Kimberly Haywood
Summary
- 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, Fort Myers, FL
03.2022
Medical Billing and Coding -
Fort Myers Institute of Technology, Fort Myers, FL
05.2015
Certified Nursing Assistant -
Fort Myers Institute of Technology, Fort Myers, FL
01.2009
H.S. Diploma -
Fort Myers High School, Fort Myers, FL
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
- Strong Communication Skills
- Effective Time Management
- Data Entry
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, Fort Myers, FL
Medical Billing and Coding -
Fort Myers Institute of Technology, Fort Myers, FL
Certified Nursing Assistant -
Fort Myers Institute of Technology, Fort Myers, FL
H.S. Diploma -
Fort Myers High School, Fort Myers, FL