CAROLYNN KUKES
Wylie,TX
Summary
Healthcare professional with proven track record in patient coordination and support. Known for strong interpersonal skills, adept at navigating patient needs and streamlining processes. Effective collaborator who adapts seamlessly to evolving demands and prioritizes team success. Proficient in patient intake, insurance verification, financial counseling, scheduling, and ensuring a positive patient experience.
Overview
11
11
years of professional experience
Work History
Insurance Specialist II
Texas Oncology
06.2022 - Current
- Process eligibility and benefits verification via Availity or with insurance carriers.
- Research and resolve routine and complex issues which includes ensuring correct insurance payor is registered and billed.
- Communicates effectively with team members and clinical departments through Teams and Outlook.
- Utilizes Athena to work Hold Bills and track patient account details on Excel spreadsheet.
- Maintain confidentiality of patient records.
Patient Benefit Representative
Texas Oncology
12.2017 - 06.2022
- Collaborated closely with PSC on scheduling of patients and answering high volume phone calls to ensure a positive patient experience.
- Interviewed new patients and educated them of their insurance benefits and collected payments for services.
- Identified delinquent accounts, processed collection/bad debt write-off and set up payment plans.
- Obtained referrals for HMO and Tricare payors to ensure authorization and payment.
- Assisted patients with applying for programs to help reduce stress of non-insured patients.
Patient Service Representative
Texas Back Institute
05.2017 - 12.2017
- Recognized and scheduled patients according to policy and pain level & to ensure positive patient satisfaction.
- Checked patients in and out of clinic. Collected co-pays.
- Facilitated communication between patients and staff. Uploaded imaging in PACS system for review.
- Compiled and reviewed medical charts.
Financial Counselor/Insurance Verifier
Texas Oncology
01.2014 - 03.2017
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Reviewed patient accounts, prepared co-pay log for clinic. Collected surgery deposits.
- Assured timely processing of FMLA paperwork to ensure patient is approved.
- Submitted delinquent accounts for bad debt/collections.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
Education
Licensed Esthetician - Esthetics
School of Dallas, Esthetics
Paul Mitchell06.2013
High School Diploma -
Toppenish High School
Toppenish, WA06.1992
Skills
- Planning and Coordination
- Conflict Resolution
- Teamwork and Collaboration
- Cultural Awareness
- Excellent Telephone Etiquette
- Time Management
- Analytical and Critical Thinking
- Interpersonal Communication
- Excel and Microsoft Word
- Documentation skills
Affiliations
Tango Tab Leader/Volunteer; Jan. 2019- Current
Timeline
Insurance Specialist II
Texas Oncology
06.2022 - Current
Patient Benefit Representative
Texas Oncology
12.2017 - 06.2022
Patient Service Representative
Texas Back Institute
05.2017 - 12.2017
Financial Counselor/Insurance Verifier
Texas Oncology
01.2014 - 03.2017
Licensed Esthetician - Esthetics
School of Dallas, Esthetics
High School Diploma -
Toppenish High School
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