Kimberly Baker
Burkesville,USA
Summary
Dedicated professional with expertise in claims processing and advocacy. Known for strong analytical skills in addressing claims denials and ensuring compliance, driving improvements in operational efficiency and patient satisfaction.
Overview
10
10
years of professional experience
Work History
Patient Claims Specialist
Ensemble Health Services
Remote
02.2022 - 11.2024
- Validated patient registrations, confirming insurance eligibility and benefits before claims submission.
- Captured and verified demographic and payer information to ensure accurate and timely claim filing.
- Eliminated billing discrepancies and minimized denials through precise claims documentation and coding accuracy.
- Consulted with providers and patients regarding updates on claim status, coverage, and financial responsibilities.
Workers’ Compensation Claims Representative
The Hartford
Remote
10.2019 - 12.2021
- Oversaw workers’ compensation claims from intake to resolution, encompassing coverage clarification, claim status updates, and reimbursement processing.
- Guided claimants in navigating accounts, accessing Explanation of Benefits (EOBs), and comprehending payments.
- Reviewed medical documentation to ensure compliance with policy guidelines.
Customer Service Representative
Senture
Remote
10.2014 - 07.2019
- Oversaw federal student loan accounts, addressed inquiries about loan processes, servicer, and repayment alternatives.
- Ensured high accuracy in data entry while adhering to federal regulations.
- Delivered customer support in high-volume call center environment
Education
Associate Degree - Community Health
Sullivan University
Online09-2026
High School Equivalency (GED) -
Alvin C. York Institute
Jamestown, TNSkills
- Denials and appeals management
- Revenue cycle management
- Claims processing and insurance verification
- Customer service excellence
- Data entry accuracy
- Problem resolution strategies
References
References available upon request.
Timeline
Patient Claims Specialist
Ensemble Health Services
02.2022 - 11.2024
Workers’ Compensation Claims Representative
The Hartford
10.2019 - 12.2021
Customer Service Representative
Senture
10.2014 - 07.2019
Associate Degree - Community Health
Sullivan University
High School Equivalency (GED) -
Alvin C. York Institute
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