Kachina Wolfe
Goodyear,AZ
Summary
I have strong organizational skills, and diligent attention to detail, with the ability to concurrently direct multiple business affairs. I'm very versatile in any administrative setting to create and maintain high levels of efficiency and productivity. I enjoy building loyalty and giving superior patient services to all my patients.
Overview
8
8
years of professional experience
Work History
Surgical Authorization Specialist
The Core Institute
Phoenix, AZ
03.2025 - Current
- Facilitated timely processing of insurance authorizations to ensure patient access to necessary medical procedures and services.
- Streamlined interactions between patients, healthcare providers, and insurers to ensure prompt authorization of services.
- Streamlined authorization procedures to minimize delays and improve outcomes.
- Monitored authorization statuses, identifying trends to inform operational adjustments and policy updates.
- Collaborated with healthcare teams to resolve complex authorization issues, ensuring compliance with regulations.
- Evaluated authorization outcome data to drive process improvement initiatives.
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Demonstrated adaptability with changing insurance requirements, maintaining up-to-date knowledge through continuous education efforts.
- Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
- Ensured prompt resolution of denied claims through comprehensive analysis of denial reasons and timely submission of necessary documentation for reconsideration or appeal.
- Developed strong relationships with insurance representatives to expedite approvals and resolve issues promptly.
- Expedited claim processing by submitting complete and accurate information in accordance with payer requirements.
- Enhanced patient satisfaction by optimizing authorization workflows and delivering prompt responses to inquiries.
Private Caregiver
Goodyear, AZ
12.2023 - Current
- Transportation to all appointments
- Assistance with All ADL’S
- Meal Preparation and Medication reminders.
- Case Managing and Scheduling all appointments.
- Fiduciaries responsibilities and assisted the Trustee.
Administrative Assistant
Aleca Home Health and Hospice
09.2024 - 02.2025
- Verified Insurances for eligibility and benefits.
- Received referrals from all facets of healthcare, and initiated the intake process/staffing process.
- Intake-Data Entry of all new patient demographic information.
- Operated multiply EMR systems Kinser, PCC and referral platforms, Wellsky and Strata.
- Updated internal databases such as SharePoint with new employee information such as contact details, job titles, mobile and contracted providers.
- Completed chart audits to ensure compliance with CMS guidelines and completion for billing.
- Created spreadsheets, using formulas and functions to analyze datasets for loss of referrals, and checked all documents for accuracy per legal and CMS guidelines.
- Providing supply chain business planning process and participating in development of annual business plans.
- Manage Supply Room, and ordered medical supplies and DME, obtained approval for all patient supplies.
- Received and sent out medical records to be signed and scanned into patient’s chart.
Legal Administrative Assistant
Veterans Affairs
PHX, AZ
06.2023 - 03.2024
- Assisted veterans in filing disability claims with the U.S. Department of Veterans Affairs.
- Performed case management duties such as tracking claim status, providing updates, and following up on pending issues.
- Assisted veterans in preparing documents required for benefit claims.
- Researched relevant laws and regulations related to veterans' benefits.
- Provided guidance concerning the appeals process when a claim was denied by the VA or other agency involved in administering benefits.
- Maintained accurate records and documented client data in company databases.
Communication Representative
Banner Healthcare
02.2022 - 04.2023
- Answered client queries and complaints to provide strong customer service.
- Responded to, processed and documented all code arrests, traumas, fire alarms (including troubles, disables and tests), emergencies and disasters following established policies and procedures for several facilities and the organization’s central call center using computer-based emergency procedures and group pages.
- Appropriately utilized all emergency backup equipment and procedures to maintain facility communications in the event of equipment or system failures including evacuation/relocation procedures of department staff and functions.
- Efficiently processed a high volume of incoming and interdepartmental calls providing information to callers and responding to caller requests in a professional, confidential and courteous manner.
- Proactively and continuously identified opportunities to improve processes and enhance database information. Presented findings and recommendations to management.
Licensed Insurance Sales Consultant
GoHealth
07.2021 - 02.2022
- Provided comprehensive product knowledge and guidance to help clients on product selection.
- Recommended type and amount of coverage based on analysis of customers' circumstances using persuasive sales techniques.
- Cultivated relationships with clients to identify and meet insurance needs and establish trust and rapport.
- Facilitated the complex buying experience of healthcare transparent and easy to navigate.
Training Facilitator
Valor Global
07.2020 - 07.2021
- Developed and implemented a comprehensive training curriculum for new hires.
- Managed classes of new hire groups of up to 50 people, including accrual of occurrences, timecards, potential off-boarding, KPI, and coaching's.
- Created Empathy training to be utilized by Learning and Development department.
- Facilitated Customer Service and Soft Skills training to adult learners.
- Provided Quality Assurance, coaching to adult learners.
- Leveraged information from Quality Assurance call reviews and up-to-date training materials to implement enhanced learning strategies and tailored protocol adjustments for specific campaigns.
- Provided individual coaching and mentoring to employees on best practices.
- Implemented innovative strategies to enhance learning experiences for participants.
Training Facilitator
FISERV
08.2018 - 07.2020
- Facilitated a team of new hires, administrating company policies, and managing performance.
- Compiled training handbook and related course materials.
- Assisted with the continuous improvement of the Learning and Knowledge Solutions
- Updated with Line of Business processes, policies, and collaborating with the instructional design team.
- Conducted new hire learning programs in two lines of business, which include products, systems and interaction skills for telephone service specialist, and provided coaching in both group and individualized sessions.
Education
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College of Southern Nevada
Las Vegas, NVSkills
- Emotional intelligence
- Responsible
- Proficient in Microsoft Office
- Decisive
- Analytical problem solver
- Strong negotiation skills
- Goal oriented
- Flexible
- Critical thinking
- Strong interpersonal communication
- Strong attention to detail
- Teamwork
- Organization
- HIPAA compliance
- Prior authorization processing
- Data entry proficiency
- Effective communication skills
Timeline
Surgical Authorization Specialist
The Core Institute
03.2025 - Current
Administrative Assistant
Aleca Home Health and Hospice
09.2024 - 02.2025
Private Caregiver
12.2023 - Current
Legal Administrative Assistant
Veterans Affairs
06.2023 - 03.2024
Communication Representative
Banner Healthcare
02.2022 - 04.2023
Licensed Insurance Sales Consultant
GoHealth
07.2021 - 02.2022
Training Facilitator
Valor Global
07.2020 - 07.2021
Training Facilitator
FISERV
08.2018 - 07.2020
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College of Southern Nevada