Kareema Greening
Lake Charles,LA
Summary
Experienced healthcare specialist with extensive expertise in patient assessment, treatment planning, and insurance authorization. Demonstrates a keen ability to enhance patient care quality through effective communication and meticulous healthcare administration. Proven track record in reducing claim denials and streamlining patient access processes. Adept at fostering teamwork to meet and exceed healthcare service goals.
Overview
13
13
years of professional experience
Work History
Insurance Authorization Specialist
Omega Healthcare
04.2024 - Current
- Ensured accurate patient data logging for seamless insurance processing and medical use.
- Ensured service provider compliance with authorization requirements to streamline patient care.
- Track referral submission during facilitation of prior authorization issuance.
- Enhanced identification processes for at-risk surgery patients, reducing claim denials.
Patient Access Specialist
GetixHealth
06.2020 - Current
- Research patient eligibility, coverage information, and benefit levels.
- Analyze denials received from third-party payers to identify trends in denials and develop proactive measures for resolution.
- Provide prior authorization support for physicians, healthcare providers, and patients in accordance with payer guidelines.
- Analyze medical records and other documents to determine approval for requests for authorization.
- Verify insurance authorizations with payers via telephone or web-based systems.
- Coordinate communication between providers, patients, payers, and other departments as needed.
- Ensure timely submission of accurate documentation to support payment of services rendered by providers.
Call Center Representative
Kforce Global Solutions
08.2016 - 06.2020
- Responded to customer calls and emails to answer questions about products and services.
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Learned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questions.
Patient Access Specialist
Imperial Health
Lake Charles, LA
09.2011 - 08.2016
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Received patient deductibles and co-pay amounts and discussed options to satisfy the remainder of patient financial obligations.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
Education
Associate of Health - Health Information Technology
Lamar Institute of Technology
12.2023
Associate of Applied Business - Business Administration
Sowela Technical Community College
05.2020
Associate of Applied Science - Office Systems Technology
Sowela Technical Community College
05.2017
Skills
- Medical Terminology Proficiency
- Patient Care Coordination
- Insurance Verification
- Medical Record Analysis
- HIPAA Compliance
- Healthcare Software Proficiency
Timeline
Insurance Authorization Specialist
Omega Healthcare
04.2024 - Current
Patient Access Specialist
GetixHealth
06.2020 - Current
Call Center Representative
Kforce Global Solutions
08.2016 - 06.2020
Patient Access Specialist
Imperial Health
09.2011 - 08.2016
Associate of Health - Health Information Technology
Lamar Institute of Technology
Associate of Applied Business - Business Administration
Sowela Technical Community College
Associate of Applied Science - Office Systems Technology
Sowela Technical Community College
Similar Profiles
MOHAMMED RAYANUDDINMOHAMMED RAYANUDDIN
AR Executive at Omega HealthcareAR Executive at Omega Healthcare
Jennifer CunninghamJennifer Cunningham
NA at Omega HealthCareNA at Omega HealthCare
Aakanksha AroraAakanksha Arora
Manager at Omega HealthcareManager at Omega Healthcare