Kimberly Whitley-Clarke
Hamilton
Summary
Organized Administrative professional with expertise in Patient Access and Claims Support. Experienced in high-volume call management, documentation, and customer service within healthcare settings. Proficient in information verification, confidential record management, and inquiry resolution. Committed to enhancing operational efficiency and delivering exceptional client support.
Overview
21
21
years of professional experience
Work History
Patient Access Representative
RWJBH Health
Hamilton
12.2025 - Current
- Register ED patients accurately, entering demographic, insurance, and guarantor information.
- Verify insurance eligibility, collect co‑pays, and obtain required signatures.
- Explained financial responsibility and hospital policies to enhance patient understanding.
- Maintain strict compliance with HIPAA, EMTALA, and organizational standards.
- Resolved registration errors to eliminate billing delays and streamline patient flow.
- Communicated effectively with clinical staff, physicians, and leadership to facilitate coordinated care.
Patient Scheduler
Capital Health Medical Center
Lawrence
09.2024 - 11.2025
- Managed high‑volume inbound calls, scheduled appointments, and reduced wait times for patients.
- Entered patient and procedure details with accuracy; verified eligibility and authorizations.
- Updated patient records, insurance details, and documentation in Athena.
- Communicated appointment changes, cancellations, and updates to patients and staff to ensure clear information flow.
- Resolved scheduling conflicts through effective problem‑solving and customer service skills, enhancing patient satisfaction.
- Ensured confidentiality and compliance with HIPAA regulations.
Provider Outreach Associate
Medly Pharmacy
Brooklyn
07.2021 - 09.2022
- Contacted patients, providers, and insurers to gather missing insurance information, facilitating timely claims processing.
- Updated patient profiles and verified claims information, ensuring accuracy for efficient claims submissions.
- Enhanced communication with provider offices, streamlining workflow and reducing delays in information exchange.
Medical Scheduler
Lenox Hill Radiology & Medical Imaging Associates P.C.
Brooklyn
07.2020 - 09.2020
- Scheduled imaging appointments and verified patient information.
- Used RIS to answer insurance and procedure‑related questions.
- Managed cancellations and filled open slots to maximize appointment availability.
- Maintained accurate records to ensure seamless billing and support clinical operations.
Administrative Assistant
Regal Care Rehabilitation LLC
Brooklyn
02.2020 - 07.2020
- Entered patient data into OPTIMA and managed phones, filing, and insurance verification to ensure accurate patient records.
- Coordinated office operations including copying, faxing, mailing, and scheduling to maintain efficient workflow.
Administrative Assistant
USI Consulting Group
New York
02.2018 - 07.2019
- Coordinated mail, shipments, office supplies, and vendor relationships to ensure seamless office operations.
- Assisted staff with administrative tasks while organizing workspaces for improved efficiency.
Fraud Clerk
PAE Gov’t Contracting for USCIS
New York
07.2016 - 02.2018
- Processed time‑sensitive files and maintained detailed logs.
- Responded to inquiries using USCIS databases.
- Supported Naturalization ceremonies and handled confidential documentation.
Administrative Assistant
Wells Fargo Securities
New York
02.2005 - 12.2014
- Coordinated domestic and international travel arrangements using Concur, ensuring seamless itineraries for executives.
- Managed calendars, scheduled calls, organized meetings, and maintained confidential records to optimize time management.
- Supported trading division staff by fostering professional relationships with clients and vendors, enhancing collaboration and communication.
Education
High School Diploma -
Maxwell High
Brooklyn, NYSkills
- Claims & Administrative Support
- High-volume call handling
- Data entry accuracy
- Customer issue resolution
- Insurance verification
- Microsoft Word Outlook Adobe Acrobat
- Athena RIS Concur Ring Central Lotus Notes
- Multitasking capabilities
- HIPAA compliance
- Epic
Timeline
Patient Access Representative
RWJBH Health
12.2025 - Current
Patient Scheduler
Capital Health Medical Center
09.2024 - 11.2025
Provider Outreach Associate
Medly Pharmacy
07.2021 - 09.2022
Medical Scheduler
Lenox Hill Radiology & Medical Imaging Associates P.C.
07.2020 - 09.2020
Administrative Assistant
Regal Care Rehabilitation LLC
02.2020 - 07.2020
Administrative Assistant
USI Consulting Group
02.2018 - 07.2019
Fraud Clerk
PAE Gov’t Contracting for USCIS
07.2016 - 02.2018
Administrative Assistant
Wells Fargo Securities
02.2005 - 12.2014
High School Diploma -
Maxwell High