Kimberly Baughman
Richmond,KY
Summary
Detail-oriented Medical Referral Specialist with expertise in HIPAA compliance and insurance verification. Proven ability to streamline referral processes and enhance patient experiences through effective appointment scheduling.
Healthcare professional with proven track record in managing patient referrals and coordinating care among various medical providers. Known for strong commitment to improving patient experiences and streamlining referral processes. Valued team player recognized for adaptability and effective collaboration, with key skills in medical terminology and patient care management.
Overview
26
26
years of professional experience
Work History
Medical Referral Specialist
Valley Family Healthcare
Payette, ID
06.2022 - 05.2026
- Coordinated patient referrals to specialists, ensuring timely access to necessary healthcare services.
- Managed electronic health records, maintaining accuracy and confidentiality of patient information.
- Collaborated with healthcare providers to verify insurance eligibility and coverage for referrals.
- Streamlined referral processes by implementing standardized protocols, enhancing operational efficiency.
Front Office Lead
Baptist Health Medical Group
Lawrenceburg, KY
12.2021 - 04.2022
- Supervised front office operations, ensuring efficient patient flow and appointment scheduling.
- Trained and mentored staff on best practices for patient interactions and administrative procedures.
- Implemented process improvements that enhanced patient check-in efficiency and reduced wait times.
- Coordinated communication between departments to streamline patient referrals and information sharing.
- Ensured compliance with healthcare regulations and organizational policies in daily operations.
- Evaluated front office performance metrics, identifying areas for improvement and implementing corrective actions.
- Oversaw daily front office operations, delegating tasks as necessary to maintain an efficient workflow.
Front Office Team Leader
Capital Medical Group
Lawrenceburg, KY
06.2016 - 11.2021
- Supervised daily front office operations, ensuring efficient patient flow and service delivery.
- Trained and mentored staff on best practices in customer service and office protocols.
- Implemented process improvements to enhance patient scheduling accuracy and reduce wait times.
- Developed standard operating procedures to streamline administrative tasks and improve team efficiency.
- Coordinated communication between healthcare providers and patients, facilitating timely information exchange.
- Monitored performance metrics to identify areas for operational enhancement within the front office team.
- Led initiatives to optimize resource allocation, improving overall productivity of front office functions.
- Fostered a collaborative team environment, enhancing employee engagement and satisfaction levels within the office staff.
- Optimized staff scheduling to ensure adequate coverage during peak hours without exceeding budget limitations.
- Processed check-ins and check-outs, created reservations and processed special requests.
- Trained and mentored new team members, ensuring consistent service delivery across the front office team.
- Monitored employee performance through regular evaluations, identifying areas for improvement and providing constructive feedback.
- Motivated staff by setting goals, providing ongoing feedback, and rewarding and recognizing employees.
Patient Service Representative
Capital Medical Group
Lawrenceburg, KY
03.2000 - 05.2016
- Managed patient scheduling to optimize appointment availability and minimize wait times.
- Assisted patients with insurance verification and benefit inquiries, ensuring accurate information transfer.
- Implemented electronic health record updates, enhancing data integrity and accessibility for medical staff.
- Coordinated communication between patients and healthcare providers to streamline care processes.
- Trained new staff on administrative procedures and patient interaction protocols, fostering a supportive environment.
- Verified insurance eligibility and coverage for patients.
- Filed and maintained patient records in accordance with HIPAA regulations.
- Provided exceptional customer service to patients, answering questions and addressing concerns.
- Improved patient satisfaction by providing exceptional customer service during check-in and check-out processes.
- Managed patient registration process, confirming data accuracy and completeness.
- Used [Software] to schedule appointments.
- Maintained a well-organized front desk, contributing to a welcoming environment for patients and visitors.
- Handled customer service inquiries in person, via telephone and through email.
- Assisted patients in filling out check-in and payment paperwork.
- Facilitated patient registration by accurately entering demographic and insurance information into electronic health record systems.
- Entered patient demographic and insurance data into electronic medical record system.
- Processed medical records requests efficiently, safeguarding patient privacy while ensuring timely information access for healthcare providers.
- Served as a reliable source of information for patients regarding appointment scheduling, insurance coverage inquiries, and general office policies.
- Assisted with insurance verification tasks, ensuring accurate billing and timely reimbursement for services rendered.
- Took copayments and compiled daily financial records.
- Balanced deposits and credit card payments each day.
- Built and maintained positive working relationships with patients and staff.
- Handled complex insurance pre-authorization processes accurately, enabling timely delivery of necessary medical services.
- Coordinated referrals efficiently between primary care providers and specialists, ensuring a seamless patient experience.
- Managed waiting room operations effectively, addressing any issues or concerns that arose during peak hours.
- Streamlined appointment scheduling for increased patient convenience and reduced wait times.
Education
High School Diploma -
Western Hills High School
Frankfort, KYSkills
- HIPAA compliance
- Insurance verification
- Appointment scheduling
- Healthcare regulations
Timeline
Medical Referral Specialist
Valley Family Healthcare
06.2022 - 05.2026
Front Office Lead
Baptist Health Medical Group
12.2021 - 04.2022
Front Office Team Leader
Capital Medical Group
06.2016 - 11.2021
Patient Service Representative
Capital Medical Group
03.2000 - 05.2016
High School Diploma -
Western Hills High School