Summary
Overview
Work History
Education
Skills
Reading, music, going to cultural events
Timeline
Generic

Kimberly Robertson

Cincinnati,OH

Summary

Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation. An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.

Overview

7
7
years of professional experience

Work History

Papi Claims Processor

Equitas Health Medical Center
08.2022 - Current
  • Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
  • Developed strong relationships with healthcare providers and insurance agents to facilitate seamless communication during the claims process.
  • Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
  • Posted payments to accounts and maintained records.

Patient Access Representative

Equitas Health Medical Center
08.2021 - Current
  • Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
  • Improved patient satisfaction scores by actively addressing concerns and providing prompt assistance during the check-in process.
  • Enhanced overall patient experience with empathetic communication and thorough explanations of insurance benefits and coverage.
  • Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.

Epremis Billing Specialist

Mercy Healthcare
05.2017 - 05.2019
  • Improved billing accuracy by implementing a streamlined invoicing process.
  • Reduced errors in financial records by conducting regular audits of billed accounts.
  • Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
  • Researched and resolved billing discrepancies to enable accurate billing.

Call Center Representative

Path Forward
02.2020 - 03.2021
  • Answering and directing inbound calls from patients, providers, and vendors to various departments
  • Schedule appointments, submit medication request, collect payments from patients
  • Train new call center agents on phone system.
  • Reduced average call handling time, ensuring prompt service to customers while maintaining quality interactions.
  • Processed debit and credit card and electronic check payments.
  • Met customer call guidelines for service levels, handle time and productivity.

Authorization Specialist

Brightview Healthcare
03.2020 - 04.2022
  • Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
  • Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
  • Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
  • Assisted in training new team members on company policies and procedures for handling authorization requests.

Education

High School Diploma -

Woodward High School
Cincinnati, OH
06.1987

Skills

  • Transactions Reconciliation
  • Claims Review
  • Claims
  • Analytical Thinking
  • Claims Processing Software
  • Active Listening

Reading, music, going to cultural events

I like to read self-help books. Books that will help me to be a better human being. A better friend, coworker, and  compassionate individual

I enjoy various genres of music. I can go from soft jazz to 90's R&B

Timeline

Papi Claims Processor

Equitas Health Medical Center
08.2022 - Current

Patient Access Representative

Equitas Health Medical Center
08.2021 - Current

Authorization Specialist

Brightview Healthcare
03.2020 - 04.2022

Call Center Representative

Path Forward
02.2020 - 03.2021

Epremis Billing Specialist

Mercy Healthcare
05.2017 - 05.2019

High School Diploma -

Woodward High School
Kimberly Robertson