Summary
Overview
Work History
Education
Skills
Hobbies and Interests
Timeline
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Kelby Hilgeman

Rural Hall,NC

Summary

Meticulous worker with outstanding work ethic. Undertakes challenges and delivers superior performances along with solutions to problems in the line of work. Employee that understands the responsibilities of a full-time job and doesn't shy away from going above and beyond on complex obstacles. Operates with a strong sense of pride and responsibility while also giving the highest standard of care. Overall as a professional, want be working and want to be an important piece of an operation. So I am always giving my all towards my job to better myself as a professional and advance Employer in their industry as best an employee can. Expert in medical info, computer programs, and customer service. University graduate with strong management and customer service experience. Acknowledged for excellent Patient care and Medical abilities. Seeking to begin career with an Mid-level position in a respectable company.

Overview

10
10
years of professional experience

Work History

Patient Account Specialist

Firstsource
11.2020 - 12.2023
  • Firstsource/Medassist division is one of the largest Medicaid and Medicare eligibility companies in the U.S. They are a onsite or remote contract company that assist large Hospital systems with their financial aid screenings as well as billing to State and Federal medical Programs
  • Worked as a onsite Patient Advocate Specialist in the Appalachian Healthcare System.
  • Worked Remote as a Patient Account Specialist with one of the largest Health Companies in UHS (United Healthcare System)
  • Fluent with Medical Systems such as Epic, Cerner, Allscripts, Etc.
  • Proficient with Business and Insurance model programs such as CUBS, Transunion, and Docusign
  • Contacted patients after insurance was calculated to obtain payments. As well as submit Medical applications for Medicaid and Disability via SSD.
  • Prepared reports detailing billing actions, flags and other key information. Completed my first 2 years as top 10% in the whole company.
  • Utilized computer programs to create invoices, letters and other documents. Sent State and Federal Applications for processing to both DSS, DHHS, and SSA.
  • Developed and documented collection procedures and policies to comply with government regulations.
  • Entered client details and notes into system for interdepartmental access and review. As well as client notes that were posted in the Medical accounts
  • Analyzed customer financial records to determine appropriate action plan for financial process as outlined by government standards.
  • Followed HIPPA per policy and regulation outlines
  • Worked with outlook, excel, spreadsheet, powerpoint, as well as encryption of important documents.
  • Obtained independent contract work with GWUH in D.C with company while also adding assistance and overview with Aiken Regional Medical clients in S.C
  • Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.

Head Optometric Technician

The Eye Institute OD
02.2019 - 04.2020
  • Accepted and processed customer payments in cash, credit cards and checks, checking for validity
  • Assisted clients in understanding their available options and helped them select the right service plans for their needs
  • Acknowledged customer issues and resolved their problems quickly and efficiently
  • Accelerated to Head Technician position after 3 months of working
  • Worked closely with 4 Doctors on staff and provided services such as:

1. Ability of Refraction

2. Complete proficiency in Slit Lamp and Fundus Exams

3. E-scripting medications for patients

4. ICD-10 medical coding

5. Insurance eligibility and Prior Authorizations

6. Knowledge on Ocular disease and Pharmacology

7. Ability to work multiple machines such as: Optos, Lipiflow and Lipiview, AR, Clearpath and Heildburgh OCT

8. Met company goals set i.e: 80% sales capture, 70% Medical imaging capture, and 90% patient satisfaction

  • Managed medical accounts for supply of pharmaceuticals
  • Managed Medical Reps, meetings, and company info
  • Managed payment processing and inventory for medical devices
  • Emphasized the specific product features that would stand out to customers, showing them product limitations and capabilities.
  • Managed other Optometric Technician and ran own team with guidance towards Medical excellence as well as furthering company goals and visions
  • Conducted pretest procedures to gather data before exam and make eye appointments more efficient and productive.
  • Managed administrative duties with phone reception, appointment scheduling and payment processing.

PRN/PSA

FastMed Urgent Care
07.2018 - 03.2019
  • FastMed Urgent Care is one of the fastest growing Urgent Care company
  • PSA is the face of the company and the one who handles all billing, payment, medical records, HIPPA, customer service, and work authorizations
  • Also taken care of TB readings and drug screens
  • Came in as a PRN, covered shifts at a high standard and efficiency
  • Worked 40 hours as PRN on a Bi-weekly basis
  • Created a better organization system for records and helped by creating better efficiency in the front office
  • Acknowledged customer issues and resolved their problems quickly and efficiently
  • Fulfilled administrative duties, including: completing and filing paperwork, directing a multi-line phone and setting appointments.

Team Member

Come Back Shack
01.2018 - 01.2019
  • Responsibilities include opening restaurant procedures, creation of food products, maintains professional and clean atmosphere, ensures all the customers needs are met, and stock and inventory duties are fulfilled
  • Adhered to all store retail procedures and policies
  • Championed promotional items and achieved record sales of $10,000 in a shift
  • Educated customers about product options to exceed their experience.

Coach

High Country Avalanche
02.2018 - 11.2018
  • High Country Avalanche is Boone's highest achieving club and rec soccer.
  • Worked with Ages 6-8 years old with a Grass coach certifcate
  • Utilized positive communication to encourage team and promote integrity and respect.
  • Collaborated with other coaches to create and execute game plans. As well as organize specific tournament systems and schedules.
  • Monitored team practices to establish high level of performance.
  • Encouraged everyone to cultivate strong work ethic by demonstrating diligence, patience, and respect for others.
  • Taught players how to run specific game plays in order to build cohesive, structured team.
  • Used my previous Collegiate athletics knowledge to bring a proactive and advancement environment while also being aware of youth needs and parent concerns
  • Motivated athletes to become stronger, more agile, and more effective through training habits and proper nutrition.
  • Trained and mentored new coaches on fundamentals of coaching to apply best practices and strategies. Created independent drills specific for team needs as well as tactics for in depth learning

Cast Member

Regal
10.2015 - 04.2016
  • Responsible for balancing tickets sold that day
  • Also promote and enforce special prices and premiers
  • Ensured safety and cleanliness in the theaters while also managing the computer data and showings of said movies
  • Memorized and created premier advertising for customers and increased movie ticket sales.

Athletic Training Student

Wingate University
11.2013 - 05.2014
  • Worked under Athletic Training director and certified Athletic Trainers
  • Worked with College Athletes on Rehab and treatment for injuries
  • Created and followed exercises for quick and optimized recovery for injured athletes
  • Attended colligate games to study and oversee healthcare for playing athletes
  • Accrued more than 120 hours of clinical and field work.

Intern

Asheville Physical Therapy
11.2013 - 05.2014
  • Worked under Dr
  • Brian Lawler studying and researching about Physical Therapy methods
  • Worked in scribing medical info on skeletal and muscular injuries
  • Studied info and compounded into research article for Pre-college graduation requirement.

Education

Bachelors of Science - Psychology

Appalachian State University
Boone, NC

High School Diploma -

Asheville Christian Academy
Swananoa, NC

Skills

  • Proficient in all Microsoft Programs: Advanced Excel, Word, Power Point, Outlook
  • Proficient in Company Softwares: Paymate, Pivot, PVM Log, Centrify, ADP Workforce, VelociDoc
  • Proficient in Media Programs: El Gato, Skype, Youtube, OBS
  • Proficient in Multiple EMR Platforms: ie Integrity, Hiedlburg and LiquidVision
  • Proficient in Multiple Healthcare systems : Cerner, Epic, Microfocus, CUBS, and Allscripts
  • Insurance Collaboration Expert
  • Patient Care and bedside manner expert
  • HIPAA Understanding
  • Report Generation, Medical Billing and Healthcare Revenue Cycle
  • Verbal and Written Communication
  • Medical Terminology and Electronic Health Records
  • Self Regulating worker: Worked remote with no need for supervision while creating a well working and efficient work model from home
  • Good Telephone Etiquette

Hobbies and Interests

  • Avid lover of outdoor activities i.e: Mountain biking, Hiking, Camping, Rock Climbing, ad Fly fishing
  • Enjoy tech work such as building and enhancing computers and PC
  • Love sports: Soccer is my main interest but enjoy golf and basketball as well

Timeline

Patient Account Specialist

Firstsource
11.2020 - 12.2023

Head Optometric Technician

The Eye Institute OD
02.2019 - 04.2020

PRN/PSA

FastMed Urgent Care
07.2018 - 03.2019

Coach

High Country Avalanche
02.2018 - 11.2018

Team Member

Come Back Shack
01.2018 - 01.2019

Cast Member

Regal
10.2015 - 04.2016

Athletic Training Student

Wingate University
11.2013 - 05.2014

Intern

Asheville Physical Therapy
11.2013 - 05.2014

Bachelors of Science - Psychology

Appalachian State University

High School Diploma -

Asheville Christian Academy
Kelby Hilgeman