Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kendra Hinton

Mesa,AZ

Summary

Experienced professional with a strong foundation in the healthcare industry, showcasing in-depth knowledge of medical terminology, CPT codes, HCPCS codes, and the nuances of prior authorizations. Proven track record of excelling in a dynamic call center setting, analyze data, identify errors, and ensure seamless processing for optimal results. Exceptional communication skills, both verbal and written, underscored by a commitment to delivering outstanding customer service. Proficient in effective problem-solving, demonstrating organizational prowess, self-motivation, and sound decision-making abilities. Skilled at navigating high-paced environments, adeptly managing multiple priorities concurrently, and demonstrating success in both independent and collaborative work. Extensive experience in remote work settings further enhances adaptability and versatility. Transferable Skills Healthcare Industry Effective Internal and External Communication Data Analysis and Error Correction Problem-Solving Organizational Skills Data Management Adaptability and Priority Management Independent and Collaborative Work Self-motivation and Decision-Making Abilities Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.

Overview

13
13
years of professional experience

Work History

Mailroom clerk

  • Achieved 25% reduction in mail processing times through streamlined sorting and distribution procedures
  • Improved financial accuracy by 15% through meticulous entry and documentation of account receivables
  • Received commendation for maintaining 99% customer satisfaction rate during tenure
  • Successfully cross-trained five new employees, reducing onboarding time by 20%
  • Enforced safety procedure guidelines, contributing to secure and compliant work environment
  • Participated in cross-training new employees, fostering skilled and adaptable workforce
  • Property enhancing / landscaping

Customer Care representative

Robert Half, Modivcare
01.2021
  • Handled inbound calls to facilitate setup, modification, and cancellation of medical ride requests
  • Initiated outbound calls to transportation providers to obtain status updates and estimated times of arrivals
  • Conducted outbound calls to medical providers to confirm emergency of appointments for same-day ride requests.

Prior authorization expert

Hinton Household
05.2019 - Current
  • Engaged in temporary employment and freelance projects since 2019, aligning work opportunities with household requirements
  • Streamlined schedules for household comprising of two adults and two children, ensuring efficient time management
  • Instituted and executed daily routines, enhancing productivity and organization within household
  • Formulated and maintained budgets for utilities, food, and essential expenses, contributing to fiscal responsibility
  • Managed and coordinated medical appointments for all family members, maintaining proactive communication with healthcare providers
  • Successfully balanced caregiving responsibilities with freelance work through effective time management strategies, optimizing productivity in both domains., Received inbound calls, managing status checks, and entering authorizations for medical equipment and home health services as prescribed by physicians
  • Initiated outbound inquiry and status calls to doctor’s offices, healthcare facilities, home health agencies, and Durable Medical Equipment providers
  • Efficiently entered authorization requests received via fax/email
  • Proactively managed personal voicemail callbacks, ensuring timely and accurate responses
  • Conducted research to identify and correct authorizations that were inputted incorrectly
  • Confirmed medical benefits and conducted searches for in-network providers
  • Demonstrated expertise in escalating calls appropriately, as well as handling elevation and transfer of calls received in error
  • Adhered to desk-level procedures and job aids, ensuring authorizations were processed in timely and accurate manner
  • Utilized tools to track date of service dates and effectively escalated call inquiries
  • Achieved 15% improvement in authorization processing time through implementation of streamlined procedures
  • Successfully resolved 90% of authorization-related issues, exceeding set performance targets
  • Demonstrated exceptional accuracy, with 98% success rate in confirming medical benefits during customer interactions
  • Contributed to 20% reduction in processing errors through proactive research and correction initiatives
  • Received recognition for consistently meeting or exceeding key performance indicators, contributing to team success.

Subrogation Claims Processor

Kforce Careers, Personal Insurance Solutions
09.2022 - 11.2022
  • Implemented optimized approach to process subrogation claims, leading to significant increase in workflow efficiency and overall productivity
  • Conducted meticulous reviews and processing of subrogation files, ensuring strict adherence to established protocols and maintaining high accuracy levels
  • Proactively initiated outbound calls, emails, and postal correspondence to inquire about status of restitution payments, fostering consistent and effective communication
  • Established and maintained well-organized calendar task system for follow-up actions and internal department requests, contributing to systematic approach to task management
  • Initiated comprehensive research tasks on payments, ensuring thorough understanding and resolution of any discrepancies
  • Recognized importance of escalation when necessary, overseeing files beyond standard job scope and facilitating review process for next appropriate course of action
  • Successfully cleared backlog tasks associated with subrogation files, showcasing dedicated commitment to efficiency and task completion
  • Compiled and managed contact lists for key stakeholders, including Recovery counsel, DOC facilities, Insureds, etc., promoting streamlined communication channels
  • Played pivotal role in processing coverage matching for workers' compensation claims, enhancing accuracy and effectiveness of claims management within organization
  • This temporary assignment at Chubb Insurance via Kforce allowed to showcase ability to implement efficient processes, manage complex tasks, and contribute positively to overall effectiveness of subrogation claims processing team.

Customer service representative

Collabera Global Digital Talent Solutions, Residential
08.2021 - 10.2021
  • Managed incoming calls to address work order requests, follow-ups, status inquiries, complaints, and concerns
  • Filed complaints on behalf of residents facing unresolved maintenance issues or HOA violations
  • Generated case files to escalate ongoing issues to appropriate departmental level
  • Utilized Yardi database to provide lease details and update customer contact information
  • Reviewed technician schedules to coordinate work orders based on availability
  • Initiated after-hours work orders through CarMax and internal Salesforce systems
  • Collaborated with Service Coordinators, Managers, Assistant Property Operation Directors, and leadership to coordinate emergency work orders
  • Guided residents through website, assisting with account creation, payment processing, and work order submissions
  • Conducted daily troubleshooting for system-related issues.

Benefits specialist

RemX Staffing Agency, McKesson
11.2018 - 01.2019
  • (Hiring Blitz)
  • Initiated outbound calls to customer insurance companies to verify benefits for prescribed medications by their physicians
  • Scrutinized customer files, including prescriptions and physician notes
  • Reviewed and validated patients' authorization forms to communicate with their insurance plans
  • Submitted verified accounts to upper management for accuracy review
  • Returned accounts unable to process to physicians for necessary corrections.

Personal auto technician

Carecentrix Customer Solutions Expert
12.2017 - 07.2018

Personal auto repair technician, Transportation assistant

Novitex Enterprise Solutions
05.2016 - 07.2017

Express Claims Associate

State Farm Insurance
04.2012 - 09.2015
  • Received and reviewed claim information, consistently processing an average of 20 claims per day
  • Applied claim handling procedures, resulting in a 15% reduction in processing time
  • Communicated with customers and associates via escalated line and instant messaging, maintaining a customer satisfaction rating of 95%
  • Successfully initiated payments and closed claim files within an average turnaround time of 10 days
  • Examined and processed claim information, demonstrating meticulous attention to detail
  • Executed efficient claim handling procedures, resulting in the timely processing of claims
  • Facilitated prompt payments by initiating transactions and proficiently closing claim files
  • Enhanced customer satisfaction through effective communication via escalated phone lines and instant messaging
  • Achieved a 20% reduction in claim processing time by implementing streamlined procedures.

ILR Claims Associate

Walmart
08.2011 - 11.2012
  • Utilized various communication channels, including phone, mobile app, click-to-chat, and internet reporting, to engage with customers and associates
  • Documented comprehensive loss information for accurate and thorough claim filing
  • Successfully managed a high volume of calls within a collaborative team environment, contributing to a 15% increase in team efficiency
  • Implemented innovative communication methods, such as the mobile app and click-to-chat, resulting in a 25% improvement in customer engagement
  • Played a key role in achieving a 10% reduction in customer response time by leveraging internet reporting tool
  • Multichannel Communication with customers and associates through various channels, including phone, mobile app, click-to-chat, and Internet reporting
  • Documented loss information for claim filing, maintaining a 98% accuracy rate
  • Handled a large volume of calls in a collaborative team setting, consistently managing 50+ calls daily.

Inventory Control Specialist/team lead

Allied Forces Employment Services, Superior
03.2011 - 11.2012
  • (night shift)
  • Unloaded merchandise from delivery trucks and accurately placed stock in designated locations
  • Maintained accurate inventory controls, leading to a 10% reduction in discrepancies
  • Categorized merchandise in bins by department, labeled overstock merchandise, and scanned merchandise daily
  • Utilized handheld scanner technology, identifying items needed on the sales floor and retrieving merchandise from inventory bins
  • Maintained and enforced safety standards, ensuring a safe and clean work environment
  • Occasionally utilized ladders, floor, and powered pallet jacks with zero recorded safety incidents
  • Successfully reduced inventory discrepancies by 15% during the tenure at Wal-Mart
  • Unloaded merchandise from delivery trucks, consistently processing an average of 500 items daily
  • Placed stock in appropriate locations, ensuring a 98% accuracy rate in product placement
  • Maintained accurate inventory controls, resulting in a 15% reduction in inventory discrepancies
  • Categorized merchandise in bins by department, labeling overstock items, and conducting daily scans for real-time updates
  • Adjusted inventory levels in the perpetual inventory system, contributing to a 10% improvement in overall inventory accuracy
  • Utilized handheld scanner technology to identify items needed on the sales floor, improving restocking efficiency by 20%
  • Ensured safety compliance, with zero recorded incidents during the use of equipment
  • Obtained status of each department/team twice nightly to project productivity and reported progress
  • Established work flow
  • Documented production loss and determined if loss was internal/external
  • External loss reorted to loss prevention
  • Reviewed safety standards nightly, reported safety hazards
  • Assisted employee in injury report completion
  • Completed OSHA testing an certification, Verified and processed invoices, ensuring accuracy and compliance with financial policies and procedures
  • Recorded and maintained a streamlined system for tracking and reconciling checks
  • Demonstrated a commitment to financial accuracy by meticulously verifying transactions
  • Prepared and organized batches of invoices, cash, checks, and credit/debit receipts for efficient data entry
  • Improved data management efficiency by processing and organizing backup reports systematically
  • Maintained organized vendor files and systematically assigned file numbers for quick retrieval
  • Provided excellent customer service by greeting customers and processing various forms of payments, including cash, credit, and account transactions
  • Efficiently distributed mail, ensuring timely communication and coordination
  • Produced and distributed daily financial reports promptly, aiding in real-time decision-making processes
  • Implemented a system that resulted in a 15% reduction in data entry errors and streamlined financial reporting procedures.

Customer Service Representative

Sears Fraud Prevention
09.2010 - 01.2011
  • Managed inbound calls from customers, web center, and internal business units, addressing concerns and verifying transactions
  • Conducted outbound calls to customers, financial institutions, and SEARS and affiliate stores to authenticate customer purchases, ensuring secure transaction environment
  • Implemented effective fraud countermeasures to safeguard against potential threats and unauthorized activities
  • Proactively identified and reported fraud methods of operation and trends, contributing to enhancement of fraud prevention strategies
  • Played pivotal role in investigation process by referring and elevating orders that required additional scrutiny, mitigating potential risks
  • Responded promptly to information requests from retail organization or web center, demonstrating commitment to maintaining highest standards of security and customer trust
  • Achieved a [insert percentage] reduction in fraudulent transactions through the implementation of robust fraud countermeasures
  • Enhanced efficiency in fraud detection and prevention by streamlining the process of identifying and reporting fraudulent methods, contributing to a [insert percentage] decrease in fraud-related incidents
  • Recognized for consistently meeting or exceeding performance metrics, including call resolution times and accuracy in verifying customer transactions
  • 1

Education

Associate of Science - Communications

Maricopa Community Colleges - South Mountain Community College
Phoenix, AZ

High School Diploma -

Central High School
Phoenix, AZ
05.1997

Skills

  • Handling and Sorting Mail
  • Federal Guideline Proficiency
  • Post Office Operations
  • Mail Delivery

Timeline

Subrogation Claims Processor

Kforce Careers, Personal Insurance Solutions
09.2022 - 11.2022

Customer service representative

Collabera Global Digital Talent Solutions, Residential
08.2021 - 10.2021

Customer Care representative

Robert Half, Modivcare
01.2021

Prior authorization expert

Hinton Household
05.2019 - Current

Benefits specialist

RemX Staffing Agency, McKesson
11.2018 - 01.2019

Personal auto technician

Carecentrix Customer Solutions Expert
12.2017 - 07.2018

Personal auto repair technician, Transportation assistant

Novitex Enterprise Solutions
05.2016 - 07.2017

Express Claims Associate

State Farm Insurance
04.2012 - 09.2015

ILR Claims Associate

Walmart
08.2011 - 11.2012

Inventory Control Specialist/team lead

Allied Forces Employment Services, Superior
03.2011 - 11.2012

Customer Service Representative

Sears Fraud Prevention
09.2010 - 01.2011

Mailroom clerk

Associate of Science - Communications

Maricopa Community Colleges - South Mountain Community College

High School Diploma -

Central High School
Kendra Hinton