Summary
Overview
Work History
Education
Skills
Employment Objective
Timeline
Generic

Kimberly Haywood

Fort Myers,FL

Summary

I am looking for a full-time position as a Registered Nurse in a reputable company where I can grow and move up. I am passionate about helping people and enjoy learning new things, and love a challenge. I have a strong desire to be a member of your team. I believe my personality traits, work experience, education, and skills would be an asset to your organization.

Medical Biller Knowledge of medical terminology Knowledge of Medical Billing and Coding Extremely efficient in time management and multitasking Professional and neat in dress and appearance Capable of working with people of all standings and backgrounds Organizational skills necessary to run a front desk and back office Ability to type 30 wpm Reliable and loyal Medical Record Maintenance A clear understanding of patient's rights and safety with extensive in HIPAA compliance Caring and compassionate

Overview

13
13
years of professional experience

Work History

Authorization Coordinator

Health System one
06.2022 - Current
  • Obtain insurance authorizations for Physical therapy, speech therapy, and occupational therapy
  • Obtain referrals and/or authorizations from Primary providers
  • Obtain retro authorizations for claims that are pending billing
  • Assist the claims department in obtaining pending authorization and/or referral requests for claims that are ready to be billed
  • Work the "pending auth bucket" for the whole team, releasing older claims to be billed
  • Liaison between Health System One Authorization department and outside Utilization Management vendors
  • Manage the schedules and distribute them to the Utilization Management team as assigned
  • Float between departments within Utilization Management
  • All other duties as assigned by Management
  • Assist team leads with proper training of new employees
  • Assist coworkers in getting caught up with their workload.

Utilization Management Coordinator

Florida Cancer Specialist
04.2018 - Current
  • Obtain insurance authorizations for Chemotherapy treatment and Radiology imaging tests
  • Obtain referrals and/or authorizations from Primary providers
  • Obtain retro authorizations for claims that are pending billing
  • Assist claims department in obtaining pending authorization and/or referral requests for claims that are ready to be billed
  • Work the "pending auth bucket" for the whole team, releasing older claims to be billed
  • Liaison between Florida Cancer Utilization Management department and outside Utilization Management vendors
  • Manage the schedules and distribute to the Utilization Management team as assigned
  • Float between departments within Utilization Management
  • All other duties as assigned by Management
  • Assist team leads with proper training new employees
  • Assist coworkers getting caught up with their work load.

Medical Biller/Data Entry

Physician Primary Care
02.2017 - 01.2018
  • Confirm insurance verification
  • Enter CPT, HCPCS, and ICD-10 into Allscripts system
  • Confirm patient demographic, insurance, and referring physician information entered Allscripts and EMR
  • Work on weekly and monthly reports in a timely manner
  • Post money to patient's account and balance daily report
  • Respond to audit findings and make changes to coding corrections.

Medical Front Desk

Advanced Dermatology Specialties
03.2016 - 08.2016
  • Greet all patients and vendors with respect
  • Answering and routing 6 phone lines and providing excellent customer service
  • Compile patient records ensuring confidentiality with knowledge of HIPPA standards
  • Insurance verification for many insurance companies and websites
  • Knowledge of Modernizing Medicine EMR system and AdvancedMD practice manager system
  • Handling money
  • Check-in/Check-out, schedule appointments, and post payments to patient's accounts.

Health Information Management/Support Specialist III

SalusCare
06.2011 - 03.2016
  • Greet all patients and vendors with respect
  • Answering and routing multiple phone lines and providing excellent customer service
  • Compile patient records and EMR ensuring confidentiality with knowledge of HIPPA standards
  • Handling money
  • Chart prep, medical records releases in accordance with HIPAA standards, email releases for patients, EMR chart prep, and organization
  • Check-in/Check-out, schedule appointments, and post payments to patient's accounts.

Education

Associates Degree in Nursing, Registered -

Rasmussen University
03.2022

Medical Billing and Coding -

Fort Myers Institute of Technology
05.2015

Certified Nursing Assistant -

Fort Myers Institute of Technology
01.2009

H.S. Diploma -

Fort Myers High School
05.2001

Skills

  • Ability to think quickly while remaining calm
  • Strong communication skills
  • Detail oriented
  • Fast learner
  • Customer service
  • Flexible & Adaptable
  • Privacy and confidentiality/HIPAA
  • Computer skills including MS Office
  • Critical thinking
  • Effective Time Management
  • Data Entry
  • Problem-Solving
  • Reliability

Employment Objective

I am looking for a full-time position as a Registered Nurse in a reputable company where I can grow and move up. I am passionate about helping people and enjoy learning new things, and love a challenge. I have a strong desire to be a member of your team. I believe my personality traits, work experience, education, and skills would be an asset to your organization.

Timeline

Authorization Coordinator

Health System one
06.2022 - Current

Utilization Management Coordinator

Florida Cancer Specialist
04.2018 - Current

Medical Biller/Data Entry

Physician Primary Care
02.2017 - 01.2018

Medical Front Desk

Advanced Dermatology Specialties
03.2016 - 08.2016

Health Information Management/Support Specialist III

SalusCare
06.2011 - 03.2016

Associates Degree in Nursing, Registered -

Rasmussen University

Medical Billing and Coding -

Fort Myers Institute of Technology

Certified Nursing Assistant -

Fort Myers Institute of Technology

H.S. Diploma -

Fort Myers High School

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