Adrianna Kennard
Pflugerville
Summary
Healthcare Professional experienced in insurance verification, medical billing, and referral authorizations. Managed communications with healthcare providers, pharmacies, and patients, enhancing efficiency in utilization review and claims processing. Highly organized and empathetic, committed to delivering value in a professional setting.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Healthcare Customer Service Representative
Salem Solutions
Tampa
11.2023 - 01.2025
- Guided patients through inquiries on health insurance benefits and claims to ensure understanding
- Addressed customer complaints through effective communication and problem-solving to enhance patient satisfaction
- Handled 40-50 inbound and outbound calls daily to address patient needs
- Verified eligibility and updated patient demographics and coverage information
- Ensured compliance with applicable laws, regulations and policies
Intake Representative
Highmark Health
Remote
05.2022 - 08.2023
- Processed patient intake forms and verified insurance information to streamline patient onboarding.
- Coordinated with healthcare providers to gather necessary patient documentation, enhancing overall intake accuracy.
- Maintained accurate records in electronic health systems, ensuring compliance with regulatory standards.
- Collaborated with team members to improve intake procedures and efficiency.
- Collected payments from patients or third-party payers according to established policies.
- Answered incoming calls professionally and responded to inquiries.
Accounts Receivable Specialist
Sonic Healthcare
Austin
05.2020 - 06.2022
- Managed accounts receivable to ensure accuracy, compliance, and timely resolution of discrepancies.
- Processed incoming payments and applied them to customer accounts.
- Managed aging reports and followed up on outstanding invoices.
- Communicated with payors and payees regarding payment discrepancies and account inquiries.
- Maintained detailed transaction records in financial systems to support accurate reporting and analysis.
- Pursued unpaid or denied claims through medical collections processes to enhance recovery of outstanding balances.
Education
High School Diploma - Upper secondary education
Henrickson DHigh School
Austin, TX06-2016
Some College (No Degree) - Medical Assistant
College of Healthcare
Austin, TXSkills
- Customer Support
- Patient Communication
- Insurance Verification
- Medical Terminology
- Medical coding
- HIPAA Compliance
- EMR systems
- Healthcare Software
- Salesforce
- Care Radius
- Navinet
- Call Center Tools
- Microsoft word, Excel and Outlook
- SharePoint
- Medical terminology
Certification
Driver's License, TX
Personal Information
Work Permit: Authorized to work in the US for any employer
Timeline
Healthcare Customer Service Representative
Salem Solutions
11.2023 - 01.2025
Intake Representative
Highmark Health
05.2022 - 08.2023
Accounts Receivable Specialist
Sonic Healthcare
05.2020 - 06.2022
High School Diploma - Upper secondary education
Henrickson DHigh School
Some College (No Degree) - Medical Assistant
College of Healthcare