Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kendra Foster

Denver,CO

Summary

Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines.

Overview

11
11
years of professional experience

Work History

Medical Ops

K Health
04.2023 - Current
  • Developed close relationships with and serves as primary point of contact for patients
  • Onboarded patients and validate insurance and IDs within department SLA requirements
  • Scheduled appointments, follow-up visits and support the patient in navigating care outside of the virtual clinic
  • Maintained detailed records of patient interactions and progress to ensure accurate information across all systems
  • Communicated effectively and proactively with patients, providers and co-workers to facilitate care
  • Ability to build relationships with different types of people, including clients, organization members, and health care providers
  • Initiated outreach and missed appointment procedures
  • Maintained strict confidentiality in accordance with HIPAA policies
  • Acted as an expert on the Clinic App and related systems, processes and tools
  • Handled multi-channel patient communication based on the needs of the patient (phone, chat, SMS, email)
  • Monitored Provider schedule adherence and performance within department's SLAs
  • Able to troubleshoot and document technical issues for patient resolution
  • Acted as a liaison between patients, clinical operations and healthcare providers while taking ownership of the patient experience

Claims Specialist

Delta Dental
09.2022 - 02.2023
  • Made sure all claims were accurate and efficient adjudication of claims/ pretreatment estimates/ benefit correction adjustments for payment within guidelines and contractual agreements utilized knowledge of cdt coding, processing policies and product and benefit plans.
  • Responsible for accurate and timely adjudication of claims in accordance with applicable claims processing guidelines.
  • Researched claims/ pre- treatment estimates for supporting documentation including eligibility, applicable benefits, processing policies and coordination of benefits.
  • Processed and resolved system generated editing, and error coding. Initiated manual request for required supporting documentation.
  • Researched, and resolved and processed appeals, checks and paperwork flow to maintain the inventory levels according to department goals.
  • Completed Manuel pricing according to guidelines and contract agreements.
  • Identified procedures requiring review and referred to appropriate consultants with all required documentation.
  • Maintained tracking decisions and claim resolution of the referral within the Health Edge system.
  • Analyzed, researched, adjudicates and documents requiring manual claim adjustments determined by analysis of the system claim and benefit data.
  • Maintained and ensured all procedures in the operations department were in compliance with HIPAA standards, and regulations
  • Input EOB records for Coordination of Benefits
  • Left company due to Personal Reasons.

Claim Specialist

State Farm
07.2022 - 12.2022
  • Investigated insurance claim to determine if it qualifies for payment under the policy
  • Contact the insurer's representative to obtain information about the claim
  • Obtain all necessary documentation from the claimant and/or witnesses
  • Contact third party providers such as doctors or hospitals to verify medical treatment received by the insured person
  • Review the entire file to ensure that no additional payments are due
  • Prepare an accurate report summarizing the investigation and findings
  • Provide any other assistance requested by the insurer's representatives
  • Inform the insurer when the claim has been closed
  • Keep records of all work performed in connection with the claim
  • Maintain confidentiality regarding information obtained during the investigation
  • Follow up on outstanding issues related to the claim
  • Make sure all necessary reports are completed and submitted promptly to the appropriate parties
  • Evaluate the accuracy of the completed reports
  • Correct any errors found in the reports
  • Report to the supervisor any problems encountered while performing your duties
  • Carry out negotiations of claim settlements with claimants and their attorneys
  • Assist in processing new claims.
  • Left Company due to relocation of Hub

Administrative Assistant

Compass Group
12.2019 - 03.2020
  • Assisted HR with the process of recruitment, including vetting candidates, assisting with interviews and issuing employment contracts
  • Supported internal and external inquiries and requests related to the HR department
  • Compiling and maintaining paper, digital and electronic employee records, including holiday and sickness leaves
  • Processed payroll and assisting with the documentation of employee compensation and benefits
  • Supported HR-related training programs, workshops and seminars
  • Entered employee data into computer database
  • Coordinated logistics for new hire orientations
  • Wrote and submitted reports on general HR activities
  • Oversaw HR events and meetings and coordinating management-employee communications
  • Assisted with benefits and Eligibility paperwork for new hires
  • Job ended because of closure of Basketball arena due to Covid cases, and I moved to Denver

Medical Secretary

Northside Hospital
08.2014 - 02.2017
  • Answered telephones and directed calls to appropriate staff
  • Compiled and recorded medical charts, reports, or correspondence
  • Interviewed patients to complete documents, case histories, or forms, such as intake or insurance forms
  • Maintained medical records, technical library, or correspondence files
  • Operated office equipment, such as voice mail messaging systems, and use word processing, spreadsheet, or other software applications to prepare reports, invoices, financial statements, letters, case histories, or medical records
  • Performed various clerical or administrative functions, such as ordering and maintaining an inventory of supplies
  • Received and routed messages or documents, such as laboratory results, to appropriate staff
  • Scheduled and confirmed patient diagnostic appointments, surgeries, or medical consultations
  • Transmitted correspondence or medical records by mail, e-mail, or fax
  • Job ended due to Personal reasons

Education

Bachelor - Biochemistry

South College
Knoxville, TN
01.2018

Skills

  • Constructive engagement approach
  • Collaborative teamwork
  • Customer engagement
  • Analytical problem-solving
  • Time management

Timeline

Medical Ops

K Health
04.2023 - Current

Claims Specialist

Delta Dental
09.2022 - 02.2023

Claim Specialist

State Farm
07.2022 - 12.2022

Administrative Assistant

Compass Group
12.2019 - 03.2020

Medical Secretary

Northside Hospital
08.2014 - 02.2017

Bachelor - Biochemistry

South College

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