Cherl Redenius

Experience

• 

  Premera Blue Cross

  Jan 1989 - Nov 2000

  Healthplus HMO membership and billing department.Processed and reconciled eligibility, billing and premium payments from employer groups, generated and reconciled monthly billing invoices. Loaded group benefit riders, rates and contractual information, and administered group benefits according to contract.Key Accomplishments:Promoted to team trainer, tasked with training all new employees in all aspects of the job over a period of several yearsSpearheaded a project targeting larger employer accounts (ie: BOEING, WEYERHAUSER, MANOR CARE) requiring exhaustive research and reconciliation in order to clean these accounts up and bring them to current status. Implemented means to streamline the reconciliation process and gain efficiencies.Selected to represent Membership & Billing for User Acceptance Testing in exploring a new computer system that was to be implemented after analysis, testing and training. Provided flow charting of existing processes using Visio, testing of these processes, and provide feedback to the implementation team. Show less

  • Membership & Billing Rep III

    Jan 1992 - Nov 2000

  • Claims Processor

    Jan 1989 - Jan 1992
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  Intermec by Honeywell

  Nov 2000 - Mar 2003

  Senior Credit & Collections Specialist

  Commercial collections and reconciliation, maintaining accounts receivable portfolio of between $5-$10 million. Collection of account balances via collection calls and letters.Key Accomplishments:Provided excellent customer service and problem solving skills to assist in reconciliation and resolution of aged receivables balances, included balance forward accounting practices, resulting in collection of past due balances over 360 days, to bring these account to current.Consistently met or exceeded established collection goals within department Show less

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  Philips

  May 2003 - Sept 2018

  Audit service work orders to identify potential safety harm/hazard issues, follow up with field service engineers for more information and code for trending purposes. Ensure that service records are fully and accurately documented according to procedure. Support and train newly recruited employees. Responsible for knowledge transfer to 12 new employees at one time. Work with management team on incorporating gaps identified in recent CAPA, adding clarifying verbiage to update governing documents. Write, review and revise SOPs. Performance Qualification (PQ) testing, executing test scripts using ValGenesis to validate Trackwise QCM. Show less Worked as part of an integral team, cross-trained on every function of cash application, misdirected cash transfer and bank report reconciliation in multiple SAP systems (PR1, MNP and MP1). Prepared weekly and monthly financial reporting via Excel for several divisions of Healthcare and creating new Excel reporting as required. Instrumental in streamlining and maintaining bad debt processes for accounts receivable. Provided monthly reconciliations for 6 general ledger accounts and loaded recons to the SharePoint site for approval & distribution. Kept daily detailed statistics via Excel spreadsheet by team member of all transactional data, and compiled data for monthly, quarterly & yearly reporting as required by management. Key Accomplishments:Transformed bad debt process, developing means to track and extract data on a customer account level; reconciled over 4400 line items of old data and resolved existing issues. Resulted in a clean, streamlined process to track all bad debt via Excel spreadsheet and SAP per management requirements.Served on a quality team that posted over 2 billion dollars in cash receipts in a single quarter (Q1 2011), adhering to Philips standards for timeliness and accuracy.Documented workflows and process procedures for new and existing processes, providing written documentation for the work done within our department.Worked to automate previously manual, time-consuming processes to drive gains in data tracking/accuracy, efficiency and profitability. Show less

  • Quality Assurance Analyst 4

    Sept 2011 - Sept 2018

  • Accounting Specialist 3

    May 2003 - Aug 2011
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  Anthem, Inc.

  Nov 2018 - now

  QI Specialist for Simply Healthcare Plans Adjudicating medical and dental claims for Medicaid in multiple markets.• Processing Medicaid claims for multiple markets including TN, VA, KS, KY and LA.• Exceeded scorecard expectations for both quality and quantity metrics• Assigned special project for TN emergency room "Prudent Lay Person" review

  • QI Specialist

    Jan 2020 - now

  • Claims Representative

    Nov 2018 - Jan 2020