Kristin Winship
Klamath Falls,OR
Summary
Experienced healthcare operations leader with a proven track record in managing remote teams and optimizing prior authorization processes. Skilled in supervising and mentoring staff while ensuring compliance with insurance regulations and industry standards. Demonstrated expertise in performance management, quality assurance, and process improvement initiatives that reduce turnaround times and enhance operational efficiency. Strong background in cross-functional collaboration, escalation management, and comprehensive reporting. Committed to delivering exceptional service quality while maintaining accurate documentation and driving continuous improvement in healthcare authorization workflows.
Overview
9
9
years of professional experience
Work History
PRACTICE OFFICE MANAGER
TIMBER KIDS DENTISTRY
02.2022 - 10.2024
- Lead a team of 20 employees for a 150+ office locations corporation.
- Submitted all prior authorizations for in office and out of office procedures.
- Completed all eligibility verifications for patients.
- Managed comprehensive denial and appeal processes for patient cases, ensuring timely resolution and optimal patient outcomes.
- Drafted, edited, and formatted internal documents and external communications with attention to detail.
- Worked closely with clinical team to ensure comprehensive documentation supporting prior authorization requests, reducing processing delays
- Hired, managed, developed and trained staff, established and monitored goals and conducted performance reviews
- Created a detailed protocol for the entire corporation for each department within.
ADMINISTRATIVE SPECIALIST II
ODOT
04.2021 - 02.2022
- Review budget forecast sheet while researching errors.
- Track and record expenditure accounts for projects, equipment, labor, materials and vendors.
- Worked on behalf of senior leaders to complete project requirements according to schedules and within budgetary limitations.
- Responsible for submitting grants to the state for large budgeted projects.
- Managed public relations issues and addressed citizen concerns with diplomacy and efficiency.
- Served as liaison between team members to address conflicts and improve workplace collaboration.
FITNESS AND NUTRITION ADVISOR
One Peak Medical
06.2020 - 04.2021
- Collaborated with physicians and healthcare personnel to determine nutritional needs and diet restrictions of clients
- Counseled clients on nutrition issues such as obesity, eating disorders, tube feeding management, etc.
- Reviewed and interpreted important lab results and explained implications to patients
- Submitted all prior auths for treatment, including supporting documents. Followed up on their status and appealed any denials.
- Monitored patient's progress proactively.
- Document all communications in EMR
- Completed accurate daily documents, reports and invoices
- Handled daily scheduling tasks and provided administrative support for multiple departments.
BUSINESS ADMIN SUPERVISOR
Women's Health Center Of Southern Oregon, LLC
08.2015 - 06.2020
- Assisted Credentialing team with New Provider onboarding and recredentialing.
- Scheduled patient appointments and placed reminder calls to deliver exceptional customer experience.
- Submitted all prior auths for treatment, including supporting documents. Followed up on their status and appealed any denials.
- Worked with healthcare providers to optimize documentation workflows for insurance authorization submissions.
- Served as patient advocate, successfully challenging insurance denials to secure approved coverage for essential care.
- Hired, managed, developed and trained staff, established and monitored goals and conducted performance reviews
- Managed and maintained schedules for 9 Providers
Education
High School Diploma -
Crater High School
Central Point, OR Skills
- Strong knowledge of insurance processes
- Proficiency in prior authorization platforms, including appeals for denials
- Exceptional time management skills
- Proficient in manual reporting and data analysis through tools such as Excel, Google Sheets, and PowerBI
- Effective problem-solving and conflict-resolution abilities
- Strong communication skills, both written and verbal
- Provider Enrollment (Medicare, Medicaid, Commercial Payers)
- Excellent leadership and people management skills, with the ability to motivate and develop remote teams
- Documentation Management and Verification
- Ability to multitask, prioritize, and manage time effectively
- Ability to work with a team or independently
Accomplishments
- Processed 150+ prior authorization requests weekly while maintaining 98% accuracy rate.
- Reduced average authorization turnaround time from 5 days to 2 days through workflow optimization.
- Developed standardized documentation checklist that improved approval significantly.
- Created tracking system that reduced lost authorization requests by 90%.
- Implemented follow-up protocols that decreased authorization expiration rates.
Timeline
PRACTICE OFFICE MANAGER
TIMBER KIDS DENTISTRY
02.2022 - 10.2024
ADMINISTRATIVE SPECIALIST II
ODOT
04.2021 - 02.2022
FITNESS AND NUTRITION ADVISOR
One Peak Medical
06.2020 - 04.2021
BUSINESS ADMIN SUPERVISOR
Women's Health Center Of Southern Oregon, LLC
08.2015 - 06.2020
High School Diploma -
Crater High School
Similar Profiles
Briona ValdezBriona Valdez
Patient Care Coordinator at Timber Kids DentistryPatient Care Coordinator at Timber Kids Dentistry
Sadie PleweSadie Plewe
Dental Assistant at Timber Falls Pediatric DentistryDental Assistant at Timber Falls Pediatric Dentistry
Dustin JamesDustin James
Pediatric Dentist at Dustin James Dmd Pc - Dentistry For Teens & Dentistry For KidsPediatric Dentist at Dustin James Dmd Pc - Dentistry For Teens & Dentistry For Kids
Miche WhitneyMiche Whitney
Apple Technical Advisor at Kelly Connect Apple ProjectApple Technical Advisor at Kelly Connect Apple Project
Russell WaltonRussell Walton
Carpenter at Alvarez ConstructionCarpenter at Alvarez Construction