Kayla Dylis
Utica,NY
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
6
6
years of professional experience
Work History
Patient Financial Rep
MVHS, INC
09.2023 - Current
- Verify patient insurance eligibility
- Obtain authorization for inpatient admission from insurance carriers.
- Assisted in training new employees on department procedures, contributing to the development of a skilled workforce within the organization.
- Assisted in the continuous improvement of department processes by offering insights and suggestions based on personal experience and industry best practices.
- Contributed to a positive work environment by collaborating effectively with fellow team members, sharing knowledge and best practices.
Claims Examiner
MetLife
07.2021 - 05.2023
- Process, verify and proof claims; authorize payments to the claimant; approve life insurance policies
- Contact insureds / claimants and conduct an investigation into the loss as directed and within company guidelines for Best Practices
- Answer correspondence received in conjunction with the claim in accordance with state guidelines.
Billing Adjudicator
OmniCare Pharmacy
06.2018 - 08.2020
- Review and research rejected Third-Party claims taking appropriate action to resolve
- Work backlog of denied claims for timely resubmission
- Manage assigned queues keeping up-to-date and current on all claims
- Follow all applicable government regulations including HIPAA.
Specimen Accessioner
LabCorp
12.2017 - 06.2018
- Prepare laboratory specimens for analysis and testing
- Accurately Identify and label specimens
- Data entry of patient information in an accurate and timely manner
- Resolve and document any problem specimens.
Education
HIGH SCHOOL -
Thomas R Proctor High School
Utica, NYSkills
- Data Entry-Alpha/Numeric
- Microsoft Office Works 2003/2007/2010/2013/2016
- Claims Processing
- Epic
- Citrix
- Knowledge of ICD-10
- HIPAA Compliance
- Insurance Verification
- Time Management Expertise
- Payment Processing
- Strong Analytical Skills
- Investigative Research
- Database Maintenance
- Customer Relationship Management
- Training and Teaching
- Analytical and Critical Thinking
Accomplishments
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Received two promotions within a six month period.
- Trained seasoned employees on new job functions.
- Assisted in updating/creating a training manual with management.
Timeline
Patient Financial Rep
MVHS, INC
09.2023 - Current
Claims Examiner
MetLife
07.2021 - 05.2023
Billing Adjudicator
OmniCare Pharmacy
06.2018 - 08.2020
Specimen Accessioner
LabCorp
12.2017 - 06.2018
HIGH SCHOOL -
Thomas R Proctor High School