Kimberly J. Bills
Abbvie
Fox River Grove,IL
24
years of professional experience
Insurance Specialist II managing prior authorization, benefit verification, and coverage education for healthcare providers and patients. Coordinates escalations to access bridge, refers under-insured and uninsured patients to assistance programs, and reconciles payer responses with Managed Health Care intelligence. Brings experience in call monitoring quality assurance and side-by-side training, leading 1 weekly session per quarter for new hires, supervisors, and trainers.
Work History
Insurance Specialist II
4 Years 10 Months- Run 45-55 benefit verifications weekly to confirm coverage details and support access planning.
- Handle 40-50 prior authorization requests weekly for prescribed therapies, supporting timely coverage decisions.
- Educate HCPs on steps to obtain coverage for prescribed drugs and next actions for approval.
- Escalate cases to the access bridge when additional support is needed for coverage resolution.
- Host side-by-side calls and refresher training to support onboarding and call quality.
- Refer under-insured and uninsured patients to AbbVie Assist for access support.
- Report payer discrepancies to Managed Health Care when quoted information does not match internal guidance.
Contact Tracer for COVID-19
11 Months- Conducted 15-30 weekly exposure interviews to identify transmission details and recent contacts.
- Completed 20-30- daily outbound notifications for documented COVID-19 cases and exposed contacts.
- Recorded case details and contact information in secure contact tracing software.
- Notified documented patients and exposed individuals about quarantine guidance and next steps.
- Maintained accurate records to support timely follow-up across active COVID-19 cases.
Billing Specialist-Internship
4 Months- Reconciled 50-100 customer accounts monthly to maintain payment accuracy and reduce posting errors.
- Resolved 5-25 billing discrepancies weekly to support accurate account balancing and timely invoice corrections.
- Reviewed billing records to identify mismatches, correct errors, and support clean account documentation.
- Tracked payment activity to verify account status and follow up on unresolved balance issues.
- Coordinated with internal teams to clarify billing questions and support faster issue resolution.
HealthCare Patient Advocate
17 Years 8 Months- Verified patient insurance eligibility monthly while entering accurate information into the system.
- Processed weekly dependent verification reports to identify and update correct dependents.
- Resolved patient concerns with empathetic, knowledgeable support across insurance and benefit questions.
- Handled customer complaints through established follow-up procedures and steady case tracking.
- Supported dependent verification by reviewing records and confirming household eligibility details.
- Applied insurance verification practices to validate coverage details before updating member records.
- Improved service consistency by applying quality assurance review findings to daily patient interactions.
Education
Associate of Arts - Business Administration
Skills
Insurance verification
Dependent verification
Benefit verification
Insurance eligibility
Insurance plan analysis
Coordination of benefits
Prior authorization support
Payer communication
Coverage escalation
Patient access coordination
Appeals processing
Denial management
Medical necessity review
Case management
Customer service
Patient advocacy
Quality assurance review
Training presentation
Timeline
Insurance Specialist II
Abbvie
01.2022 - CurrentRead More
Contact Tracer for COVID-19
Lake County Health Department
02.2021 - 01.2022Read More
Billing Specialist-Internship
Lake County Public Works
10.2020 - 02.2021Read More
HealthCare Patient Advocate
Hewitt Associates/AON/Compass
08.2002 - 04.2020Read More
College of Lake County
Associate of Arts from Business Administration
Read More