Kayla Greene
Orlando,FL
Summary
Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
12
12
years of professional experience
Work History
Assist RX- Account Care Educator
09.2023
- Identifying and correcting any errors that occur due to data entry
- Generating reports Maintaining accurate records Communicating with, Field reimbursement managers, Payers, and healthcare providers Contributes to customer retention by strengthening relationships through account management and maintenance
- Provides information by collecting, analyzing, and summarizing data, and responding to requests
- Serves customers by completing enrollments, responding to request
- Researching records and payer information, explaining payment policies for healthcare services, and identifying payment sources and insurance policies.
Urology Center of Winter Park – Insurance verification/Referral Specialist
08.2021 - Current
- Accurately enter insurance information into computer system
- Responsible for pre-certification/authorization and insurance verification for all patients
- Research, follow up and resolve open & pending authorizations in a prompt manner
- Calculate cash estimates for patients on upcoming visits/ procedures
- Contact patients about financial obligations
- Document activity in the patient accounts
- Concisely, precisely, and accurately document all information.
Orlando Foot and Ankle, Oviedo FL- Front Office Assistant
06.2020 - 11.2021
- Perform inventory of office supplies and order what is needed
- Verify patients' insurance information and demographics
- Update our system on when diabetic Medicare patients have seen their primary care physician
- Answer the phone, take messages, and redirect calls to appropriate offices
- Operate office equipment, such as photocopier, printers, etc
- Cancel patient appointments and provide them with new dates
- Obtain patient information and record it in database
- Pull patient records for doctor's review
- Submit insurance claims
- Update patient's insurance information
- Ensure accuracy of patient's insurance forms before submitting
Amerisource Bergen – Benefits Verification specialist (work from home)
11.2020 - 05.2020
- Collects and reviews all patient insurance information needed to complete the benefit verification process
- Verifies patient specific benefits and precisely documents specifics for various payer plans including patient coverage, cost share, and access/provider options according to Program specific SOPs
- Verification process could include electronic validation of pharmacy coverage and medical eligibility
- Identifies any restrictions and details on how to expedite patient access
- Could include documenting and initiating prior authorization process, claims appeals, etc
- Completes quality review of work as part of finalizing product
- Reports any reimbursement trends/delays to supervisor
- Performs related duties and special projects as assigned.
Orlando Health Urology, Orlando FL - Office Assistant/Referral Specialist/Office Assistant Sr
01.2017 - 10.2019
- Responsible for obtaining insurance authorizations/ referrals for all insurance plans before a patient scheduled appointment and or procedure
- Ensured financial information and insurance has been verified
- Maintained compliance with all Orlando Health policies and procedures
- Worked closely with nursing and medical staff to facilitate optimal patient care
- Produce and distribute correspondence memos, letters, faxes and form
- Schedule Prepping Filing, typing copying, scanning
- Receive, sort, and distribute the mail
- Greet and assist patients in the office
- Photocopy and print out documents on behalf of employees or patients
- Provided patient with referral information for other physicians and facilities
- Provide medical billing and coding duties.
Holiday Inn Club Vacations, Kissimmee FL- Inbound Sales Representative
10.2016 - 05.2017
- Answered and responded to calls for referral, prospects and club owners
- Marketed Vacation packages to prospective buyers
- Attend weekly meetings
- Data entry Maintained call and data entry accuracy levels between levels of 95% or better
- Created sales tracking tool using Excel, maintain accurate records of monthly sales and increasing call and data entry accuracy.
Elite Choice Health Group, Boca Raton FL - Sales Representative
12.2014 - 05.2015
- Become familiar with a variety of insurances
- Engaged potential customers in dialogue about their insurance needs
- Determined suitable health insurance coverage to meet their client needs
- Provided health insurance quotes to customers
- Maintained customer database
- Cultivated positive relationship with customers
- Met and surpassed weekly sales goals
Nike, Timberland, Guess, Fossil, Orlando FL - Customer Service Representative
06.2012 - 02.2015
- Provided excellent customer service and product knowledge to customers
- Assembled in store displays
- Handled customer inquiries, complaints, billing questions, and payments
- Performed cashier duties as needed.
Education
Some College (No Degree) - Health Administration
Florida Technical College
Orlando, FLSkills
- Insurance knowledge
- Referrals management
- Office procedures
- Scheduling
- Authorizations management
- Lesson Planning
- Program Development
- Group and individual instruction
- Differentiated Instruction
- Data collection and analysis
- Peer Mentoring
- Multi-line phone proficiency
- Accurate Documentation
- Insurance precertification processes
- Appointment Scheduling
- Outbound calls
- Caseload Management
- Scheduling Software
- Organizational abilities
- Insurance Verification
- Epic Systems
- Financial Reporting Coordination
- Critical Thinking
- Patient Safety
- Records Maintenance
- Data Analysis
- Patient Advocacy
- Medicare Compliance
- Team Collaboration
- Adaptability and Flexibility
- HIPAA Guidelines
- Quality Control
- Professionalism
- Team building
- Organizational Goal Development
Education Certification
- Florida Technical College, Administrative Billing and coding
- Professional Academy of Health, diploma
- Florida State Phlebotomy Certification
- CPR/HIV/AIDS trained and certified.
- High school Diploma, Mavericks High 3.0 G.P. A (graduated 1 year early)
Systems Software
- Smart Id GE
- Touchworks
- Sunrise
- Healthpost
- Healthpay
- Crimson
- Intergy
- Intergy EHR
- Availity
- MVP
- Avaya
- Fieldglass
- Fusion
- Salesforce
- Patient Plus
Awards
Leadership Award, Main Street High school
Timeline
Assist RX- Account Care Educator
09.2023
Urology Center of Winter Park – Insurance verification/Referral Specialist
08.2021 - Current
Amerisource Bergen – Benefits Verification specialist (work from home)
11.2020 - 05.2020
Orlando Foot and Ankle, Oviedo FL- Front Office Assistant
06.2020 - 11.2021
Orlando Health Urology, Orlando FL - Office Assistant/Referral Specialist/Office Assistant Sr
01.2017 - 10.2019
Holiday Inn Club Vacations, Kissimmee FL- Inbound Sales Representative
10.2016 - 05.2017
Elite Choice Health Group, Boca Raton FL - Sales Representative
12.2014 - 05.2015
Nike, Timberland, Guess, Fossil, Orlando FL - Customer Service Representative
06.2012 - 02.2015
Some College (No Degree) - Health Administration
Florida Technical College
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