Kimberly Coatney
Kaufman,Tx
Summary
Results-oriented healthcare professional with over 30 years of experience in patient access and revenue cycle management. Proven ability to optimize workflows, increase efficiency, and improve patient satisfaction. Seeking a challenging role in a healthcare organization where I can make a positive impact on patients and the organization. I am flexible and seeking a position where I can grow and develop while working towards a future of success.
Overview
29
29
years of professional experience
Work History
Patient Access Director
White Rock Medical Center
08.2022 - Current
- Oversee the operations of patient registration, insurance verification, scheduling, and financial counseling, ensuring efficient and effective processing of patient information and admission
- Develop and monitor the department's budget, including forecasting and allocating resources for staffing, technology and other operational needs
- Implementing and enforcing policies and procedures to promote patient satisfaction and compliance with healthcare regulations
- Ensuring privacy and security of patient information in compliance with HIPPA regulations
- Negotiate contracts with vendors for patient access systems and services, ensuring cost effectiveness and operational efficiencies
- Work or delegate daily reports to include Hold timeline report, workflow accounts, 835 denial reason codes, DNFB, registration audit, and worklist reports
- Consistent monitoring of individual monthly cash goals to increase cash by up to 6% monthly
- Reduced registration and clearance related denials
- Monitor surgical case growth by physician, insurance, and medical service
- Confers with physicians, both internal and external, and advises them regarding the financial clearance and registration of patients from an administrative and financial perspective
- Reviews and approves exceptions for patients requiring financial clearance
- Coordinate with the clinical departments to facilitate a seamless patient flow from admissions through discharge
- Lead, train and evaluate the patient access team to ensure high quality customer service and adherence to best practices
- Analyze patient access data to identify trends, resolve bottlenecks and implement improvements in processes and technology
- Stayed abreast of regulatory requirements and company compliance policies, ensuring timely staff education and informed staff of any changes or developments
- Actively seeking ways to control costs and improve processes without compromising patient safety, quality of care of the services delivered.
Patient Access Director
Baylor Scott & White of Sunnyvale
08.2009 - 07.2022
- Facilitate revenue cycle functions and staff involved in patient access, up-front cash collections, office management, and account resolution activities
- Continuously analyze organizational efficiency and developed strategies to improve productivity and performance in Registration, Outpatient Scheduling, Surgery Scheduling, and Insurance Verification
- Monitor daily schedule, employee time management, and performance management for over 30 employees
- Work or delegate daily reports to include Hold timeline report, workflow accounts, 835 denial reason codes, DNFB, registration audit, and worklist reports
- Consistent monitoring of individual monthly cash goals to increase cash by up to 4% monthly
- Reduced registration and clearance related denials by implementing Green light/ Red light process
- Monitor surgical case growth by physician, insurance, and medical service
- Evaluated eligibility and determined co-payment status, and successfully collected unpaid co-payments and outstanding balances
- Explained insurance coverage and billing process to consumers, and effectively provided training and support in the medical and the legal aspects of collections and medical insurance billing for coworkers
- Completed and submitted Workman's Compensation paperwork for reimbursement, and facilitated communications between attorneys, medical insurance companies, physician medical groups, and consumers to ensure that all parties were current on related cases
- Thorough knowledge of all Insurance Carrier websites
- Obtaining authorizations and referrals for outpatient test and procedures and Inpatient stays.
ER Patient Access Manager
Baylor Scott and White Medical Center of Irving
01.1995 - 07.2009
- Managed over 20 employees through all aspects of Patient Access for a 22 bed ER
- Insured accurate insurance verification and entry on all ER accounts
- Monitored INPT bed board to ensure medical status was as ordered
- Q&A on all registered accounts to ensure validity
- Payroll and schedule management for all employees
- Continuous education and training for all employees.
Education
High School Diploma -
Mesquite High School
Mesquite, TX06.1986
Skills
- Healthcare management
- Staff Development
- Revenue Cycle Management
- Effective written and verbal communication
- HIPAA Compliance
- Effective problem solving
- Team Management
- Insurance Verification
- Training and mentoring
- HIPAA Guidelines
- Employee Recruitment and Hiring
References
Available upon request
Timeline
Patient Access Director
White Rock Medical Center
08.2022 - Current
Patient Access Director
Baylor Scott & White of Sunnyvale
08.2009 - 07.2022
ER Patient Access Manager
Baylor Scott and White Medical Center of Irving
01.1995 - 07.2009
High School Diploma -
Mesquite High School
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