Kayla Smith
Radcliff,KY
Summary
Caring and compassionate Student Nurse well-versed in anatomy and physiology, nursing fundamentals, and medical terminology. Responds to emergencies with grace and calm mentality. Attentive and focused, offering 612 hours of hands on clinical experience in hospital environments. Successful in building rapport with patients and families. I am eager to learn and grow in a new environment. Noted for attention to detail, work ethic, and team mindedness.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Payment Integrity Analyst
The Rawlings Group
01.2022 - 06.2023
- Provide a coordination of benefits review between multiple medical insurances
- Reach out to members, providers, and employer groups to receive/explain benefit information
- Investigate and analyze medical insurance benefits/claims to maximize the most benefits for members
- Review state mandates and SPDs
- Analyzed data trends to identify process inefficiencies and recommend improvements.
Claims Analyst Team Leader
Computershare/KCC
12.2018 - 09.2021
- Manage staff of 16 employee’s including daily review of Performance metrics, PeopleSoft approval, Team meetings, Provide Mid-year, and yearly evaluations
- Provide coaching and feedback
- Analyzed and processed claims, ensuring compliance with company policies and regulatory requirements.
- Developed training materials for new analysts, enhancing onboarding efficiency and knowledge retention.
- Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
Claims Analyst
Computershare/KCC
01.2017 - 12.2018
- Analyze claims according to documents received by claimants
- Processing claimant responses to rejection/deficiency notices and respond to claimant
- Enter data from claim form to the system with speed/accuracy
Patient Care Associate/Medical Assistant
Norton Hospital
05.2016 - 07.2017
- Update patients charts into the EPIC system
- Managed patient records utilizing electronic health record systems, ensuring accuracy and compliance with regulations.
- Conducted routine assessments to identify changes in patient conditions, facilitating timely interventions.
- Recorded temperature, blood pressure, pulse, or respiration rate as directed by medical or nursing staff.
- Maintained clean, safe, and well-organized patient environment.
Enrollment Specialist
Anthem Blue Cross
10.2015 - 05.2016
- Assist member with enrollment issues
- Help member choose primary care doctors
- Assisted members with password resets
- Ability to work in multiple systems
Patient Access Representative- University of Louisville ER Department
Conifer Health Solutions
02.2014 - 10.2015
- Screen and Pre-admit patients
- Provide patients with information by explaining hospital policies.
- Secures payments by screening insurance information.
- Admits emergency room and maternity patients by obtaining information from family members.
- Managed insurance verification to facilitate timely patient access and minimize claim denials.
Education
Associate of Science - Nursing
Galen College of Nursing
Louisville, KY09.2026
Skills
- Customer Service
- Ability to remain calm in emergencies and other stressful situations
- Analyzing claims according to specific cases
- Leadership
- Microsoft office
- Analytical thinking
- Time management
- Critical thinking
- Documentation and reporting
- Patient monitoring
- Clinical judgment
- Direct patient care
- Privacy and confidentiality
Certification
American Heart Association BLS CPR and AED Certification
Timeline
Payment Integrity Analyst
The Rawlings Group
01.2022 - 06.2023
Claims Analyst Team Leader
Computershare/KCC
12.2018 - 09.2021
Claims Analyst
Computershare/KCC
01.2017 - 12.2018
Patient Care Associate/Medical Assistant
Norton Hospital
05.2016 - 07.2017
Enrollment Specialist
Anthem Blue Cross
10.2015 - 05.2016
Patient Access Representative- University of Louisville ER Department
Conifer Health Solutions
02.2014 - 10.2015
Associate of Science - Nursing
Galen College of Nursing