Kaliyah Hurst
Saint Petersburg,FL
Summary
Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards.
Overview
7
7
years of professional experience
Work History
Medical Receptionist
Express Employment Professionals
St. Petersburg, Florida
01.2023 - Current
- Oversaw accurate patient check-in, enhancing data collection efficiency
- Managed patient data in the EMR system, ensuring full HIPAA compliance
- Achieved zero data entry errors in patient record management
- Coordinate physician schedules and maintain patient flow by communicating patient arrivals or delays.
Medical Referral Specialist
Optum, UnitedHealth Group-MPF
St. Petersburg, Florida
09.2020 - 01.2023
- Managed patient referral process in collaboration with insurance and medical specialists
- Maintained comprehensive knowledge of benefits claim processing, medical terminology, and HIPAA regulations
- Provided timely updates on verification and authorization status, aiding decision-making
- Implemented innovative solutions to simplify the customer payment process
Medical Authorization Specialist
CCS Medical
Clearwater, FLORIDA
05.2017 - 09.2020
- Secured prior authorization for medical procedures and medications from insurance companies
- Efficiently processed new medication and refill requests for authorization
- Engaged in patient communication for prescription information collection and pharmacist consultation arrangements
- Collaborated with Medicare, Medicaid, and commercial insurance to ensure timely and accurate payments
Education
High School Diploma -
UnitedHealthBoca Ciega High School
Gulfport, FL06-2014
Some College (No Degree) - Medical Insurance Coding
Hillsborough Community College
Tampa, FLSkills
- Medical Billing
- Insurance Verification
- Electronic Medical Records
- Medical terminology expertise
- Insurance precertification processes
- MS Office expertise
- Revenue Cycle Management
- Claims Processing
Timeline
Medical Receptionist
Express Employment Professionals
01.2023 - Current
Medical Referral Specialist
Optum, UnitedHealth Group-MPF
09.2020 - 01.2023
Medical Authorization Specialist
CCS Medical
05.2017 - 09.2020
High School Diploma -
UnitedHealthBoca Ciega High School
Some College (No Degree) - Medical Insurance Coding
Hillsborough Community College
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