Kimberly Bowman
Customer Service and Scheduler
Harrisburg,PA
Summary
Dynamic individual with hands-on experience in a fast-paced position and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals. Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
36
36
years of professional experience
Work History
Centralized Scheduler
Pinnacle Health Systems now UPMC
Harrisburg, PA
01.2013 - 11.2024
- Scheduled radiology for 22 facilities, also scheduled laboratory, labor and delivery, cardiology imaging, and pulmonology.
- I spoke to doctors, patients, and radiology staff to schedule appointments.
- I gave preps for each service as needed.
- Registered patients, including verified and updated insurances.
- Verified orders arrived in RIGHT-FAX and entered in EPIC for providers not associated with UPMC.
- Updated provider availability regularly, adapting schedules as needed to accommodate vacations or unexpected absences from the office.
- Resolved scheduling conflicts and accommodated special requests, maintaining flexibility and understanding of individual needs.
Telephone Reopening, Grievance and Appeals Representative
National Government Services
Harrisburg, PA
03.1999 - 06.2007
- I fielded provider questions and added information given to reprocess services.
- Reviewed written inquiries and addressed all concerns by sending new remittances or written correspondence.
- Contributed to a troubleshooting committee which addressed problems, concerns, and discrepancies between Departments.
- I designed and piloted an outreach program for providers with major billing and processing problems with providers to determine problems through one-on-one education.
- Experienced with all specialties.
- Worked with a team in writing policy for Epogen, Automated Multichannel lab tests and panels, and MOHS Chemosurgery.
- Recognized as Employee of the Month as an excellent Telephone Representative.
Post Payment Review Representative and Telephone Appeals Representative
Highmark
Camp Hill, PA
10.1988 - 02.1999
- Reviewed written correspondence and addressed all issues by correcting and reprocessing services in question.
- Processed appeals for providers from five states.
- I was one of the first Representatives chosen for a Telephone Appeals Program.
- Worked closely with providers and office assistants performing reviews on questionable claims.
Education
High School Diploma -
Central Dauphin High School
Harrisburg, Pennsylvania06.1982
Some College (No Degree) - American Sign Language
Gallaudet University
Washington, DCSome College (No Degree) - Interpreting For American Sign Language
Community College of Philadelphia
Philadelphia, PASkills
- Teamwork and collaboration
- Customer service
- Problem-solving
- Reception oversight
- Decision-making
- Schedule management
- Excellent communication
- Patient/client confidentiality
- Patient/client relations
- Relationship building
- Telephone etiquette
Timeline
Centralized Scheduler
Pinnacle Health Systems now UPMC
01.2013 - 11.2024
Telephone Reopening, Grievance and Appeals Representative
National Government Services
03.1999 - 06.2007
Post Payment Review Representative and Telephone Appeals Representative
Highmark
10.1988 - 02.1999
High School Diploma -
Central Dauphin High School
Some College (No Degree) - American Sign Language
Gallaudet University
Some College (No Degree) - Interpreting For American Sign Language
Community College of Philadelphia
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