Summary
Overview
Work History
Skills
Timeline
Generic

Kenyata Pringle

Bayou La Batre,AL

Summary

Highly skilled, detailed oriented professional with over 20 years of customer service experience with an extensive background in medical billing for various specialties.

Overview

11
11
years of professional experience

Work History

A/R Specialist

Urology Associates of Mobile
Mobile, AL
10.2023 - Current
  • Reviewed customer accounts for accurate information and payment terms.
  • Analyzed customer accounts to identify discrepancies or unpaid invoices.
  • Researched and resolved customer disputes regarding billing issues.
  • Maintained records of all transactions in accounting system.
  • Data entry

Billing/Insurance Verification Specialist

Forefront Medical Management
Mobile, AL
04.2016 - 08.2023
  • Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
  • Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
  • Maintained accurate documentation on all pre-authorization requests, denials and appeals.
  • Provided timely follow up with payers regarding payment status of claims.
  • Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
  • Monitored changes in government regulations affecting healthcare reimbursement systems.
  • Participated in training sessions on new software programs used for verification purposes.
  • Updated patient and insurance data and input changes into company computer system.

Patient Service Representative

Express Employment
Mobile, AL
03.2013 - 04.2016
  • Greeted patients upon arrival and directed them to the appropriate area.
  • Provided customer service by answering patient questions and addressing concerns.
  • Verified insurance information, collected payments, and scheduled appointments.
  • Maintained a clean and organized reception area.
  • Answered incoming calls in a professional manner.
  • Ensured all necessary paperwork was completed prior to patient visits
  • Data entry

Skills

  • Leadership
  • Software Expertise (Microsoft Office, Allscripts, EHR
  • Account Management
  • Patient Relations
  • Data entry and Documentation
  • Adaptability
  • Problem solving
  • Customer service
  • Interpersonal
  • Time management
  • Communication tools (phone, email, zoom, chat)
  • Empathetic
  • Remote work and learning
  • Training

Timeline

A/R Specialist

Urology Associates of Mobile
10.2023 - Current

Billing/Insurance Verification Specialist

Forefront Medical Management
04.2016 - 08.2023

Patient Service Representative

Express Employment
03.2013 - 04.2016
Kenyata Pringle