Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Kimberly Lininger

El Paso,TX

Summary

Experienced benefits specialist skilled in navigating healthcare systems and ensuring accurate benefit verification. Strong focus on team collaboration and achieving results, with flexible approach to changing needs. Reliable and adaptable, with commitment to excellence in service delivery.

Overview

21
21
years of professional experience

Work History

Benefit Verification Specialist/Office Administrative Assistant

Coram Healthcare
06.2006 - 01.2025
  • Provided exceptional customer service by addressing patient concerns regarding coverage and out-of-pocket expenses for home infusion and nursing services. Ensured benefit information was correct via various verification methods (websites such as Experian, Availity, Change Health, OneSource, and via phone with insurance representatives.
  • Managed high-volume caseloads while maintaining strict deadlines for completing benefit verifications and authorizations.
  • Ensured compliance with HIPAA regulations during all aspects of the benefit verification process, protecting patient privacy.
  • Reduced claim denials with thorough insurance eligibility assessments prior to service provision and assisted to resolve issues.
  • Assisted with staff training on new software systems and procedures, promoting a cohesive team environment focused on quality assurance. Trained on EPIC, KEA, Legacy, HCN, and test claims.
  • Assisted in providing guidance on best practices in benefit verification processes
  • Contributed to departmental goals by consistently meeting or exceeding performance metrics related to benefit verification accuracy and turnaround time.
  • Increased accuracy in data entry through attention to detail when inputting patient demographics and insurance information into the system.
  • Maintained up-to-date knowledge of insurance regulations, enabling accurate benefit verifications for various plans.
  • Kept in communication with referral sources for services requested.
  • Maintained patient records when in office setting.
  • Assisted in inventory, deliveries, packing patient supplies, and maintained office equipment before being shifted to Work from Home setting.
  • Assisted Branch Manager in upkeep of employee files.
  • Worked On call, weekends, and holidays as requested.

Office Manager

John Sherman, MD
11.2003 - 04.2006


  • Provided exceptional customer service when addressing client inquiries or concerns via phone calls.
  • Conducted regular inventory assessments of office supplies, ordering necessary items proactively to prevent stock shortages.
  • Enhanced team productivity by delegating tasks effectively and overseeing daily workflow. Supervised 2 employees.
  • Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
  • Managed daily administrative tasks to ensure smooth operations within the medical office environment.
  • Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
  • Assisted physicians with clinical documentation to ensure complete and accurate records for each patient visit.
  • Communicated effectively with staff members, physicians, and patients.
  • Increased revenue by optimizing billing processes and ensuring timely collection of payments from both patients and insurance companies.
  • Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
  • Ensured a safe, comfortable environment for patients by promptly addressing any concerns or issues that arose during their visits.
  • Assisted physician with patient care such as blood draws, injections, physical exams, FAA's X-rays, and minor surgeries.
  • Worked both front and back office.

Education

Certification/Associates - Medical Assistant

Computer Career Center
El Paso, TX

High School Diploma -

Hanks High School
El Paso, TX

Skills

  • HIPAA compliance
  • Claims processing
  • Microsoft office
  • Insurance verification
  • EPIC
  • Test Claims
  • Authorizations
  • Healthcare
  • Verbal and written communication
  • Benefits explanation
  • Teamwork
  • HR compliance
  • Records maintenance
  • Problem-solving aptitude
  • Professional demeanor
  • Adaptability

Languages

English
Native or Bilingual

Timeline

Benefit Verification Specialist/Office Administrative Assistant

Coram Healthcare
06.2006 - 01.2025

Office Manager

John Sherman, MD
11.2003 - 04.2006

Certification/Associates - Medical Assistant

Computer Career Center

High School Diploma -

Hanks High School

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Kimberly Lininger