Kimberly Whitman
Brooksville,FL
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
17
17
years of professional experience
Work History
Scheduler
Advent Health
Tampa, FL
12.2022 - Current
- Schedule Radiology appointments for Advent Health West Fl Division hospitals
- Collect insurance and demographic information
- Provide patients with any instructions and/or prep required for their tests
- Document medical conditions, surgeries, and procedures to ensure patients’ can safely complete their tests
- Work with doctor’s offices to ensure we have correct/complete scripts so there aren’t any issues the day of patients’ appointments.
Appeals Team Lead
Parallon
Largo, FL
05.2017 - 11.2022
- Oversaw 15-20 staff members for individual teams within the appeals department
- Assigned out daily workflow to staff ensuring work was assigned based on dollar amount and age of appeals
- Provided introductory and ongoing training and education to all Appeals staff to ensure that policies and procedures were followed
- Met with the Manager regularly to effectively communicate and resolve issues, set and prioritize goals, and improve processes
- Assisted with staff communication, providing departmental updates, resolving issues, setting individual and team goals
- Completed Departmental QA on a weekly basis consisting of listening to the recorded calls to be able to provide feedback to staff on how to better obtain the necessary information to either get the denial overturned or a final resolution so the appeal could be closed out and written off and to ensure accounts were being documented accordingly
- Established departmental policies and procedures, objectives, and customer service policies
- Maintained payroll activities for team members (i.e
- Time edit sheets for time adjustments, approving KRONOS for payroll)
- Assisted manager with development and implementation of projects and department action plans
- Monitored insurance denials by running appropriate reports and contacting insurance companies to resolve claims denied for clinical reasons
- Identified coding or clinical documentation issues and work to correct the errors in a timely manner
- Identified problem accounts and/or trended issues and escalated as appropriate to departments, team members, or manger to send to provider representatives
- Majntained productivity and QA reports to ensure staff were meeting required goals and save information for quarterly bonuses
- Co-lead departmental staff meetings
- Assisted with training and implementation of Contact Savvy
- Called insurance companies to get clarification on denied appeals
- Set up and conducted new hire interviews
- Maintain staffing and time off requests
- Hold weekly one on ones with staff to go over any updates, issues, and outstanding emails
- Assisted the manager with quarterly and yearly evaluations
- Assist with payer calls –calls with management and the insurances companies to discuss and resolve trended issues
- Active member of the EAC (Employee Activities Committee) from June 2017 – December 2018
- In 2019 I finished a yearlong public speaking class and presented to Leadership on the cost saving benefits up electronic appeal submissions
- I participated in Modelnetics which is a comprehensive management training development program offered to the Leadership team.
ER/Admitting Office Registration
Parallon | Northside Hospital
St. Petersburg, FL
07.2007 - 05.2017
- Interviewed patients at workstation or bedside to obtain demographic and insurance information to register patients in the Emergency Room and Admitting office
- Completed patient medical charts
- Ordered supplies and assisted with maintaining the department schedule for the staff
- Collected insurance information, copays, and deductibles
- Greet and assist patients’ family members
- Worked directly with the doctors, nurses, and ancillary services to ensure all forms were signed by the patient prior to procedures/tests
- Completed Departmental QA on a weekly basis consisting of reviewing registration accounts to verify correct insurance and demographics were obtained and documented accordingly
- Covered for the cashier, team lead, and insurance verifier when needed
- Verified patients’ insurance benefits via phone, fax, and online portals
- Understand/explain policies regarding services, pricing, insurance billing, and payment of account
- Request full or partial payment for services rendered
- Obtained authorization/precertification for patient’s procedures and admissions
- Contacted third party payers for authorization and financial responsibilities (ex: workers compensation, Travelers Insurance for Canadian Patients, jail inmates, etc.)
- Answered phones and assisted patients with their questions and concerns
- Assisted management with daily reports
- Trained new employees
- Maintained the daily bank deposit for the facility including payments from patients, insurances companies, and vendors.
Education
Associate of Arts -
Saint Petersburg College
Skills
- Excel and Word
- Outlook
- MicroStrategies
- Skype
- WebEx Teams
- Strong phone skills
- Avaya
- Bria
- Concuity
- Artiva
- Zoom
- Positive Attitude
- Dependable/Punctual
- Problem Solver
- Effective Communicator
- Active Listener
- Teamwork/Collaboration
- Detail oriented
- Strong Organizational Skills
- Problem-Solving
- Staff Coordination
- Computer Skills
- Attention to Detail
- Timesheet Management
- Document Management
- Telephone Etiquette
- Account Management
- Inventory Tracking
- Production Scheduling
- Data Entry
- Meeting Scheduling
- Strong Work Ethic
- Order Processing
- Schedule Coordination
- Teamwork and Collaboration
- Effective Multitasking
- Patient Registration
- Medical Terminology
- Materials Management
- Customer Service
- Recordkeeping Proficiency
- Microsoft Office Suite
- Documentation Proficiency
- Workflow Optimization
- Recordkeeping Expertise
- Insurance Verification
- Patient Scheduling
- Payroll Processing
Affiliations
- I like to start my day by going to the gym before work every day.
- I enjoy working in my yard and planting.
- I like to read.
Accomplishments
- I completed a year long public speaking course and did a present for senior management, CFO, and CEO.
- I was on the employee activities committee for a year.
- On many occasions I was the top collector in the ER and the admitting office.
Timeline
Scheduler
Advent Health
12.2022 - Current
Appeals Team Lead
Parallon
05.2017 - 11.2022
ER/Admitting Office Registration
Parallon | Northside Hospital
07.2007 - 05.2017
Associate of Arts -
Saint Petersburg College
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