Kymia Rule Conner
Summary
Dedicated Intake Specialist skilled in claim eligibility analysis and records management. Excellent communication and interpersonal skills. Familiar with industry standards and requirements. Managing duties to facilitate smooth workflow and operational efficiency.
Overview
10
10
years of professional experience
Work History
Enrollment Intake Specialist
Dignity Health Sacramento
09.2014 - Current
- Assessed clients' needs and determined eligibility for intake services. and provided new paperwork to initiate service.
- Collecting demographics to input into Dignity Health IDX system.
- Analyze and resolve discrepancies in enrollment procedures and activities.
- Enrollment/Claims work hand in hand receiving up to 1300 CMS forms daily.
- Gather information from healthcare providers and patients, including details of medical services rendered. Analyzing diagnosis and procedure codes and any supporting documentation. To either accept or deny a claim.
- Verifying and ensuring that all information provided is accurate and complete.
- This may involve analyzing and confirming patient's eligibility checking for errors, and verifying that the services rendered are covered.
- Maintain records of all claims and audit for overpayment for compliance purposes.
- Analyze all unaccountable claims on the daily reports, confirm with providers website's all patients on my list that our no longer active. Term out insurance in a timely manner to avoid overpayment.
- Have quarterly meetings to discuss budget assumptions, predict available revenue and review budget with management and collaborate with various departments.
- Meeting deadlines, prioritize task based on their importance, deadlines are very critical time management and communicating with your team is a must. Seek help if your struggling to meet the deadline, and delegating task when possible.
Intake Specialist
Maximus Health Services
01.2014 - 08.2014
- Completed intake assessment forms and filed clients' charts.
- Collected, personal information such as, demographics, tax information such as W2 and 1099 forms. Collecting two years of bank statements gathering all proper documentation to analyze and determine eligibility.
- All documentation received was uploaded to the CalHEERS database input all information provided by customer to determine which plan client is eligible for.
- Streamlined intake systems, resulting in reduced errors and improved speed.
- Facilitated client access to supportive services such as housing and job placement.
- Supported office staff and operational requirements with administrative tasks.
- Facilitated communication between clients and other service providers.
Education
No Degree - Medical Terminology
Winterstein Adult School
900 Morse Ave Sacramento Ca 9586401.2011
No Degree - Legal Administrative Assistance
Lincoln Adult Training School
2546 21st Sacramento Ca 9581808.1999
Skills
- Claims Processing
- Eligibility Review
- Consultation and Advisory
- Intake Assessment
- Research and Analysis
- Case Management
Timeline
Enrollment Intake Specialist
Dignity Health Sacramento
09.2014 - Current
Intake Specialist
Maximus Health Services
01.2014 - 08.2014
No Degree - Medical Terminology
Winterstein Adult School
No Degree - Legal Administrative Assistance
Lincoln Adult Training School
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