Kaitlyn Yesalonis
Bayport,NY
Summary
Precise, efficient revenue cycle professional, proficient in filling accurate claims, adjusting rejected claims accordingly, and understanding insurance contracts, appeals, and EOBs. Additionally, having an educational background in medical billing and coding, possessing Excellent problem-solving skills, and able to perform very well under pressure.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Associate Physician Account Representative
Northwell Health Physician Partners
01.2023 - Current
- Contacting insurance carriers to ensure timely payments, and resolve errors on rejected claims.
- Maintaining patient confidentiality and adhering to HIPAA regulations.
- Achieving Employee of the Month for March of 2024.
- Aiding in a correction made to the bilateral crosswalk on HIP Tips and Tricks in QOPI.
- Working with several different insurance carriers, while becoming proficient in certain payor policies to maximize our appeals and likelihood of payments on claims.
- Managing high dollar and surgical work lists for Group 6 Orlin and Cohen claims.
- Meeting focus items, and zero’ing out work lists in a timely manner.
- Completing projects, and meeting deadlines while doing so.
- Adapting to new changes, while always being prepared to conquer any task provided.
- Assisting with training new hires on various tasks.
- Being an active part of group discussions and assisting my peers with questions, as well as sharing helpful information with others to help promote the overall success of the team.
Licensed Sales Producer
Allstate Insurance
09.2022 - 12.2022
- Contacted underwriting and partner companies, to resolve underwriting issues.
- Provided all service needs regarding customer accounts and policies.
- Recommended the type and amount of coverage based on analysis of customers' circumstances using persuasive sales techniques.
- Reviewed policy applications for errors and liaised with underwriters to facilitate quick completion of application process.
- Sold auto, home, and other various insurance products to individuals and affinity groups within assigned territory using consultative selling.
- Analyzed retention, loss ratio trends and sales volume to identify areas for improvement.
- Conducted annual reviews of existing policies to update information.
- Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
Licensed Personal Lines Insurance Sales & Customer Service Specialist
GEICO
06.2019 - 09.2022
- Contacted underwriting and partner companies, to resolve underwriting issues.
- Provided all service needs regarding customer accounts and policies.
- Customized existing insurance programs to suit individual client needs by analyzing specific requirements.
- Recommended type and amount of coverage based on analysis of customers' circumstances using persuasive sales techniques.
- Reviewed policy applications for errors and liaised with underwriters to facilitate quick completion of application process.
- Sold auto, home, and other various insurance products to individuals and affinity groups within assigned territory using consultative selling.
- Analyzed retention, loss ratio trends and sales volume to identify areas for improvement.
- Displayed consistent, positive attitude towards customers, peers and other personnel, even during high-stress situations.
- Conducted annual reviews of existing policies to update information.
Licensed Customer Service and Sales Representative
Allstate
02.2017 - 03.2019
- Contacted underwriting and partner companies, to resolve underwriting issues.
- Provided all service needs regarding customer accounts and policies.
- Recommended type and amount of coverage based on analysis of customers' circumstances using persuasive sales techniques.
- Reviewed policy applications for errors and liaised with underwriters to facilitate quick completion of application process.
- Analyzed retention, loss ratio trends and sales volume to identify areas for improvement.
- Displayed consistent, positive attitude towards customers, peers and other personnel, even during high-stress situations.
- Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
Corporate Specialty Produce Supervisor
Best Market
02.2016 - 02.2017
- Supervised staff and monitored performance in 31 stores, as well as coached and mentored staff in daily responsibilities
- Oversaw specialty produce departments in 31 stores and checked for accuracy, quality and to ensure that all food safety guidelines were met
- Delegated tasks to multiple employees while maintaining an efficient workplace atmosphere
- Increased profits through effective sales training and troubleshooting of service issues
- Offered instruction, coaching and motivation to employees during the shift
- Mentored staff to achieve professional development goals and sales production targets
- Ensured compliance with workplace policies and safety objectives
- Displayed exceptional problem solving and customer service skills
- Maintained and enforced standards of cleanliness and organization
- Developed and implemented standards and procedures that ensured the safety of food quality.
Training Specialist
Best Market
08.2015 - 02.2016
- Developed complete training programs and led training using expert learning techniques.
- Educated, coached and mentored hundreds of new hires in multiple positions.
- Produced high-quality videos for future training purposes.
- Promoted increased productivity through the appropriate allocation of resources, budgets, inventories, and training support.
- Cross-trained in all departments in the stores such as bakery, meat, seafood, cashier/customer service, grocery, and used such knowledge to implement training guidelines and tools for all team members in new stores.
- Evaluated client processes, employee performance and training progress to determine additional training needs.
- Implemented and enforced proper health and sanitation practices and procedures.
Education
High School Diploma -
Blue Point High School
Bayport, NYMedical Billing And Coding
Branford Hall Career Institute
Bohemia, NY2010
Skills
- Understanding of HIPAA
- Medical Billing and Coding
- Insurance Coverage Verification
- Curriculum Development
- Task management
- Strategic Planning
- Office Administration
- Team-player
- Proficient use of various Microsoft tools including Word, Excel, PowerPoint, etc
Certification
- Active P&C License
Timeline
Associate Physician Account Representative
Northwell Health Physician Partners
01.2023 - Current
Licensed Sales Producer
Allstate Insurance
09.2022 - 12.2022
Licensed Personal Lines Insurance Sales & Customer Service Specialist
GEICO
06.2019 - 09.2022
Licensed Customer Service and Sales Representative
Allstate
02.2017 - 03.2019
Corporate Specialty Produce Supervisor
Best Market
02.2016 - 02.2017
Training Specialist
Best Market
08.2015 - 02.2016
High School Diploma -
Blue Point High School
Medical Billing And Coding
Branford Hall Career Institute