Kimberley Williams

• Coordinated patient insurance verification, improving appointment scheduling and reducing delays.
• Processed insurance claims efficiently, ensuring accuracy and compliance with industry regulations.
• Managed billing inquiries and resolved discrepancies, enhancing patient satisfaction and trust.
• Streamlined documentation procedures, increasing operational efficiency within the insurance department.
• Scheduling Medical Appointments
• Obtaining Prior-Authorizations
• Greet patients / answering incoming phone calls

• Registered new patients and updated existing patient information in electronic medical records (EMR) systems to ensure accurate and up-to-date records.
• Verify insurance eligibility, benefits, and obtain necessary authorizations.
• Answer incoming phone calls and respond to patient inquiries.

Process medical records requests and ensure accurate documentation.

• Maintain patient confidentiality and comply with HIPAA.

Resolve patient concerns and escalate issues when appropriate.

• Collaborate with clinical staff to ensure smooth patient flow and quality care.

• Managed prior authorization requests ensuring timely approval and compliance with regulatory standards.
• Collaborated with healthcare providers to gather necessary documentation for authorization processes.
• Analyzed patient data to determine eligibility for services and coverage requirements.
• Educated staff on prior authorization protocols, enhancing team knowledge and operational efficiency.

• Medical Terminology
• Electronic health records (EHR/EMR)
• Health insurance and medical billing
• Medical coding (ICD-10, CPT, HCPCS
• Scheduling and patient registration
• Prior Authorization procedures
• Microsoft Office ( Word, Excel, Outlook)