Kimberly M. Romero
Alexandria,Louisiana
Summary
Experienced healthcare professional with 15+ years of experience supporting clinical operations, medical office administration, clinical patient care. Proven expertise in referral coordination & insurance authorizations, credentialing, and day to day practice operations.
Overview
12
12
years of professional experience
Work History
Clinical Operations Coordinator | Phone Triage
Premier Pediatrics of Acadiana
Youngsville, LA
01.2019 - Current
- Provided clinical telephone triage, assessing symptoms, communicating appropriately with patients and families
- Coordinated patient care activities among healthcare providers and facilities, managed patient referrals and facilitated communication with outside facilities.
- Obtained insurance prior authorizations for medications, diagnostic imaging, procedures, and other services, communicating with payers to resolve authorization requirements.
- Maintained provider credentialing and regulatory documentation including renewals.
- Managed front office and clinic tasks, including payment collections, patient triaging, and scheduling appointments, while overseeing check-in and check-out procedures.
- Acted as a point of contact for administrative support for physicians and practice operations.
Medical Office Specialist
The Headache and Pain Center, AMC
New Iberia, Louisiana
08.2014 - 12.2018
- Greeted patients, checked them in, collected paperwork, and directed them to exam rooms to enhance patient experience.
- Managed patient scheduling and appointment confirmations to optimize patient flow.
- Coordinated insurance verification and authorization processes to ensure timely patient access to services.
- Maintained accurate electronic health records in compliance with regulations.
- Ensured compliance with HIPAA regulations regarding privacy of patient information.
- Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
- Organized medical supplies inventory and ensured proper storage protocols.
- Scheduled laboratory tests and radiology procedures for patients as requested by physicians.
Education
Medical Office Administration, Billing And Coding, Medical Transcriptionist - Medical Office Operations
Delta College of Arts And Technology
Lafayette, LA05-2009
Skills
- Patient triage
- Medical documentation
- Insurance verification
- Provider credentialing
- Electronic health records
- Healthcare coordination
- Time management
- Problem solving
- Attention to detail
- HIPAA compliance
- Payer communication
- Patient care coordination
- Credentialing management
- Medical terminology
- Clinical coordination
- Patient scheduling
- Pre-authorizations
- Conflict resolution
- Referral coordination & management
- Insurance authorization
- Clinical assessment
- Cross-functional collaboration
- Lab results reporting
Timeline
Clinical Operations Coordinator | Phone Triage
Premier Pediatrics of Acadiana
01.2019 - Current
Medical Office Specialist
The Headache and Pain Center, AMC
08.2014 - 12.2018
Medical Office Administration, Billing And Coding, Medical Transcriptionist - Medical Office Operations
Delta College of Arts And Technology