Kyha Wright
Atlanta
Summary
Efficient and dependable individual with over 20 years extensive experience as a patent coordinator. Highly skilled in monitoring physician's orders and scheduling patient appointments. Thorough understanding of chart documentation in the Electronic Medical Records.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Authorization Representative
Piedmont Healthcare
2021.10 - Current
- Daily focus on maintaining productivity standards and improving performance and productivity.
- Utilize critical thinking skills to identify and resolve problems effectively to obtain appropriate reimbursements.
- Obtain pre-certifications, authorizations and referrals to ensure managed care compliance through either direct, contact, website, or insurance tool.
- Enter authorization and all pertinent information into EPIC including whom spoken to.
- Follow Piedmont policies and procedures for requirements that the payers (Insurance Companies) have for the procedure scheduled.
Front Desk Coordinator/Patient Account Representative/Revenue Cycle
Wellstar Health Systems
2013.12 - 2021.10
- Liaise between patients, caregivers and medical staff to ensure provision of needed medical services.
- Schedule various complex imaging and Medical Procedures (i.e. MRI, CT scan, XRAY, Nuclear Medicine, Short Stay and Admitting. ICT 10)
- Obtain all critical information needed to correctly schedule and process imaging exams.
- Appropriately and accurately record insurance information and obtain pre-approvals for treatment where necessary.
- Streamline patient check-out procedures by ensuring that the process is expedited and that post-treatment instructions are properly understood by them or caregivers.
- Responsible for explaining hospital policies, procedures and services to patients and families by utilizing both medical and administrative knowledge.
- Educates patients about patient financial liabilities, employs proper, compliant patient liability collection techniques before, during and after date of service.
Insurance Specialist/Customer Service
Assurant Insurance
2007.07 - 2013.10
- Responsible for answering high volume of calls related to Medical Insurance.
- Handle policy status and problem-solving resolution issues, to include outgoing calls as necessary.
- Process cancellations, addition and termination of dependents, lapsed policies, and reinstatements.
- Professionally interact with agents, providers, and insured on the telephone regarding their inquiries.
Education
Associated Arts Degree -
Nassau Community College
Garden City, New York05.1999
BA - Healthcare Admin
Kennesaw University
Kennesaw, GeorgiaSkills
- Patient Education
- Problem Resolution
- Medical Records Management
- Charges Reconciliation
- Pre-Certification
- Consent Management
- Paperwork Handling
- Diagnosis Evaluation
- Insurance Liaison
- Epic Software
- Microsoft Windows
- Microsoft Office
- Medical Payer Portals
Availability
Available for Full-Time
Relocation
Able to Relocate & Travel Extensively
Certification
CPAR
Timeline
Authorization Representative
Piedmont Healthcare
2021.10 - Current
Front Desk Coordinator/Patient Account Representative/Revenue Cycle
Wellstar Health Systems
2013.12 - 2021.10
Insurance Specialist/Customer Service
Assurant Insurance
2007.07 - 2013.10
Associated Arts Degree -
Nassau Community College
BA - Healthcare Admin
Kennesaw University