Fanta Kamara

• Managed the full medical billing cycle, ensuring compliance with HIPAA regulations, payer guidelines, and healthcare billing standards to support timely and accurate reimbursement.
• Processed and submitted 300+ electronic insurance claims per billing cycle with a high level of accuracy, contributing to a 97% first-pass claim acceptance rate.
• Verified patient insurance eligibility, benefits, and prior authorizations before claim submission, reducing preventable denials and reimbursement delays.
• Analyzed billing records, reimbursement trends, and claim data to identify process improvements that contributed to an 18% reduction in insurance claim denials.
• Investigated, corrected, and resubmitted denied and rejected claims by working directly with insurance carriers, providers, and patients to maximize reimbursement.
• Managed the appeals process by preparing supporting documentation, submitting timely appeals, and successfully recovering more than $25,000 annually in previously denied or outstanding insurance reimbursements.
• Performed proactive accounts receivable follow-up on unpaid claims, improving collection turnaround times and strengthening the organization’s revenue cycle performance.
• Posted insurance and patient payments, reconciled accounts using Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs), and resolved payment discrepancies to maintain accurate financial records.
• Utilized electronic health record (EHR) and medical billing systems to streamline workflows, maintain accurate patient documentation, and improve billing efficiency.
• Trained and mentored new team members on medical billing software, claims processing, denial management, and revenue cycle best practices, increasing departmental productivity and consistency.
• Served as a primary liaison between patients, providers, and insurance carriers to resolve complex billing inquiries while delivering exceptional customer service and maintaining strict confidentiality.

• Oversee overnight operations in a residential adult care facility, ensuring resident safety, regulatory compliance, and continuity of care.
• Review, organize, and maintain up-to-date medical records for all residents, including medication lists and physician orders, ensuring accuracy and compliance.
• Coordinate monthly medication deliveries, verify orders upon arrival, and reconcile discrepancies with pharmacies and providers.
• Order prescription refills and communicate with pharmacies regarding changes, shortages, or insurance-related issues.
• Serve as primary point of contact during overnight hours for emergencies, including coordinating and reporting incidents involving EMS or law enforcement.
• Maintain detailed incident reports and documentation to support clinical and administrative follow-up.

• Supported daily operations of a high-demand private pharmacy, working independently across production, inventory, and customer service functions.
• Prepared, filled, labeled, and packaged prescriptions accurately and efficiently, maintaining a steady production workflow with minimal supervision.
• Managed incoming and outgoing phone lines, addressing patient inquiries, provider calls, and prescription clarifications.
• Conducted inventory management, including ordering, receiving shipments, restocking medications, and tracking controlled substances.
• Assisted with insurance claim troubleshooting and prescription coordination to ensure timely patient access to medications.
• Maintained precise medication records and ensured compliance with pharmacy regulations and internal procedures.

• Advanced rapidly within the first six months from front-end register operations to full pharmacy production and data entry in a high-volume retail setting.
• Processed an average of 600–700 prescriptions daily in collaboration with pharmacists and technicians, ensuring accuracy and efficiency under pressure.
• Entered and verified prescription data, resolved third-party insurance claims, and addressed coverage rejections to prevent delays in patient care.
• Supported all pharmacy workflow stations, including drop-off, production, pick-up, and phone triage across multiple phone lines.
• Managed inventory functions such as weekly delivery restocks, daily returns, expired medication processing, and inventory reconciliation.
• Assisted pharmacists with labeling, packaging, and final preparation of prescriptions while maintaining strict confidentiality and HIPAA compliance.
• Trained and onboarded new employees on pharmacy systems, workflow processes, and customer service standards.

• Promoted to management in under one year based on performance, leadership, and operational reliability.
• Mastered all store stations, including register operations, kitchen prep, food production, and closing/opening procedures.
• Coordinated the annual Thanksgiving Family Banquet program, managing 200–300 customer orders each year from intake through fulfillment.
• Personally contacted repeat customers to collect and document orders, scheduled pickup times, and ensured order accuracy.
• Ordered supplies, managed inventory levels, and oversaw large-scale pre-packing and preparation operations.
• Organized and labeled individual banquet packages by customer order, ensuring timely and accurate distribution.
• Supervised daily operations, trained staff, resolved escalated customer issues, and ensured compliance with health and safety standards.