Kaitlyn Winders
Anderson,CA
Summary
Highly motivated professional with a strong background in medical terminology, customer service, and organization. Seeking a position in the medical or office field to effectively utilize these skills. Committed to delivering exceptional service and maintaining a high level of accuracy in all tasks. Proficient at multitasking and prioritizing responsibilities for efficient workflow.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Claims Processor
Sierra Pacific Industries
07.2024 - Current
- Maintained detailed records of all processed claims for easy retrieval during audits or disputes.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Maintained confidentiality of patient finances, records, and health statuses.
- Managed workload and priorities to meet claims processing meet deadlines.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Checked documentation for accuracy and validity on updated systems.
Transportation Specialist
Partnership Health Plan
02.2023 - Current
- Review, research and coordinate transportation and related travel benefits for members
- Provide a high level of customer service to members and providers
- Handle a high-volume call line, servicing over 60 phone calls per day on average
- Work directly with members, transportation providers and facilities to coordinate appropriate level and timeliness of transports
- Support and assist members in the resolution of problems with their transportation or travel benefits
- Verifies member's eligibility and determines level of program benefit
- Elicit medical information from provider and members
- Contact providers and members, verbally and/or in writing to pursue needed information
- Documents all cases opened for Transportation in the appropriate platform or database, as per protocol
- Understanding of medical terminology, CPT, HCPC and ICD-10
Visitor Management, Front Desk
Mercy Medical Center (Adecco)
07.2022 - 02.2023
- Guide visitors and patients to the appropriate location within the hospital
- Answered phone calls and transfer to the correct area
- Coordinate with nurse care staff to ensure appropriate visitor to patient ratio is being adhered to
- Perform clerical duties such as printing out visitor passes, scanning data into the visiting system
- Take detailed messages and deliver to the appropriate person or department
- Coordinate with law enforcement and security to ensure patient safety
- Handle challenging interactions with a variety of people
- Call for transporting patients of visitors who require assistance
- Ensure the entryway and lobby are always clean
- Direct deliveries to the appropriate area of the hospital
- Call in announcements as needed
- Train security to 'cover' front desk activity for lunch/breaks
Education
ASSOCIATE'S DEGREE - SOCIAL SCIENCES
SHASTA COLLEGE
01.2022
DIPLOMA -
Anderson High school
01.2022
Skills
- Proficient in Medical Terminology
- Effective Time Management Skills
- Ability to perform multiple tasks simultaneously
- Experience using operating switchboard
- Friendly and helpful customer service skills
- Proficient in common computer programs
- Typing speed 61 WPM
Certification
CPR - BLS Certified, American Heart Association
Timeline
Claims Processor
Sierra Pacific Industries
07.2024 - Current
Transportation Specialist
Partnership Health Plan
02.2023 - Current
Visitor Management, Front Desk
Mercy Medical Center (Adecco)
07.2022 - 02.2023
ASSOCIATE'S DEGREE - SOCIAL SCIENCES
SHASTA COLLEGE
DIPLOMA -
Anderson High school
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