Kenyia Bogarty
Burlington,MA
Summary
Personable and dedicated Customer Service Representative with extensive experience in the healthcare and medical industries. Proven ability to manage high-volume tasks while maintaining client satisfaction. Expertise in insurance verification, claims management, and patient services, with a strong focus on ensuring compliance and accuracy in patient information systems. Demonstrated passion for building relationships, contributing to company success, and mastering new skills quickly. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working autonomously and in team environments, driving improvements in service delivery and patient outcomes.
Overview
5
5
years of professional experience
Work History
Financial Access Unit Coordinator
Massachusetts General Hospital
Boston, MA
04.2024 - Current
- Financially clear up to 80 maternity inpatient admissions per day, ensuring compliance with insurance requirements and payer authorizations
- Verify insurance coverage and obtain authorizations for insured, underinsured, and uninsured patients, resulting in a 20% reduction in claim rejections
- Maintain and complete daily worklists, coding accounts accurately within the electronic system, improving data accuracy by 15%
- Provide customer service for incoming inquiries regarding insurance and registration, contributing to a 98% customer satisfaction rate
- Fluent in Epic, NEHEN, and various payer websites to ensure smooth processing of admissions and billing
Specialty Navigator
Atrius Health
Norwood, MA
03.2023 - 05.2024
- Coordinated referral processes for primary care physicians (PCPs) by placing orders and researching visit notes to ensure accurate and timely patient referrals
- Managed incoming calls related to referral statuses, liaising between patients and clinicians to obtain required authorizations, contributing to a 10% increase in referral processing efficiency
- Trained and supported team members in their roles within the Navigator department, improving team productivity by 15%
Job Service Representative I
Department of Unemployment Assistance
Boston, MA
07.2021 - 10.2021
- Investigated disputed claims, conducting interviews, and gathering information to determine eligibility for benefits under Massachusetts Employment Security Law
- Issued timely and accurate determinations with clear rationale, meeting strict deadlines, and maintaining a 100% compliance rate with state requirements
- Developed strong relationships with teammates, leading to a 20% improvement in customer inquiry resolution time
Financial Access Unit Coordinator
Massachusetts General Hospital
Boston, MA
07.2019 - 02.2021
- Managed financial clearance for all emergent inpatient and observation admissions, processing up to 80 accounts daily with 100% accuracy
- Obtained authorizations for inpatient admissions and coordinated payer requirements for non-contracted payers, resulting in a 15% reduction in claim denials
- Maintained up-to-date and accurate registration data in the healthcare system, improving the billing process by 10%
Patient Services Representative
Beth Israel Deaconess Hospital-Milton
Milton, MA
10.2019 - 05.2020
- Registered patients by verifying and updating demographic and insurance information, ensuring seamless patient admissions
- Secured insurance verification and authorization for patient accounts, improving financial clearance efficiency by 12%
- Provided support for admitting and nursing staff to ensure accurate bed placements, contributing to a 10% improvement in patient flow
Education
Bachelor of Science - Human Resource Management
Fisher College
11.2026
Associate of Science - Human Services
Quincy College
05.2016
Skills
- Microsoft Office Proficiency
- Epic & NEHEN Healthcare Systems
- Insurance Verification & Claims Processing
- HIPAA Compliance
- Client-Focused Service
- Excellent Communication & Leadership
- Time Management & Multitasking
- Teamwork & Training
- Flexibility & Adaptability
- Process Improvement & Detail Orientation
Key Performance Highlights
- Reduced claim rejections by 20% through effective insurance verification and authorization processes.
- Improved referral processing efficiency by 10% through effective coordination and communication with clinicians and patients.
- Achieved a 98% customer satisfaction rate by providing responsive and accurate customer service for insurance inquiries.
- Enhanced team productivity by 15% through training and supporting colleagues in healthcare administration roles.
Timeline
Financial Access Unit Coordinator
Massachusetts General Hospital
04.2024 - Current
Specialty Navigator
Atrius Health
03.2023 - 05.2024
Job Service Representative I
Department of Unemployment Assistance
07.2021 - 10.2021
Patient Services Representative
Beth Israel Deaconess Hospital-Milton
10.2019 - 05.2020
Financial Access Unit Coordinator
Massachusetts General Hospital
07.2019 - 02.2021
Bachelor of Science - Human Resource Management
Fisher College
Associate of Science - Human Services
Quincy College