Kimberly Sandridge
Atlanta,GA
Summary
Driven professional with a proven track record at AmerisourceBergen, excelling in HIPAA compliance and customer relations. Leveraged expertise in insurance verification and healthcare industry knowledge to enhance patient satisfaction and streamline medical billing processes. Demonstrated exceptional teamwork and communication skills, contributing to significant process improvements and maintaining high levels of confidentiality and professionalism.
Overview
5
5
years of professional experience
Work History
Reimbursement Specialists
Smith & Nephew, Inc
03.2023 - Current
- Provided exceptional customer service when responding to patient inquiries about reimbursement status and procedures.
- Identified trends in reimbursement denials, recommending process improvements to minimize future occurrences.
- Supported company objectives by maintaining compliance with all relevant state and federal regulations governing medical billing practices.
- Advanced internal communication channels by sharing best practices among colleagues, fostering an environment of continuous learning and improvement.
- Maintained comprehensive knowledge of healthcare billing practices, staying current on industry updates and changes in regulations.
- Contributed to increased team productivity by consistently meeting or exceeding individual processing goals.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Maintained patient confidentiality by adhering to strict HIPAA guidelines when handling sensitive information.
Insurance Verification Specialists
AmerisourceBergen
10.2021 - 05.2023
- 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.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
- Increased patient satisfaction by promptly addressing concerns regarding insurance coverage or billing issues.
- Assisted patients with understanding personalized insurance coverage and benefits.
HR Assistant
LifeFoam
12.2019 - 08.2021
- Documented human resources records and maintained confidentiality of sensitive personal information.
- Responded to inquiries by answering telephone calls, in-person questions and emails.
- Updated Human Resources Information System (HRIS) database, maintained data accuracy and assisted with system changes.
- Maintained office supplies, distributed mail and processed invoices for payment.
- Reviewed and screened applicant resumes to identify qualified candidates.
- Partnered with management team to coordinate on-boarding and off-boarding processes.
- Managed benefits administration, ensuring accurate enrollment and providing helpful resources for employees.
- Provided support for employee performance evaluations, ensuring timely completion and proper documentation.
- Developed training materials to facilitate consistent onboarding experiences for new hires across departments.
- Filed paperwork, sorted, and delivered mail and maintained office organization.
- Answered and redirected incoming phone calls for office.
- Delivered friendly assistance with new hires throughout interviewing and hiring process.
- Screened applicant resumes and coordinated both phone and in-person interviews.
Education
High School Diploma -
Patapsco High School & Center For The Arts
Dundalk06.2005
Skills
HCPCS Coding
HIPAA Compliance
Insurance Verification
Medicare knowledge
Data Recording
Microsoft Office
Medicaid knowledge
Healthcare Industry
Managed Care
Clerical writing
Medical Billing
Eligibility Verification
Customer Service
Teamwork and Collaboration
Multitasking
Attention to Detail
Organizational Skills
Excellent Communication
Reliability
Customer service support
Professional Communication
Customer Relations
Time management abilities
Professionalism
Timeline
Reimbursement Specialists
Smith & Nephew, Inc
03.2023 - Current
Insurance Verification Specialists
AmerisourceBergen
10.2021 - 05.2023
HR Assistant
LifeFoam
12.2019 - 08.2021
High School Diploma -
Patapsco High School & Center For The Arts
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