Kimberly Otero
Coastal Carolina Community College
Beulaville,NC
11
years of professional experience
Detail-oriented and experienced in healthcare administration and customer service. Achieved efficient office workflows through strong organizational skills and meticulous attention to detail. Focused on enhancing patient interactions and optimizing operational processes.
Work History
College Bookstore Associate
1 Year 6 Months- Assisted customers in locating and purchasing books, enhancing overall shopping experience.
- Provided knowledgeable recommendations to customers, fostering a welcoming atmosphere.
- Processed transactions efficiently using point-of-sale systems, maintaining cash handling accuracy.
- Organized inventory on shelves, ensuring accurate product placement and visibility.
- Ran weekly reports, including updating data in Excel spreadsheets.
- Sent emails to students, regarding online orders and various other bookstore related topics.
- Processed online sales orders through point-of-sale systems.
- Answered phone calls from students and staff, which included troubleshooting various needs and finding appropriate solutions to student and staff issues.
- Various other duties as required by bookstore manager.
Caregiver for Elderly Mother
3 Years 11 Months- Caregiver for my mother, whom had COPD.
Operations Associate
1 Year 2 Months- Streamlined order processing workflows, reducing turnaround time for customer deliveries.
- Coordinated inventory management processes to enhance stock accuracy and availability.
- Monitored daily operations to ensure adherence to company policies and operational standards.
- Cash handling.
- Customer Service.
- Counting and balancing the safe, including deposits.
- Opened all registers on the sales floor to prepare for daily business.
- Released online orders for customers.
- Took online orders to customer vehicles.
Billing Coordinator
11 Months- Managed accounts receivable, resolving discrepancies to enhance cash flow efficiency.
- Oversaw billing processes, ensuring accurate invoicing and compliance with regulations.
- Coded information regarding procedures performed.
- Assisted in the processing of insurance claims.
- Keyed in charges into AlphaFlex electronic medical record system and produced billing claims.
- Processed and applied patient payments to accounts.
- Corrected issues with outstanding billing claims.
- Took collection payments from patients, and processed them through AlphaFlex.
- Answered phone calls from patients regarding various billing issues.
Insurance Verification Coordinator
1 Year- Implemented process improvements that reduced verification turnaround time while maintaining accuracy standards.
- Coordinated insurance verification processes to ensure accurate patient coverage and minimize claim denials.
- Mentored junior staff on compliance with insurance protocols and best practices in verification procedures.
- Contacted referring physician offices and hospitals for procedures and authorizations as needed for two medical facilities.
- Investigated and resolved queries pertaining to urgent orders and authorizations required for procedures for two medical facilities.
- Scheduled appointments.
- Verified insurance eligibility for ultrasound patients, bone density patients, computerized axial tomography scan (CT) patients, and magnetic resonance imaging (MRI) patients for two medical facilities.
- Verified insurance authorizations for ultrasound patients, bone density patients, computerized axial tomography scan (CT) patients, and magnetic resonance imaging (MRI) patients for two medical facilities.
- Checked accuracy of referrals for two medical facilities.
- Maintained accurate records for two medical facilities.
- Ensured same day patients were seen for ultrasounds, bone density studies, computerized axial tomography scan (CT), magnetic resonance imaging (MRI), screening mammograms, diagnostic mammograms with the same ease as scheduled patients for two medical facilities.
- Rescheduled appointments.
- Answered the operator line for incoming calls for one medical facility throughout the workday.
- Printed and verified schedules for two medical facilities.
- Daily use in Radiology Information System (RIS) electronic health record.
- Daily use in Merge Healthcare electronic health record.
Front Office Receptionist
5 Months- Coordinated appointment scheduling for multiple providers, optimizing daily operations.
- Assisted patients with inquiries, providing exceptional customer service and support.
- Managed patient check-in and check-out processes to ensure efficient workflow.
- Maintained organized patient records and files, enhancing data retrieval accuracy.
- Protected patients' rights by maintaining the confidentiality of personal and financial information.
- Registered new patients and updated existing patient demographics by collecting patient information, including personal and financial information.
- Facilitated patient flow by notifying the providers of patients' arrival, being aware of delays, and communicating with patients and clinical staff.
- Processed referrals, including appointment scheduling and notifying the patient.
Medical Records Assistant
1 Year- Coordinated with healthcare providers to ensure timely retrieval of medical documents.
- Maintained accurate and organized patient records using electronic health record systems.
- Followed file management protocols to enhance efficiency in record-keeping processes.
- Entered data, such as demographic characteristics, diagnosis, and treatment into Alpha Flex electronic medical system.
- Followed admissions process for new and returning clients, in both Alpha Flex and paper charts.
- Released information to persons and agencies according to regulations compliant with, 42 CFR Part 2 and HIPAA compliance.
- Pulled charts in preparation for doctor appointments.
- Submitted billing tickets daily for doctor appointments in Alpha Flex.
- Maintained patient confidence by keeping patient records confidential.
- Entered client information into Alpha Flex for TASC referrals.
- Processed and responded to clients' consents for releases of information.
- Daily tracking of drug screens, by paper records, drug screen logs, and electronic records.
- Created and maintained Excel spreadsheets and prepared Word documents on a daily basis.
- Daily faxing, copying, scanning, and various other office duties.
- Scanned, uploaded, and filed accordingly to the regulations for clients' electronic medical record and paper charts.
- Worked daily with the company compliance officer, to ensure accurate and complete charts, both paper and in Alpha Flex.
- Daily involvement with providers, nurses, counselors, coordinating clients' case management.
- Discharged client records, both in Alpha Flex and paper charts and archived discharged clients.
- Purged past client charts, sorting through paper charts, scanning, and saving into the computer.
- Experience in Medicare and Medicaid processing.
Education
Associate of Science - Electronic Medical Records
Skills
Detail orientated
Insurance verification
Medical office procedures
HIPAA expert
Customer service
Healthcare industry
HIPAA compliance
Initiative-taking
Timeline
College Bookstore Associate
Coastal Carolina Community College
02.2025 - 08.2026Read More
Caregiver for Elderly Mother
Home Service
03.2021 - 02.2025Read More
Operations Associate
JCPenney
01.2020 - 03.2021Read More
Billing Coordinator
Med First
05.2018 - 04.2019Read More
Insurance Verification Coordinator
Delaney Radiologits
01.2017 - 01.2018Read More
Front Office Receptionist
East Carolina Medical Associates
08.2016 - 01.2017Read More
Medical Records Assistant
Coastal Horizons
06.2015 - 06.2016Read More
Miller-Motte Technical College
Associate of Science from Electronic Medical Records
Read More