Kimberly McDonald
Spring,TX
Summary
Insurance professional with strong background in verifying insurance coverage and benefits. Skilled in navigating complex systems, resolving discrepancies, and ensuring accurate information. Known for excellent team collaboration and adaptability to changing needs. Efficient in communication, problem-solving, and maintaining high standards for quality and results.
Overview
17
17
years of professional experience
Work History
Insurance Verification Specialist
Avery Eye Clinic
07.2018 - Current
- Verified insurance eligibility and benefits for patients, ensuring accurate information for billing processes.
- Collaborated with healthcare providers to resolve discrepancies in patient insurance coverage efficiently.
- Managed electronic health record systems to maintain up-to-date patient information and streamline verification processes.
- Trained new staff on insurance verification protocols, enhancing team efficiency and accuracy in claims processing.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
Medical Receptionist
Adavanced Behavioral Health
05.2016 - 06.2017
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Ensured accurate record-keeping by diligently updating patient information and verifying insurance coverage.
- Organized essential medical documents, streamlining access to vital information for healthcare providers during appointments.
- Handled billing procedures accurately, ensuring prompt payment from both patients and insurance providers.
Patient Care Technician/Unit Secretary
Adventist Bolingbrook Hospital
04.2008 - 05.2016
- Registered and verified patient records before triage with most up-to-date information.
- Upheld a high standard of patient service by addressing concerns and resolving issues in a timely, empathetic manner.
- Monitored vital signs and reported changes to nursing staff for timely interventions.
- Maintained accurate patient records, documenting observations and treatment plans consistently.
- Assisted nurses with essential tasks, streamlining workflow and increasing efficiency in the healthcare setting.
- Contributed to a positive patient experience by keeping rooms clean, organized, and well-stocked with supplies.
- Enhanced teamwork by collaborating closely with nurses and doctors to coordinate patient care.
- Facilitated smooth transitions between shifts by maintaining thorough documentation of patient care activities and observations.
- Delivered high-quality care to ER patients in hospital facility.
- Facilitated communication between medical staff and patients, enhancing overall service delivery.
Education
Bachelor of Arts - Human Services
University of Phoenix
Tempe, AZ05-2016
Medical Assisting/Phlebotomy
Olympia College
Burr Ridge, IL06-2004
Skills
- HIPAA compliance
- Insurance coverage verification
- Coordination and scheduling
- Electronic medical records
- Prior authorization processing
- Medical terminology
- Patient communication
- Customer service
- Referral coordination
- Insurance verification
- Deductible & co-pay calculation
- Electronic authorization processing
- Heartsaver CPR AED (CPR AED)
Timeline
Insurance Verification Specialist
Avery Eye Clinic
07.2018 - Current
Medical Receptionist
Adavanced Behavioral Health
05.2016 - 06.2017
Patient Care Technician/Unit Secretary
Adventist Bolingbrook Hospital
04.2008 - 05.2016
Bachelor of Arts - Human Services
University of Phoenix
Medical Assisting/Phlebotomy
Olympia College
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