Kimberly Bowman
Duncannon,PA
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills, hardworking employee with customer service, and multitasking. Adept at working effectively unsupervised and quickly mastering new skills. Devoted to giving every customer a positive and memorable experience.
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.
Telephone Reopening, Grievance and Appeals Representative
National Government Services
Harrisburg, PA
03.1999 - 10.2012
- 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 Hight School
Harrisburg, PA06-1982
Some College (No Degree) - ASL
Gallaudet University
Washington, DCSome College (No Degree) - ASL
Community College of Pennsylvania
Philadelphia, PASkills
- Customer service
- Problem solving
- Excellent communication
- Microsoft office
- Multitasking Abilities
- Problem resolution
- Clerical support
- Teamwork and collaboration
- Attention to detail
- Data entry
- Conflict resolution
- Outreach program design
- Relationship building
- Critical thinking
Timeline
Centralized Scheduler
Pinnacle Health Systems now UPMC
01.2013 - 11.2024
Telephone Reopening, Grievance and Appeals Representative
National Government Services
03.1999 - 10.2012
Post Payment Review Representative and Telephone Appeals Representative
Highmark
10.1988 - 02.1999
High School Diploma -
Central Dauphin Hight School
Some College (No Degree) - ASL
Gallaudet University
Some College (No Degree) - ASL
Community College of Pennsylvania
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