Summary
Overview
Work History
Education
Skills
Timeline
Generic

Monique Kilgore

Malden,MA

Summary

A dedicated service professional with strong background in coordinating and managing service operations. Known for driving efficiency and enhancing customer experiences while fostering collaborative team environment. Reliable and adaptable, equipped with key skills in communication and organization.

Overview

13
13
years of professional experience

Work History

Patient Service Coordinator

Mass General Hospital
11.2023 - Current

Contracted by Bulfinch Temporary Service to perform multiple Patient Service Coordinator positions at Mass General Hospital


Patient Service Coordinator II- Temporary (April 2025-present)

  • Primary contact for clients scheduling GI procedures and addressing inquiries.
  • Provides procedural information through phone, patient gateway, and email communication channels.

Administrative Assistant III- Temporary (January 2025- April 2025)

  • Scheduled plastic surgery cases in Epic, answered phone inquiries, set up workers compensation cases, coordinated clinic documents and assisted patients in check out during clinic.

Administrative Assistant III- Temporary (November 2024- January 2025)

  • A surgical scheduler for the Chief Medical surgeon of Gastrointestinal and Oncologic Surgery, and Vice Chair of Research managing doctor calendars, scheduling appointments for post op and virtual office visits
  • Sent surgery brief operative notes and clinic notes to the patients care team

Patient Service Coordinator II-Temporary (April 2024-November 2024)

  • A liaison for communication between the ordering clinicians, responding clinicians and Radiologist to acknowledge Critical and Urgent Alerts
  • Scheduled 3D CT exams and ran 3D status reports

Staff Assistant III – Temporary (November 2023-April 2024)

  • Scheduled doctor appointments for patients for Pulmonary procedures
  • Checked in patients, answered phones, sent faxes, requested CDs for doctor review, and coordinated visiting nursing services.

Coordinator, Behavioral Health Equity and Recovery

Massachusetts Behavioral Health Partnership
09.2022 - 09.2023
  • Edited reports and authored monthly and grantee summaries.
  • Assisted in strategic planning for contract deliverables.
  • Approved invoices and created stipend check requests for advisory council members.

Administrative Assistant

Beacon Hill Staffing Group LLC.
10.2021 - 09.2022

Contracted by the Beacon Hill Staffing Group agency to perform multiple administrative assignments in the Boston area.

Administrative Assistant- Temporary, Rock point Group (July 2022-September 2022)

  • Created expense reports and entered expenses for the senior management team using the Concur software.

Intake Coordinator- Temporary, Metro Housing Boston (February 2022-July 2022)

  • Requested CORI checks for the housing department, performed database management on CORI activity, added referrals for tracking Emergency Voucher spreadsheet, and organized member files
  • Created and issued housing vouchers for applicants

Covid-19 Project Assistant - Temporary, Beacon Hill Staffing Group (January 2022-January 2022)

  • Labeled and packaged Covid-19 testing kits to ship to other staffing sites

Mock Juror participant - Temporary, Beacon Hill Staffing Group (December 2021- December 2021)

  • Participant in a mock trial: listened to arguments, wrote notes, asked questions, and deliberated a verdict.

Project Assistant - Temporary, Ernst & Young

(October 2021-October 2021)

  • Conducted surveys on businesses usage of software to track field technicians, for billing and invoicing purposes.

Member Advocate

Healthcare Financial Inc.
08.2021 - 09.2021
  • Conducted inbound and outbound calls to members to check eligibility for SSI/SSDI.
  • Filled out SSI applications for eligible members, and conducted medically complex screenings.

Customer Service Support

NTT Data
05.2019 - 08.2021
  • Answered provider inquiries about member benefits, claims, appeals and credentialing for Commercial, Medicare and Passport Connect products.

Enrollment Specialist

Tufts Health Plan
09.2017 - 05.2019
  • Performed an in-depth analysis and reconciliation for updated membership data received from the state, as well as membership profile information within Monument Xpress.
  • Mitigated any potential errors or delays by rapidly identifying and resolving any discrepancies or errors found within member data during the enrollment process.

Provider Service Team Lead

Tufts Health Plan
01.2016 - 09.2017
  • Subject matter expert used to update documentation during the development of a new documentation resource (Support point).
  • Delivered comprehensive training and development to staff (including the Senior Provider Services Representative, Account Specialist, and new employees.
  • Identified areas of improvement in staff progress and performance which directly resulted in significantly improved quality scores for temporary and permanent staff.
  • Traveled to Halifax, Canada, aided the training team, and customer service representatives regarding NTT Data call center protocols.
  • Resolved escalations internationally and locally
  • Implemented training sessions on department needs for the new computer system Core Health Rules Migration (CHRM)/HRP system
  • Awarded with the You Make a Difference Award due to the planning and launch of a one-week training class.
  • Acquired the Platinum Award and Teamwork Award due to record of success.

Senior Provider Services Representative

Tufts Health Plan
12.2012 - 01.2016
  • Delivered prompt, in-depth responses for in- and out-of-network providers on claims status, eligibility, benefits, online references, and provider contract status for Medicaid products.
  • Ensured the timely completion of physician changes and the adjustment of paper claim correspondences.

Education

Master of Science - Health Administration

Suffolk University
Boston, MA
09.2004

Bachelor of Science - Management

Bentley University
Waltham, MA
06.2002

Skills

  • Excellent customer service skills
  • Health Insurance benefits
  • Claims
  • Call Center Management
  • Staff Training and Management
  • Service monitoring and evaluation
  • Proficiency in office programs
  • Teamwork and collaboration

Timeline

Patient Service Coordinator

Mass General Hospital
11.2023 - Current

Coordinator, Behavioral Health Equity and Recovery

Massachusetts Behavioral Health Partnership
09.2022 - 09.2023

Administrative Assistant

Beacon Hill Staffing Group LLC.
10.2021 - 09.2022

Member Advocate

Healthcare Financial Inc.
08.2021 - 09.2021

Customer Service Support

NTT Data
05.2019 - 08.2021

Enrollment Specialist

Tufts Health Plan
09.2017 - 05.2019

Provider Service Team Lead

Tufts Health Plan
01.2016 - 09.2017

Senior Provider Services Representative

Tufts Health Plan
12.2012 - 01.2016

Master of Science - Health Administration

Suffolk University

Bachelor of Science - Management

Bentley University
Monique Kilgore