onsite at MCG in Augusta GA and MUSC in Charleston, SC recruiting students. Covered sales territories.

• 

  Delta Dental of Missouri

  Oct 2001 - Jul 2003

  Provider Relations Rep

  PR rep for the state of South Carolina; traveled entire state; trainedl recruited PPO network

• 

  Bright Now! Dental

  Jan 2004 - Jan 2005

  Marketing Rep
• 

  Cigna Healthcare

  Nov 2005 - Jan 2013

  Provider Relations Rep

  Determine PPO fee increases, recruiting, trouble shooting claim/issues. update PPO fee schedules, process terminations for PPO and DMO networks

• 

  HealthSmart

  Jan 2013 - Aug 2014

  Senior Provider Relations Rep
• 

  Claude R. Williams, Jr., D.D.S.

  Sept 2014 - Nov 2014

  Dental Claims Coordinator

  Manage the entire claims cycle for a general dental practice. Application of appropriate current dental terminology coding, identification of dental benefits accurately to include discernment of deductibles and co-insurance. Claims are monitored for turnaround timeliness with insurance carriers. Appeals or explanation of benefit discrepancies initiated and followed though to resolution.

• 

  Access Endodontics

  Aug 2015 - Jun 2016

  Marketing Representative

  Promote practice to general dental offices in the DFW Metroplex to raise awareness of a root canal specialist in the Coppell area.

• 

  Walden Dental

  Feb 2016 - May 2017

  Recruiter

  My contract position at Walden Dental ended May 29, 2017. I successfully built a robust dental managed care network of general dentists and specialists in the Dallas/Fort Worth metropolitan suburban area. Walden now has a license worthy network for Texas Department of Insurance consideration.

• 

  Aetna, a CVS Health Company

  Nov 2017 - Feb 2022

  Dental Network Relations Consultant

  Recruitment, contract, develop, and expand member access of both general practitioners and specialists, which serve as contractual networks of care for members; foster growth of managed care of all contracted networks and enhance profitability of Aetna.

• 

  Delta Dental Ins.

  Feb 2022 - Aug 2023

  Network Development Specialist

  Recruit and retain dentists in all lines of business... managed care, PPO, Medicare Advantage and government programs. Contract negotiations, special projects and assignments in non enterprise states.

• 

  Walmart Health

  Aug 2023 - Aug 2024

  Senior Manager II, Payer Programs Dental

  Negotiate contract language and fees for commercial, Medicaid, and Medicare lines of business in Walmart health clinics for existing and new markets. These include Florida, Georgia, Arkansas, Illinois, Texas and Missouri.

• 

  Guardian Life

  Sept 2024 - now

  Senior Dental Network Recruiter