KIMBERLY ADAMS-WHITE
Maple Heights,OH
Summary
Detail-oriented administrative team member well-versed in assisting with financial operations, managing records and coordinating paperwork. Good multitasker and problem-solver adept at remaining calm and professional in busy, high-pressure environments.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Cash Posting Specialist
Option Care Home Health
03.2022 - Current
- Post all payments and denials as they are received from lock box into the system, balance daily cash received, against lock box total and give to Reimbursement Manager for approval.
- Researched and resolved account discrepancies.
Benefits Verification Specialist
Option Care Home Health
07.2007 - Current
- Reviewed and verified eligibility of patients for benefits coverage.
- Provided detailed information about insurance plans and benefits to health care providers, patients, and staff members.
- Maintained accurate records of all verification activities in a timely manner
- Collaborated with other departments to ensure proper data entry into the system.
- Performed follow-up calls to verify that insurance companies received requests for authorization of services
- Initiated contact with insurance companies as necessary to obtain additional information needed for verification purposes.
- Worked closely with internal teams such as billing department, utilization management team., To resolve any issues related to benefit verifications.
- Adhered to HIPAA regulations when handling confidential patient information.
- Managed daily workloads while meeting deadlines set by management.
- Trained new team members in policies and procedures and offered insight into best ways to manage job tasks and duties
Benefits Specialist
CSI NETWORK SERVICE(HOME INFUSION)
07.2007 - Current
- Handling of incoming calls including information request and customers issues.
- Responsible for verification of benefits and obtain precertification of services for home health care and home infusion therapy services.
- Maintain working knowledge of commercial, Medicare part A and B ,Medicare part D, Medicaid insurance.
- Negotiated rates with BWC for drugs, supplies and nursing services need for patient.
- Responsible for contacting doctor's office, pharmacy and home care agency to insure a smooth transition to home.
CLAIMS EXAMINER III
Central Reserve Life Insurance
05.1998 - 06.2007
- Determine eligibility of claims including pre-existing and misrepresentation investigations.
- Process and evaluate medical claims
- Conduct medical and non medical investigation
- Maintain working knowledge of policies and procedures of insurance plan.
- Conduct research and take appropriate action necessary to achieve final deposition of non-routine claim problems
- Assist co-workers with questions concerning the system and entering claim information.
Office Manager
Financial Accounting
01.1994 - 05.1998
- Created, maintained and updated filing systems for paper and electronic documents.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Updated reports, managed accounts, and generated reports for company database.
- Managed office operations while scheduling appointments for department managers.
- Coached new hires on company processes while managing employees to achieve maximum production.
- Managed compliance to keep organization operating within legal and regulatory guidelines.
- Evaluated employee records and productivity and submitted evaluation reports.
Education
CERTIFICATE - ACCOUNTING
TRI-C CORPORATE COLLEG
Cleveland, OH06.2007
DIPLOMA - COMPUTER PROGRAMING
PSI TECHNICAL INSTITUTE
Cleveland, OH06.1988
High School Diploma -
SHAW HIGH SCHOOL
EAST CLEVELAND, OHIO06.1986
Skills
- Staff Management
- Departmental Collaboration
- Handling Confidential Materials
- Business Administration
- Medical Records Management
- Proactive and Self-Motivated
- Benefits Explanations
- Microsoft Office
- PowerPoint Presentations
- Workflow Processes
- Office Management
- Procedural Codes
- Document Coding and Classification
- Performance Improvement
Certification
- Certified UNDERWRITER, CENTRAL RESERVE LIFE
Timeline
Cash Posting Specialist
Option Care Home Health
03.2022 - Current
Benefits Verification Specialist
Option Care Home Health
07.2007 - Current
Benefits Specialist
CSI NETWORK SERVICE(HOME INFUSION)
07.2007 - Current
CLAIMS EXAMINER III
Central Reserve Life Insurance
05.1998 - 06.2007
Office Manager
Financial Accounting
01.1994 - 05.1998
CERTIFICATE - ACCOUNTING
TRI-C CORPORATE COLLEG
DIPLOMA - COMPUTER PROGRAMING
PSI TECHNICAL INSTITUTE
High School Diploma -
SHAW HIGH SCHOOL
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