Kellie Capehart
@kelliecapehart
Experienced recovery coordinator specializing in overpayment recovery and claims resolution.
United StatesWhat I'm looking for
I am a seasoned recovery professional with extensive experience at BlueCross BlueShield of Tennessee, where I led overpayment recovery, claims research, and quality assurance efforts. I consistently improved operating efficiencies, coordinated cross-functional teams, and served as a key liaison for complex recovery projects.
My background includes deep familiarity with claims adjudication systems, Facets, PSC/Caremark, and Microsoft Access/Excel, plus hands-on experience mentoring staff and conducting root-cause analysis to resolve billing and reimbursement issues. I am reliable, organized, and committed to accurate, timely financial recovery and compliance.
Experience
Work history, roles, and key accomplishments
Food Service Worker
Sullivan County Department of Education
Aug 2017 - Present (8 years 7 months)
Prepared and served meals, managed cashier duties, maintained health code compliance, and coordinated prep and cleaning to ensure timely daily service.
Recovery Coordinator
BlueCross BlueShield of TN
Jan 2009 - Jun 2013 (4 years 5 months)
Monitored and managed commercial overpayment and Blue Card issues, improving recovery processes and ensuring timely reconciliation of outstanding overpayment accounts.
Research Expert
BlueCross BlueShield of TN
Jan 2000 - Jan 2009 (9 years)
Identified overpayments, initiated recovery processes, performed provider reductions and handled claims linking, correspondence, and internal audit adjustments.
Quality Assurance Analyst
BlueCross BlueShield of TN
Jan 1997 - Jan 1999 (2 years)
Reviewed claims for accuracy, researched and implemented corrections, and resolved quality disputes to improve claims processing accuracy.
Claims Processor
BlueCross BlueShield of TN
Jan 1996 - Jan 1997 (1 year)
Processed claims for commercial and HMO lines including BluePreferred and Wellport, ensuring timely and accurate adjudication.
Education
Degrees, certifications, and relevant coursework
Chattanooga State Community College
1988 - 1990
Attended Chattanooga State Community College from 1988 to 1990; coursework not specified.
Soddy Daisy High School
High School Diploma
High school diploma or attendance at Soddy Daisy High School, completed in 1988.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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