Kimberly Kievman
Oak Park,CA
Summary
Dedicated Treatment Coordinator with the natural gift of explaining in-depth orthodontic procedures to patients. Independent and adaptable to work with minimal supervision. Adept at discussing treatments and payment plans with patients, obtaining authorization from insurance companies, and handling all front desk duties.
Overview
34
34
years of professional experience
Work History
Treatment Coordinator
FACE FOCUSED ORTHODONTICS
Agoura Hills, California
10.2022 - 07.2024
- Daily activities include initial patient interviews, recording examination findings, taking photographs, presenting recommended treatment plans, discussing financial options, coordinating treatment with referring doctors if necessary and follow-up with future patients.
Front Office Coordinator
TANSAVATDI COSMETIC & RECONSTRUCTIVE SURGERY
Westlake Village, USA
09.2018 - 07.2022
- Ensure that all patients are provided a positive experience utilizing exceptional customer service skills
- Schedule patient appointments, manage incoming/outgoing calls with efficiency, check patients in and out, room patients along with medical instrument setup
- Create invoices and process payments for all treatments/skincare products
- Coordinate patient consultation services
- Resolve insurance claim payment issues with insurance carrier
- Oversee skin care and front office product supply inventories
- Prepare medical letters, upload photos, scan and copy as needed
- Knowledge of current office promotions as well as Brilliant Distinctions and Aspire rewards programs
- Comply with all HIPAA guidelines
- Proficiency in Microsoft Office Suite and EMR
Broker Relations Representative
HEALTH NET OF CALIFORNIA
01.2002 - 01.2007
- Address issues related to existing group, Individual and Family Plans, Medicare Supplement and Individual Seniority Plus HMO accounts
- Handle commission/overrides, support to brokers, projects/sales contests
- Track all broker contracts and licenses via database management
- Maintain relevant files and legal documentation
Risk Coordinator
HEALTH NET OF CALIFORNIA
01.1999 - 01.2002
- Prioritize, analyze and process highly sensitive member issues within regulatory and accreditation timeframes
- Handle CEO, executive and attorney correspondence, associate inquiries, appeals and grievances
- Identify potential risk issues involving access to care, medical malpractice issues, and breach of confidentiality
- Compose letters and interact with members to ensure resolution of plan recommendations
Grievance & Appeals Coordinator
HEALTH NET OF CALIFORNIA
01.1995 - 01.1999
- Determine appropriate methods for resolution of complex member appeals and grievances in a timely manner
- Perform tracking, trending, and reporting for assigned caseload
- Communicate with Medical Directors to resolve cases
Composer ∙ Correspondence
HEALTH NET OF CALIFORNIA
01.1993 - 01.1995
- Compose resolution letters to members based on completion of member's inquiry, appeal or grievance
Customer Service Representative ∙ Member Services
HEALTH NET OF CALIFORNIA
01.1991 - 01.1993
- Handle all incoming calls from members, providers and medical groups
- Provide resolution on benefit, claim, eligibility, and complaint issues
- Meet and exceed stringent audit guidelines for accuracy, timeliness, and professionalism
Education
College of the Canyons
Santa Clarita, CAHigh school diploma or GED -
Valley College
Skills
- PROCESS IMPROVEMENT
- TIME MANAGEMENT
- WORD
- DOCUMENTATION REVIEW
- MEDICAL OFFICE EXPERIENCE
- ORTHODONTIC OFFICE EXPERIENCE
- EMR SYSTEMS
- INSURANCE VERIFICATION
- HIPPA
- PHONE ETIQUETTE
Personal Information
Work Permit: Authorized to work in the US for any employer
Additionalinformation
Analytical Thinking, Planning & Organizing, Goal Oriented, Communication Skills, Strategic Thinking, Time Management, Process Improvement, Results Driven, Proficient in Microsoft Office, Excel, Word, PowerPoint
Timeline
Treatment Coordinator
FACE FOCUSED ORTHODONTICS
10.2022 - 07.2024
Front Office Coordinator
TANSAVATDI COSMETIC & RECONSTRUCTIVE SURGERY
09.2018 - 07.2022
Broker Relations Representative
HEALTH NET OF CALIFORNIA
01.2002 - 01.2007
Risk Coordinator
HEALTH NET OF CALIFORNIA
01.1999 - 01.2002
Grievance & Appeals Coordinator
HEALTH NET OF CALIFORNIA
01.1995 - 01.1999
Composer ∙ Correspondence
HEALTH NET OF CALIFORNIA
01.1993 - 01.1995
Customer Service Representative ∙ Member Services
HEALTH NET OF CALIFORNIA
01.1991 - 01.1993
College of the Canyons
High school diploma or GED -
Valley College