Korey Schwerd

25 Years experience

Talent

Nampa, CanyonMember since March 29, 2023

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About

I am passionate about my work.
I am ambitious and driven.
I am highly organized.
I'm a natural leader.
25 years' experience medical and self-employed focusing on administration, management, and accounting.

Experience

Avalon Healthcare Systems - Client Management Manager

Tampa, FL

07/2021 - 03/2023

Discussed ideas and strategies to improve operational efficiency, adding value and aiding business performance for continuous improvement.
Applied strict company and regulatory standards when producing contracts and documentation.
Delivered presentations to key decision makers and offered financial recommendations.
Worked collaboratively with stakeholders to discuss new projects, supplies and initiatives for determining impact on purchasing and production activities.
Developed new practices to increase efficient delivery of commodities and product process compliance.

Blue Cross of Idaho - Utilization Management Representative II

Boise, Idaho

09/2006 - 07/2021

Determined medical necessity and cost-effectiveness of services through utilization review processes.
Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
Applied medical criteria and clinical judgement to researched cases to evaluate and establish determinations.

Saint Alphonsus Regional Medical Center - Senior Specialist

Boise, Idaho

09/1997 - 09/2006

Built team of successful nurses and specialists by training on daily tasks and coaching on best practices.
Identified areas requiring improvement, implementing new workflows to reduce task micromanagement.
Collaborated closely with upper management to develop corporate vision and roll out initiatives to meet goals.
Analyzed customer portfolio by creating reports to review aging balances and collections activities.
Communicated with customers to resolve past-due balances and documented Accounts Receivable activities.
Coordinated projects to meet client deadlines, communicating updates to involved parties.

Skills and Systems ADP, Accounting, Account Management, Account receivable and payable, Administration, Analyzing, Appraising, Bank reconciliation, Budget, CISCO phones, Communication, Critical Thinking, Culture Amp, Client Management, Coaching, Customer service, Data entry, Database Management, Decision making, Designing, Dispute resolution, Electronic records, Event planning, Expenses, Facets, Food Manufacturing and processing, Human Resources, Invoicing, Jabber, Jira, Jiva, Leadership, Management, Merchandising, Microsoft office suite, Microsoft Power BI, Multi-tasking, Organization, Operations, Payroll, Performance Reviews, Power DMS, Presentations, Phone etiquette, Planning, Policies and procedures, Prior Authorizations, Prioritizing, Problem Solving, Productivity, Project Management, Purchasing, Quality Assurance, QuickBooks, Reconciliation, Reporting, Ring Central, Sales, SharePoint, Smartsheet, Spreadsheets, Strategic, Tactic, Teamwork, Teams, Time Management, Timekeeping, Timelines, Training, Travel Planning, Utilization Management, Willing to learn, Workday, Workflows, and Zoom.

Awards and Certificates Blue Cross of Idaho Blue Ribbon award, Team service award, Blue Crew captain awards, applied leadership by Center of Professional Development, Managing Time with Purpose, and Essentials of good business writing.

Continued Education and certificates PHI and HIPPA training, Conflict of Interest training, Microsoft PowerPoint, Preventing the attitude virus, Respectful workplace, Business writing and grammar skills, Leading yourself through change, Conflict management skills, Customer service strategy, Embracing unexpected change, Interpersonal communication, Taking a more creative approach to problem-solving, Body language at work, Project management foundations, and more.

Memberships Beta Sigma Phi Organization. Held offices in chapter and city council. Public speaking and presentation.