Kimberly Widor
North Massapequa,NY
Summary
Proven Medicaid Coordinator with a track record of streamlining application processes at Massapequa Center for Rehabilitation and Nursing, achieving faster approvals and exceeding departmental goals. Skilled in eligibility determination and client advocacy, I excel in teamwork, problem-solving, and maintaining high service quality standards. Demonstrated ability to manage high caseloads efficiently, enhancing patient satisfaction and care.
Overview
9
9
years of professional experience
Work History
Medicaid Coordinator
Massapequa Center for Rehabilitation and Nursing
Amityville, NY
01.2019 - Current
- Streamlined the Medicaid application process for faster approvals, reducing wait times for patients.
- Conducted regular audits of client files to ensure accuracy and completeness, mitigating risk of denied claims or funding loss.
- Exceeded departmental goals for timely case processing, contributing to the overall success of the Medicaid program.
- Reduced patient stress by presenting complex information about Medicaid guidelines
- Improved patient care by efficiently coordinating and managing Medicaid applications and eligibility.
- Provided personalized support to clients throughout the entire application process, resulting in increased satisfaction levels.
- Demonstrated exceptional attention to detail when reviewing documentation for eligibility determination purposes, minimizing errors and delays.
- Assisted families with complex paperwork, ensuring accuracy and timely submission of required documents.
- Managed a high caseload effectively, prioritizing tasks and meeting deadlines consistently while maintaining high standards of service quality.
- Implemented new filing systems that streamlined recordkeeping processes, improving efficiency and organization within the department.
Medical Secretary
Dr. Karen Giuliani
Massapequa, NY
08.2015 - 01.2019
- Managed front desk operations efficiently while greeting patients warmly and addressing their concerns professionally.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Kept information confidential and followed HIPAA guidelines to maintain patient trust.
- Registered new patients in electronic medical records prior to appointment scheduling.
- Organized paperwork such as charts and reports for office and patient needs.
- Increased office efficiency with thorough management of medical records, ensuring accuracy and accessibility for all staff members.
- Improved billing processes by diligently verifying insurance coverage, submitting claims, and following up on unpaid balances.
- Documented patient medical information, case histories, and insurance details to facilitate smooth appointments and payment processing.
- Facilitated new patient prescriptions, refills and prescription pre-authorizations.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Used knowledge of medical terminology to transcribe patient information from written copy, electronic equipment, or verbal direction.
- Assisted in the development of new office procedures to enhance workflow efficiency and overall productivity.
- Received and routed laboratory results to correct clinical staff members.
- Managed office bookkeeping with insurance billing and patient payments.
Education
Liberal Arts And General Studies
St. John's University
Jamaica, NYBusiness Management - Business Administration And Management
Hunter Business School
Levittown, NY06.2018
Skills
- Eligibility Determination
- Policy analysis
- Medicaid Expertise
- Professional ethics
- Client Advocacy
- Teamwork and Collaboration
- Problem-Solving
- Time Management
- Attention to Detail
- Multitasking
- Reliability
- Excellent Communication and verbal skills
Timeline
Medicaid Coordinator
Massapequa Center for Rehabilitation and Nursing
01.2019 - Current
Medical Secretary
Dr. Karen Giuliani
08.2015 - 01.2019
Liberal Arts And General Studies
St. John's University
Business Management - Business Administration And Management
Hunter Business School