Kelly Clark
Killeen,TX
Summary
Experienced administrative and customer service professional with experience in healthcare operations, data intake,
documentation, compliance, and high-volume communications. Skilled in handling confidential information,
maintaining accurate records, resolving customer concerns, and working in fast-paced environments with minimal
supervision.
Overview
9
9
years of professional experience
Work History
Lien Resolution Analyst
Epiq Global
03.2024 - Current
- Analyzed complex case data to identify resolution paths and improve client satisfaction.
- Collaborated with cross-functional teams to streamline dispute resolution processes.
- Developed and maintained comprehensive documentation for case management systems.
- Facilitated communication between clients and legal teams to ensure timely resolutions.
- Implemented process improvements that reduced case handling time by enhancing workflow efficiency.
- Trained new analysts on company protocols and effective resolution techniques.
- Conducted regular audits of case files to ensure compliance with industry standards.
- Maintained comprehensive documentation of all cases handled, ensuring accuracy and accessibility of information for future reference.
- Analyzed incoming data for accuracy and completeness, ensuring high-quality intake processes.
- Collaborated with cross-functional teams to streamline data workflows and improve communication channels.
- Reported project status, adhered to key timelines and milestones, identified data gaps, and facilitated collaboration between operational and technical teams.
Insurance Verification Specialist
Long Horn Imaging
Austin, Tx
08.2021 - 03.2024
- Verified insurance eligibility and benefits for patients, ensuring accurate coverage information.
- Communicated with insurance providers to resolve discrepancies and clarify patient coverage details.
- Processed pre-authorization requests efficiently to facilitate timely patient care services.
- Maintained detailed documentation of interactions and verifications to ensure compliance with regulations.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Generated reports to track insurance verifications and claim progress.
Medical Call Center Specialist
Rapid Radiology
07.2018 - 07.2021
- Collaborated with medical staff to streamline communication processes for enhanced patient care.
- Assisted in resolving escalated customer issues, demonstrating exceptional problem-solving skills and patience.
- Utilized various software programs proficiently while multitasking between different tasks such as call documentation, email correspondence, or chat support.
- Ensured HIPAA compliance while managing confidential patient data in electronic health records systems.
- Reduced call wait times by promptly responding to high volumes of medical-related calls.
- Managed patient inquiries and appointment scheduling to ensure efficient workflow.
Insurance Authorization Specialist
Baylor Scott & White
Temple, TX
01.2017 - 04.2021
- Processed insurance authorization requests with attention to detail and compliance standards.
- Coordinated communication between healthcare providers and insurance companies to expedite approvals.
- Maintained accurate records of authorization statuses using electronic health record systems.
- Reviewed medical documentation to ensure alignment with insurance policy requirements.
- Monitored pending authorizations and followed up proactively to avoid delays in patient care.
- Collaborated with cross-functional teams to resolve complex authorization issues effectively.
- Managed high-volume caseloads to meet strict submission deadlines, prioritizing tasks accordingly.
- Analyzed medical records and other documents to determine approval of requests for authorization.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Travel Consultant
American Express
12.2016 - 11.2019
- Developed personalized travel itineraries, enhancing client satisfaction and loyalty.
- Researched and analyzed travel options to provide clients with tailored recommendations.
- Coordinated logistics for complex travel arrangements, ensuring seamless experiences for clients.
- Managed client relationships, fostering trust and repeat business through exceptional service.
- Organized trips for individual, family and business travelers.
- Maintained accurate records of bookings, payments, and client information for smooth operations and future reference.
- Managed complex itineraries for multi-city trips, balancing client preferences with logistical constraints.
- Collected, handled and documented payments for travel services and associated feels.
Skills
- Compliance awareness
- Microsoft office
- Financial records and reporting
- Handling confidential materials
- Interpersonal communication
- Data entry and 10-key
- HIPAA compliance
- Data entry proficiency
- Coordination and scheduling
- Document management
- Data verification
- Account maintenance
- Attention to detail
Timeline
Lien Resolution Analyst
Epiq Global
03.2024 - Current
Insurance Verification Specialist
Long Horn Imaging
08.2021 - 03.2024
Medical Call Center Specialist
Rapid Radiology
07.2018 - 07.2021
Insurance Authorization Specialist
Baylor Scott & White
01.2017 - 04.2021
Travel Consultant
American Express
12.2016 - 11.2019