Kimberly Whitfield
TAMPA,FL
Summary
- Effective professional with excellent organizational and communication skills with a comprehensive
understanding, Highly motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills.
Overview
8
8
years of professional experience
Work History
Front Desk Receptionist
FASTMD-Tampa/Trinity
06.2019 - 07.2019
- Answering incoming calls
- Scheduling patients
- Making appointment reminder calls
- Contacting other offices/labs/vendors to coordinate patient care
- Checking patients in and out
- Monitoring patients in the waiting area
- Medical records – Requesting, organizing, Scanning documents
- Preparing patient paperwork
- Collecting payments
- Working with computer databases AllScript, EHR, PM, NextGen, and Epic.
- Distributing fax inbox documents.
- Assisting with medical letters
- Monitoring email accounts
Senior Provider Customer Service Representative
UnitedHealth Group
Oldsmar, FL
05.2017 - 05.2019
- Provide responsive and professional customer service to providers regarding status of medical claims
- Utilize necessary resources and navigate systems efficiently to accurately verify eligibility and provide verification of benefits
- As Well as Intake for Prior Auth also provide a variety of other duties and projects assigned by Management to support the company
- Some of these duties include: entering precertification into the claims processing system, working miscellaneous claims queues, sending out correspondence, outbound provider call projects, and reviewing claims spreadsheets and plan documents
- Taking from 80-100 calls
- Daily use of systems such as IDR, ISET, EDESS, ODARS, SOP'S, STARS, RIGHT FAX, CPW, CPT, and several other health benefits and claims systems
Billing Coordinator
DAWSONS NATIONWIDE CHILDRENS HOSPITAL
09.2014 - 03.2015
- Determine patient invoice by capturing service in patient's charts, clarifying service with physicians, printing and matching billing and coding to submit to insurance
- Resolve billing issues by contacting third party payers negotiating settlement, maintaining invoices entering and adjusting data, collecting analyzing summarizing billing accounts pending and late charges, communicating with physicians, faxing taking and making phone calls and participating in educational opportunities
Patient Account Representative
OHIO HOSPITAL FOR PSYCHIATRY
02.2011 - 11.2012
- Responsible for processing accounts, initiating proactive measures to resolved accounts, billing and collections of fees for services, overseen self-pay accounts up front copay and coinsurance
- Verification of insurance, scheduling admitting and discharging patients I was also responsible for timely and accurate communication with other departments for the best care of the patients, I obtained a monthly goal of $5,000 in up front collection as well as manage and maintain an average of 30-35 calls per day
Education
Counseling -
Rio Salado College
Tempe, AZ08.2006
Diploma in Medical Assistant -
Estrella Mountain Community College
Avondale, AZ06.2005
Diploma in General -
King High School
Tampa, FL05.1984
Skills
- Comprehensive Healthcare Knowledge
- Customer Relations
- Billing
- Administration Assistant
- Intake Coordinator
- Claims Processing Expertise
- Trainer
- Histology
- Microsoft Word
- Microsoft Excel
- Centricity
- Logician
- EMR
- Gems
- Nextgen
- CSR
- CPW
- CMS
- EDES
- Health Care Systems
Personal Information
- Willing To Relocate: Anywhere
- Authorized To Work: US for any employer
Timeline
Front Desk Receptionist
FASTMD-Tampa/Trinity
06.2019 - 07.2019
Senior Provider Customer Service Representative
UnitedHealth Group
05.2017 - 05.2019
Billing Coordinator
DAWSONS NATIONWIDE CHILDRENS HOSPITAL
09.2014 - 03.2015
Patient Account Representative
OHIO HOSPITAL FOR PSYCHIATRY
02.2011 - 11.2012
Counseling -
Rio Salado College
Diploma in Medical Assistant -
Estrella Mountain Community College
Diploma in General -
King High School
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