Erin Kenney
Canyon Country,CA
Summary
Adept at streamlining operations and enhancing efficiency, notably at Shield HealthCare, I leveraged HIPAA compliance knowledge and critical thinking to improve patient satisfaction and operational workflows. My professionalism and ethics, combined with a knack for documentation accuracy, drove significant advancements in service delivery and billing practices.
Overview
13
13
years of professional experience
Work History
Utilization Management Representative
Shield HealthCare
Valencia, CA
01.2023 - Current
- Presented findings from utilization reviews to leadership teams, informing data-driven decision-making on resource allocation initiatives.
- Streamlined workflows within the department, implementing new technologies and processes that improved operational efficiency.
- Enhanced patient satisfaction by promptly addressing inquiries regarding coverage decisions and available resources.
- Served as a liaison between patients, healthcare providers, and insurance companies to facilitate timely approvals of necessary treatments.
- Maintained up-to-date knowledge on relevant health policies, regulations, and industry best practices through ongoing professional development opportunities.
- Provided comprehensive support to clinical staff, assisting in the development of guidelines for appropriate service utilization.
- Ensured proper documentation and coding of medical treatments, enhancing billing accuracy and reimbursement rates.
- Proactively identified potential barriers to effective service delivery, working closely with clinical teams to address issues before they impacted patient outcomes.
- Developed strong working relationships with healthcare providers to ensure seamless communication and coordination of services.
- Reduced wait times for essential services by effectively managing utilization review caseloads and prioritizing urgent requests.
- Obtained authorizations from multiple insurance carriers for various levels of care.
- Performed prior authorization review of services requiring notification.
- Evaluated patient histories, complaints, and current symptoms.
Office Assistant
Jim’s Heating and Air Conditioning
Valencia, CA
06.2013 - 10.2022
- Maintained confidentiality in handling sensitive information while performing administrative tasks.
- Enhanced office efficiency by managing schedules, organizing files, and maintaining a clean workspace.
- Facilitated smooth operations by efficiently handling incoming mail, phone calls, and visitor inquiries.
- Expedited document processing with accurate data entry and timely filing.
- Achieved high levels of accuracy in data entry tasks while adhering to strict deadlines.
- Assisted in financial tasks such as invoicing, expense tracking, and budget preparation to ensure accuracy.
NAPS Processimg
North American Title
Glendale, CA
03.2012 - 06.2013
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Passionate about learning and committed to continual improvement.
- Managed time efficiently in order to complete all tasks within deadlines.
- Organized and detail-oriented with a strong work ethic.
- Paid attention to detail while completing assignments.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Adaptable and proficient in learning new concepts quickly and efficiently.
Education
High School Diploma -
Saugus High School
Santa Clarita, CASkills
- HIPAA Compliance Understanding
- Critical thinking abilities
- Professionalism and Ethics
- Documentation accuracy
Timeline
Utilization Management Representative
Shield HealthCare
01.2023 - Current
Office Assistant
Jim’s Heating and Air Conditioning
06.2013 - 10.2022
NAPS Processimg
North American Title
03.2012 - 06.2013
High School Diploma -
Saugus High School