Kala Stancil
Cullman,AL
Summary
Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
14
14
years of professional experience
Work History
Insurance Verification Coordinator
Align Alabama
Cullman, AL
10.2022 - Current
- Prepared correspondence for appeals when necessary due to denied claims.
- Advised customers about their benefits packages, deductibles, copays.
- Collaborated with internal departments such as billing and coding teams.
- Verified insurance coverage for patients by contacting insurance companies and obtaining necessary information.
- Inputted patient data into system to ensure accuracy of demographic information.
- Maintained up-to-date knowledge of changes in insurance policies, procedures, and regulations.
- Monitored accounts to ensure accurate and timely payment of claims.
- Provided customer service support to answer inquiries from health care providers regarding insurance verification issues.
- Processed incoming requests for prior authorization on medications or services.
- Resolved discrepancies with billing statements and other documents related to insurance coverage.
- Reviewed medical records for completeness, accuracy, and compliance with relevant laws and regulations.
- Generated reports detailing status of pending insurance verifications.
- Assessed eligibility criteria for various types of coverage plans.
- Created detailed notes in patient files documenting interactions with insurers.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Updated patient and insurance data and input changes into company computer system.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
Practice Administrator
Cullman Regional Orthopedics and Sports Medicine
Cullman, AL
07.2016 - 08.2022
- Managed daily operations of the practice, including scheduling appointments, processing payments, and maintaining records.
- Ensured timely completion of patient services by monitoring wait times for office visits.
- Coordinated with insurance companies to verify coverage for patients and determine any additional fees owed by the patient.
- Resolved billing issues promptly to maintain positive relationships with patients.
- Analyzed financial data to identify areas of improvement in cost control initiatives.
- Created monthly reports detailing practice metrics such as appointment volume, no-shows, collections.
- Oversaw recruitment efforts for new employees and provided onboarding training sessions.
- Monitored employee attendance records and maintained time off requests and approvals accordingly.
- Assessed staffing levels against operational needs in order to optimize resources utilization.
- Addressed customer complaints in a timely manner to maintain high satisfaction ratings.
- Supervised administrative personnel responsible for receptionist duties, filing paperwork.
- Ordered supplies needed and kept tabs on inventory levels.
- Checked entire office and waiting areas regularly to provide clean and organized surroundings.
- Recruited, hired and trained new medical and facility staff.
- Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
- Created and maintained employee records, including new hires, terminations, salary changes, and tax withholding forms.
- Reviewed timesheets for accuracy and completeness prior to processing payroll.
Medical Office Receptionist
Seidel Plastic Surgery
Cullman, AL
08.2010 - 02.2016
- Greeted patients and visitors in person or on the telephone, answering or referring inquiries.
- Provided information to patients regarding appointment scheduling, office hours, billing, and insurance policies.
- Scheduled patient appointments, collected co-pays and verified insurance coverage.
- Entered patient information into electronic medical record system.
- Verified patient demographic and insurance information at each visit.
- Assisted with check-in, check-out procedures for all incoming, outgoing patients.
- Prepared charts for upcoming appointments; updated existing charts with current information as needed.
- Maintained filing systems for patient records and other documents as required by HIPAA regulations.
- Responded to messages from physicians, nurses and other healthcare staff in a timely manner.
- Answered multi-line phone system; directed calls accordingly to appropriate personnel or department.
- Processed referrals from primary care providers to specialists within the health care network.
- Assisted with various administrative duties such as photocopying, faxing documents, ordering supplies.
- Managed daily operations of front desk including cash handling activities when necessary.
- Handled confidential paperwork related to patient visits according to HIPAA regulations.
- Maintained professional relationships with colleagues, physicians and vendors.
- Informed patients of financial responsibilities prior to rendering services.
Education
Associate of Applied Science - Office Systems Technology With Accounting
Wallace State Community College - Hanceville
Hanceville, AL05-2002
Skills
- Policy Interpretation
- Electronic workflow completion
- Personal service experience
- Insurance Verification
- Delinquent accounts monitoring
- Understanding of billing processes
- Data Security and Confidentiality
- Attention to Detail
- Coordination and Scheduling
- Communication and Interpersonal Skills
- Account Maintenance
- Equipment Troubleshooting and Maintenance
Timeline
Insurance Verification Coordinator
Align Alabama
10.2022 - Current
Practice Administrator
Cullman Regional Orthopedics and Sports Medicine
07.2016 - 08.2022
Medical Office Receptionist
Seidel Plastic Surgery
08.2010 - 02.2016
Associate of Applied Science - Office Systems Technology With Accounting
Wallace State Community College - Hanceville
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