Kelly Butler
Oklahoma City,OK
Summary
Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.
Overview
31
31
years of professional experience
Work History
Lead Treatment Coordinator
Jefferson dental and orthodontics
Oklahoma City, OK
10.2022 - 06.2024
- Provided support to clinical staff with insurance verification and authorization processes.
- Created customized treatment plans for patients based on individual needs.
- Collaborated with payers such as Medicare and Medicaid or private insurers regarding coverage criteria.
- Conducted financial counseling sessions for new and existing patients.
- Provided education and resources to help patients understand their treatment options.
- Ensured compliance with HIPAA regulations as well as other applicable laws.
- Managed patient scheduling, appointment reminders, and follow-up calls.
- Provided guidance to patients about their financial responsibility for services rendered.
- Participated in meetings focused on improving customer service standards throughout the organization.
- Performed administrative duties such as filing insurance claims forms or preparing reports.
- Tracked patient progress and updated records accordingly.
- Resolved any issues related to payment discrepancies or denials in a timely manner.
- Worked closely with medical billing department to ensure accurate coding of all services provided.
- Developed innovative strategies to improve efficiency in patient intake process.
- Held interviews with patients to hear concerns, gather health history and understand objectives.
- Made appointments, contacted patients for follow-ups, coordinated with insurance companies and handled billing issues.
- Successfully achieved production goals set forth by corporate, increasing office's overall revenue.
- Assisted dentist in helping patients determine optimal treatment options.
- Coordinated payment with insurance companies and discussed dental benefits with patients.
- Troubleshot and resolved complex customer service issues to enhance patient and family experience.
- Received and routed care team messages and documents to appropriate staff.
- Assured regulatory compliance and professionalism across patient service.
- Provided administrative support for patient care staff.
- Established strong work network by building professional relationships with physicians and fellow employees.
- Coordinated patient referrals to specialists and other healthcare services.
- Recruited, hired and trained new medical and facility staff.
Team Lead Health Services
Oklahoma City Clinic/GlobalHealth
Oklahoma City, OK
07.1993 - 04.2022
- Conducted performance appraisals for team members, providing feedback and identifying areas of improvement.
- Monitored team performance against targets, taking corrective action where necessary.
- Assisted the manager in setting achievable goals for the team while monitoring progress towards them.
- Delegated tasks appropriately according to individual skill sets.
- Maintained accurate records of employee attendance and task completion times.
- Supported the manager in developing plans for future projects, initiatives and objectives.
- Collaborated with other departments to develop effective solutions that meet customer needs.
- Identified opportunities for process improvements, implementing changes when required.
- Held regular one-on-one coaching sessions with staff members to encourage personal development.
- Motivated staff through positive reinforcement techniques.
- Resolved escalated customer complaints or queries promptly and efficiently.
- Ensured compliance with company policies and procedures throughout the team.
- Trained new staff in relevant processes and procedures.
- Delegated daily tasks to team members to optimize group productivity.
- Promoted to leadership position in recognition of strong work ethic and provided exceptional customer service.
- Motivated and empowered team members to build customer satisfaction and loyalty to support retention and growth.
- Kept work areas clean, neat and free of safety hazards to maximize efficiency.
- Maintained open lines of communication with senior management, reporting team progress and challenges.
- Ensured compliance with legal and regulatory requirements in all team activities.
- Facilitated team meetings to discuss targets, strategies, and address any issues.
- Coordinated daily operations, ensuring team adherence to company policies and procedures.
- Resolved customer complaints and issues promptly, ensuring high levels of satisfaction.
- Communicated regularly with referring physicians, nurses, case managers, social workers, and other healthcare professionals regarding referral processes and requirements.
- Coordinated with provider offices to ensure timely completion of referrals prior to scheduled appointments.
- Provided support to referring physicians in obtaining pre-authorization for services as necessary.
- Resolved escalated patient complaints relating to denied or delayed referrals promptly.
- Created reports summarizing referral activity on a weekly basis for management review.
- Monitored changes in payer policies related to referral processing and communicated those changes internally.
- Identified potential problems with referrals before submitting them to insurers and worked with providers to resolve those issues quickly.
- Processed incoming referral requests for medical services and submitted them to the appropriate insurance companies for authorization.
- Developed strategies for improving efficiency within the department while maintaining high standards of customer service.
- Tracked progress of each referral throughout its lifecycle from submission through authorization or denial notification.
- Maintained detailed records of all patient referrals, including dates of submission, status updates, and any additional information required by insurance providers.
- Collaborated with team members to ensure the accuracy of referral data entered into the system.
- Educated patients on how their health plan works so they can make informed decisions about their care options.
- Interpreted complex benefit plans accurately when determining whether requested services are covered under an individual's policy.
- Verified insurance eligibility for referred services using online databases and contacted insurers directly when needed.
- Researched and responded to inquiries from providers regarding pending or denied referrals in a timely manner.
- Participated in staff meetings and provided feedback on ways to improve procedures related to referral processing.
- Assisted patients in understanding their insurance coverage and answered questions about referrals, authorizations, and other related issues.
- Reviewed all documentation associated with each referral request to ensure compliance with relevant regulations.
- Gathered and verified insurance requirements to meet payer requirements.
- Tracked referral request progress and resolved issues to maintain smooth processing.
- Obtained PA for services such as diagnostic imaging.
- Assisted patients by answering questions and providing information regarding referrals.
- Aided clinical team to support administrative needs for clinical referrals.
- Collected required signatures to initiate referral process.
- Managed and obtained insurance authorizations for patient referrals from physicians.
- Scheduled patients according to availability, urgency and insurance authorization guidelines.
- Identified areas needing improvement within existing processes and developed strategies for improvement.
- Collaborated with other departments to ensure successful transition from legacy systems to Epic software solutions.
- Conducted training sessions for new Epic users, providing individual and group instruction as needed.
- Actively participated in team meetings, providing input on ways to improve overall performance standards.
Education
High School Diploma -
Moore High School
Moore, OK05-1988
Skills
- Office Administration
- HIPAA Compliance
- Patient Care Coordination
- Insurance Verification
- Customer Service
- Process Improvements
- Critical Thinking Skills
- Patient Relations
- Insurance Practices
- Healthcare operations
References
References available upon request.
Timeline
Lead Treatment Coordinator
Jefferson dental and orthodontics
10.2022 - 06.2024
Team Lead Health Services
Oklahoma City Clinic/GlobalHealth
07.1993 - 04.2022
High School Diploma -
Moore High School
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