Kelli Bowes-Coggins
Kansas City,MO
Summary
Detail-oriented pre-certification coordinator who is adept at navigating complex insurance policies and streamlining the pre-authorization process for optimal patient care. Seeking a position in the healthcare sector, with a focus on oncology, insurance authorizations, and financial counseling. With 25 years of experience as an Insurance Verification Specialist, I bring extensive expertise in benefits explanation and coverage tracking. A team player with vast knowledge of medical terms and proven effectiveness in working with all types of personalities. Dynamic organizational skills and attention to detail enhance my ability to excel in this role.
Overview
18
18
years of professional experience
Work History
Pre-Certification Coordinator
Discover Vision Centers
11.2022 - Current
- Obtained authorizations for office procedures, ASC setting procedures, and buy-and-bill medications for Retinal and Macular Diseases
- Answered telephones in a professional and friendly manner and directed calls to appropriate staff, ensuring high-quality service for internal and external customers
- Enrolled patients in assistance programs to aid with medication costs, providing financial relief
- Informed patients of their financial obligations for procedures and office visits, ensuring transparency and understanding
- Stayed current with health insurance requirements, including HMO, PPO, Medicare, Medicaid, and other federal and state agency programs
- Performed other general administrative duties as needed, demonstrating flexibility and adaptability.
Escrow Assistant
Alliance Nations Wide Title Insurance Agency
08.2022 - 11.2022
- Performed a wide range of administrative duties to gather information and assist in the escrow process
- Opened orders, input closing statement information prepared documents for closing, and handled complete disbursement and follow-up of all escrow transactions
- Communicated requirements and other information to clients, ensuring clarity and understanding
- Interpreted various agreements as related to closing and preparing all documents required for transactions.
Escrow Assistant
First American Title Insurance
08.2021 - 06.2022
- Performed a wide range of administrative duties to gather information and assist in the escrow process
- Opened orders, input closing statement information prepared documents for closing, and handled the complete disbursement and follow-up of all escrow transactions
- Communicated requirements and other information to clients, ensuring clarity and understanding
- Interpreted various agreements as related to closing and preparing all documents required for transactions.
Client Services Coordinator
EVOLENT HEALTH
Brea, CA
04.2021 - 08.2021
- Obtained authorizations for infusions, imaging, and radiation therapy
- Probed callers for necessary information in a call center environment to determine the appropriate routing, enhancing call resolution efficiency.
Healthcare Front Desk Coordinator
IVX Health
12.2020 - 03.2021
- Answered telephones in a professional and friendly manner and directed calls to appropriate staff, ensuring high-quality service for internal and external customers
- Greeted patients and served as the first point of contact for patient concerns, questions, and customer service inquiries enhancing patient satisfaction
- Scheduled and rescheduled patient appointments according to scheduling guidelines, optimizing clinical flow
- Ensured authorizations were obtained before patient visits, ensuring compliance and efficiency
- Followed up with patients for necessary appointments via phone, text, and email, improving patient engagement
- Performed check-in tasks, including updating demographic information verifying insurance, and obtaining necessary documentation
- Maintained patient records and files ensuring confidentiality and accessibility
- Answered questions about the practice and its services, providing clear and helpful information
- Collected copayments, coinsurance, and self-payments; documented transactions in the practice management system, prepared day-end batches, and reconciled payments
- Completed end-of-day tasks, including running reports, identifying no-show patients, and finalizing daily batching procedures
- Coordinated patient flow through the front desk, and communicated with clinical staff to optimize efficiency and patient safety
- Maintained and ordered center supplies, ensuring timely receipt and follow-up on incomplete orders
- Kept the reception area clean and organized, maintaining a professional and welcoming environment.
Clinical Service Specialist
NORTHERN CALIFORNIA PET IMAGING CENTER
03.2019 - 12.2020
- Reviewed all incoming physician orders for compliance with insurance guidelines and requested necessary authorizations for imaging
- Stayed current with health insurance requirements, including HMO, PPO, Medicare, Medi-Cal, Medicare Advantage plans, and other federal and state agency programs
- Possessed knowledge of medical billing procedures, including CPT, ICD-9/ICD-10, and HCPCS codes, to accurately enter charge and copayment data into billing programs
- Reviewed insurance copays and co-insurance with patients to make them aware of their financial responsibilities
- Determined patients' payment ability according to National Poverty Guidelines
- Maintained knowledge of HIPPA laws/forms and processed all patient requests for viewing/amending PHI, accounting of disclosures, special privacy protections, confidential channel communication, and complaints
- Exhibited excellent customer service to patients, families, and other staff, ensuring a positive and supportive environment.
Infusion Referral Specialist
SUTTER HEALTH
07.2018 - 03.2019
- Stayed current with health insurance requirements, including HMO, PPO, Medicare, Medi-Cal, Medicare Advantage plans, and other federal and state agency programs
- Possessed knowledge of medical billing procedures, including CPT, ICD-9/ICD-10, and HCPCS codes, to accurately enter charge and copayment data into billing programs
- Created and managed efficient schedules for the Infusion Center(s) using knowledge of medical office scheduling procedures
- Used knowledge of medical terminology to identify, interpret, and explain medical procedures to patients, third-party payors, and medical facility personnel.
Imaging Support Specialist-SDI
NORTHBAY HEALTHCARE
05.2016 - 07.2018
- Obtained billing documentation and authorizations for all patient imaging exams; scheduled exams for multiple diagnostic modalities per physician orders and protocols
- Input patient demographics into the facility information system for new patients and update records as needed
- Processed all court-ordered subpoenas and medical records requests, maintaining compliance with legal and regulatory requirements
- Processed incoming exam reports and prepared items for mailing or faxing as required
- Maintained knowledge of HIPPA laws/forms and processed all patient requests for viewing/amending PHI, accounting of disclosures, special privacy protections, confidential channel communication, and complaints
- Exhibited excellent customer service to patients, families, and other staff, ensuring a positive and supportive environment.
- Enhanced patient comfort during procedures, ensuring clear communication and providing support throughout the process.
Patient Support Services Coordinator
Northern California PET Imaging Center
09.2006 - 04.2016
- Performed general office duties, including answering telephones, and direct calls to appropriate staff
- Perform various clerical or administrative functions, such as ordering and maintaining supply inventory
- Operate office equipment, such as voice mail messaging systems, and use word processing, spreadsheet, or other software applications to prepare reports, invoices, letters, case histories, or medical records
- Gathered patient insurance information, verified eligibility and benefits, and obtained prior authorizations for PET/CT, CT, Cardiac, Brain, and other imaging studies as requested by physicians
- Knowledgeable of insurance guidelines, and ICD10 and CPT coding for authorizations
- Determined patients’ payment ability according to National Poverty Guidelines
- Scheduled and confirmed patient diagnostic appointments
- Interviewed patients to obtain medical information, and obtained weight and height
- Completed documents, case histories, or forms
- Explained treatment procedures, medications, diets, or physicians' instructions to patients
- Received and routed messages or documents, such as clinical histories, to appropriate staff
- Transmitted correspondence or medical records by mail, secure e-mail, or fax.
Education
Associate of Science - Medical Office
Solano Community College
Fairfield, CA05.1999
Associate of Arts - Liberal Arts And Sciences
Solano Community College
Fairfield, CA05.1999
Skills
- ICD10/CPT Coding
- Medical Terminology
- Microsoft Office
- Prioritizing
- Scheduling
- EHR/EMR
- Always maintain a professional & positive service attitude
- Strong Organization
- Patient Scheduling
- HIPAA Compliance
- Excellent work ethic
- Insurance Verification
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Pre-Certification Coordinator
Discover Vision Centers
11.2022 - Current
Escrow Assistant
Alliance Nations Wide Title Insurance Agency
08.2022 - 11.2022
Escrow Assistant
First American Title Insurance
08.2021 - 06.2022
Client Services Coordinator
EVOLENT HEALTH
04.2021 - 08.2021
Healthcare Front Desk Coordinator
IVX Health
12.2020 - 03.2021
Clinical Service Specialist
NORTHERN CALIFORNIA PET IMAGING CENTER
03.2019 - 12.2020
Infusion Referral Specialist
SUTTER HEALTH
07.2018 - 03.2019
Imaging Support Specialist-SDI
NORTHBAY HEALTHCARE
05.2016 - 07.2018
Patient Support Services Coordinator
Northern California PET Imaging Center
09.2006 - 04.2016
Associate of Science - Medical Office
Solano Community College
Associate of Arts - Liberal Arts And Sciences
Solano Community College
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