KENESHA KINSEY
Homestead
Summary
Professional with strong background in customer service within healthcare sector. Capable of resolving complex issues with effective communication and problem-solving skills. Known for fostering team collaboration and flexibility in dynamic environments. Possesses key skills in conflict resolution, empathetic listening, and data management, consistently driving positive outcomes.
Overview
10
10
years of professional experience
Work History
Provider Customer Service Representative
United Healthcare
11.2024 - Current
- Responded to high-volume inbound calls from healthcare providers, resolving inquiries regarding claims, eligibility, benefits, prior authorizations, and payment status.
- Researched and troubleshoot complex claim issues using multiple internal systems to provide accurate, timely resolutions.
- Collaborate with internal departments(claims, billing, medical review, network management) to escalate and resolve provider concerns.
- Consistently exceeded performance goals for AHT, UES, NPS, and FCR, demonstrating strong efficiency, accuracy, and provider satisfaction.
Practice Manager| Revenue Cycle Manager| Business Operations
Flores Plastic Surgery | Plastic & Reconstructive Surgery
02.2021 - 10.2024
- Achieved operational efficiencies by overseeing business operations and patient satisfaction.
- Generated profit within three months through innovative marketing strategies and referrals.
- Negotiated service agreements with insurance, increasing reimbursement rates for services.
- Created effective work environment using teaching aids and motivational management strategies.
- Provided strategic leadership for a team of 20+, reporting directly to CEO.
Hospital Surgical/ Operating Room Manager
Miami Cancer Institute / Baptist Hospital
09.2019 - 02.2021
- Enhanced patient care by developing and implementing efficient clinical services.
- Achieved financial sustainability through evaluation of medical supplies and services.
- Increased patient census by effectively managing budgets and optimizing surgical performance.
- Fostered collaboration among a 20-member team in the operating room.
- Ensured compliance with safety and quality standards in operating room operations.
- Improved surgical staff efficiency through targeted training programs.
MEDICAL CENTER OFFICE MANAGER
American Care Medical Center
08.2015 - 09.2019
- Enhanced patient care metrics by evaluating treatment standards and regulatory compliance.
- Streamlined communication across departments through newly implemented office protocols.
- Optimized daily office operations, ensuring policy adherence and overall efficiency.
Education
Certificate of Technical Studies - Insurance Billing And Coding Specialist
Florida Technical College
Miami, United States06-2016
High School Diploma -
Miami Southridge High School
Miami, FL06-2009
Skills
- Meeting Deadlines/ Reports
- Risk Management/ Compliance
- Strategic Business Planning
- Operating Standards and Methods
- Problem Solving
- Computer Proficiency
- Quality Assurance and Safety
- De-escalation techniques
- Remote work capabilities
- CRM software
- Customer service
- Data entry
- Medical terminology
- MS office
- Call center operations
Timeline
Provider Customer Service Representative
United Healthcare
11.2024 - Current
Practice Manager| Revenue Cycle Manager| Business Operations
Flores Plastic Surgery | Plastic & Reconstructive Surgery
02.2021 - 10.2024
Hospital Surgical/ Operating Room Manager
Miami Cancer Institute / Baptist Hospital
09.2019 - 02.2021
MEDICAL CENTER OFFICE MANAGER
American Care Medical Center
08.2015 - 09.2019
Certificate of Technical Studies - Insurance Billing And Coding Specialist
Florida Technical College
High School Diploma -
Miami Southridge High School