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Bio

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Kathleen Donahue is a highly skilled professional with extensive experience in various fields. She has worked as a Case Manager Processor at Molina Healthcare, where she verified enrollment, benefits, and claims for Medicaid members. Kathleen has also held positions at Carondelet Health Network, where she trained on department policies and procedures, and Optum Healthcare, where she coordinated appeals and grievances for Medicaid Behavioral Health members and providers. She holds a Master's degree in Counseling Psychology from St. Mary's University and a Bachelor's degree in Sociology from St. Catherine's University. Kathleen is fluent in multiple languages and has strong organizational, communication, and interpersonal skills. Kathleen has managed a household of five family members for over 25 years, honing her skills in decision-making, teamwork, and conflict resolution. She is also experienced in data entry, customer service, and conflict resolution. Kathleen's expertise spans various industries, including healthcare, customer service, and education. She is a dedicated and results-driven professional with a strong passion for helping others.

Experience

  • Molina Healthcare
    • Albuquerque, New Mexico Area
    • Case Manager Processor
      • Dec 2013 - Oct 2014
      • Albuquerque, New Mexico Area

      Received inquiries from Medicaid members verifying enrollment, benefits, claims, disputes.

  • Carondelet Health Network
    • Minneapolis, MN 55105
    • Admissions, Reception, Memory Care, Medical Records
      • Feb 2011 - Oct 2013
      • Minneapolis, MN 55105

      During the past 15 months, I have been trained on numerous department policies and procedures. I have received many favorable comments as to my ability to learn computer, printers, scanners, copiers, medical records updating.

    • Volunteer
      • Jan 2011 - Oct 2013
      • St. Paul, MN

      For over 25 years I managed a household of 5 family members. For me, it was the most rewarding career I could ever have. From the early days in Stuttgart,Germany where my first two children were born I learned how to make decisions, to choose directions completely unfamiliar to me. My former h...

  • Optum Healthcare
    • Albuquerque, New Mexico Area
    • Appeals & Grievance Coordinator
      • Mar 2008 - Dec 2010
      • Albuquerque, New Mexico Area

      Last position: Optumhealth (United Healthcare Group) as a coordinator of Appeals & Grievances to Medicaid Behavorial Health members and providers. Managed all requests for these services from the starting point to its closure.Researched benefits, prior history, government rules and regsRespon...

    • Provider Appeals and Grievance Coordinator
      • Jun 2007 - Mar 2008
    • Appeals and Grievance Specialist
      • Sep 1996 - Aug 2004
    • Customer Service Representative
      • Jun 1960 - Aug 1963

      Employment as a customer service representative began with six weeks of intensive training. We were taught the basics of service and in addition developed "interested and helpful manner". Without this attitude in every interaction, we failed our calls. The class consisted of six young...

Education

  • 1989 - 1991
    St.Mary's University
  • 1983 - 1987
    St.Catherine's University
  • 1961 - 1963
    St. John's University Long Island NY

Suggested Services

This profile is unclaimed. These are suggested service rates with 0% commision upon successful connection

Industry Focus. “Healthcare”

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