Kim Bremer

825 Dalmalley LaneCoppell, Texas 75019-7932214-796-7300kim@kimbremer.com

P R O F E S S I O N A L S U M M A R YI am an energetic and seasoned provider relations representative with excellent client relationship and project management skills. I am detail-oriented with strong ability to communicate effectively to business audiences of all levels.

C O R E Q U A L I F I C AT I O N S E X P E R I E N C E D P R O F E S S I O N A L R E C R U I T E R S K I L L E D T R A I N E R S O L I D D E C I S I O N M A K E R   A D A P T A B L E A N D Q U I C K L E A R N E R P R O F E S S I O N A L A N D R E S P O N S I B L E

E D U C AT I O NMidlands Technical College, Columbia South Carolina

Certified Dental AssistantPerkins School of Theology at SMU, Dallas Texas

Certified Spiritual Director

E X P E R I E N C EApril 2016 to PresentWalden Dental Houston, TexasRecruiterI am responsible for recruiting general dentists and dental specialists for a managed care network in all Metropolitan Statistical Areas (MSAs) of the DFW Metroplex. Additionally, I am responsible for gathering appropriate information for credentialing, and I perform provider on-site visits to verify facility quality and professional standards and practices.July 2015 to July 2016Access Endodontics Coppell, TexasMarketing RepresentativeI was responsible for driving increased patient referrals to this

Kim Bremer

successful specialty practice by building relationships with general dentists and other providers. I also was responsible for good will visits and follow-ups with current providers to maintain solid professional relationships. I also developed a report tracking methodology to ensure consistent contacts and coverage.September 2014 to November 2014Claude R. Williams, Jr. D.D.S Irving, TexasDental Claims CoordinatorI managed the entire claims cycle for a high-volume general dental practice.I performed CDT coding for services, and verified identification and validation of patients’ dental benefits, including pre- and post-treatment estimates of deductibles and coinsurance. I monitored insurance claims with individual carriers in order to minimize reimbursement turnaround times. Additionally, I managed claims from initiation through final resolution for appeals and EOB discrepancies, as needed.

January 2013 to August 2014HealthSmart Las Colinas, TexasSenior Provider Relations Representative

As a representative for this third-party administrator, I managed 11 Western Region states for workers comp, auto, and health for large groups of 25 or more providers. This included responsibility for such contracted providers as chiropractors, marriage and family counselors, psychiatists, general and specialty medical professionals, and others. Also, I was responsible for consolidating and rectifying the information multiple provider databases during HealthSmart’s multiple company consolidations and mergers to resolve rate-related issues for providers. I was also responsible for the timely loading and validation of provider rosters for distribution via web and print. Additionally, I was responsible for negotiating and implementing provider rate increases, working closely with providers, actuaries, and contracting representatives to achieve the best result. Another aspect of my work included taking ownership and driving resolution of high level escalated problems that were not resolvable at the initial customer service level. I conducted professional development training during employee “lunch and learn” sessions to enhance my fellow employees’ skills.

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Kim Bremer

November 2005 to January 2013Cigna Dental and Vision Bloomfield, ConnecticutProfessional Relations Representative

I was responsible for conducting network operations, processing PPO fee increases, PPO and DMO terminations for 24 states. I also created and updated the official provider directory and dental office reference guide. Additionally, I served on the professional credentialing committee. I assessed situations and solved problems for all aspects of provider relations, including payment policy clarification, explanation of benefit concerns, and network recruiting for 5 states

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