Orr Kaylee
Nederland
Summary
Detail-oriented insurance coordinator skilled in insurance verification and client communication. Proven ability to navigate complex processes and mitigate risks while enhancing patient experiences.
Overview
12
12
years of professional experience
Work History
Insurance Coordinator
Garrett Dental Clinic
Groves, TX
01.2021 - Current
- Collect Insurance Information
- Verify Patient Insurance Summary of benefit breakdown (patient coinsurance/ frequency for each procedure code)
- Entering in patient specific information of benefits in insurance chart accordingly
- Notifying Patient of benefit coverage (in network / out of network)
- Document every conversation I've had with patient/ regarding any information relating to patient in chart or appointment
- Receiving kickback claims (getting term dates) calling patient notifying of termination, collecting new insurance information, updating new insurance information in patient chart and resubmitting claims
- Receiving prior authorization (calling Patient to go over prices of what their allowed amount is and what their portion will be; Schedule for procedure and scan pre authorization in smart doc.)
- Enter insurance payments into patient account
- Mail EOBS
- Verify eligibility/history for Medicaid (MCNA, DQ, TMHP, UKC) also call parents if PCP needs to be changed
- Perio chart for hygienist
- Answer phones
- Schedule patient appointments
- Call to confirm appointments for next day
- call for recall lost/ fill schedule
- fax premed/bloodthinner release to doctor offices
- Call in prescriptions
- Take Payments/ go over account balances with patient
- Make payment plans
- Check patients in/out
- Pay and mail utility bills
Bail Bond Agent
Professional Bail Bonds
Beaumont, TX
01.2018 - 02.2019
- Reviewed financial circumstances of clients to recommend appropriate bail amounts and conditions.
- Executed comprehensive management of case files, guaranteeing compliance with established legal requirements and documentation standards.
- Coordinated with law enforcement and courts for timely processing of bail applications.
- Developed strategies to mitigate risk while securing favorable outcomes for clients.
- Keep clients up to date with all court dates, weekly check-ins, collecting daily-weekly-biweekly-monthly payments and handle daily deposits
- Responsible for filing all correct court documents with an accused person, receive payments and track down the client if he/she fails to appear to court
TV Host/Lead Video Editor
KITU-TV 34
Orange, TX
08.2013 - 03.2018
- Developed engaging content for live broadcasts to captivate diverse audiences.
- Conducted in-depth interviews with notable guests, enhancing program quality and viewer interest.
- Collaborated with production teams to refine show formats, improving overall viewer engagement.
- Mentored presentation techniques, fostering a collaborative work environment.
- Design Sets for Programs
- Host the " Joy In our Town" Weekly Program
Education
High School Diploma -
Nederland High School
Nederland, TX05-2015
Skills
- Insurance processes
- Insurance claims processing
- Insurance verification
- Customer service and assistance
- Claims processing
- ICD-10 coding
- CPT coding
- Claims
- Accounts receivable
- Strategic thinking skills
- Medical billing and coding
- Payment planning
- Microsoft office
- Account management
- Accounting skills
- Financial acumen
- Revenue cycle management
- Negotiation
- Dental insurance experience
- Medical terminology proficiency
- Private insurance
- Medical billing proficiency
- Insurance coverage verification
- Attention to detail
- Organizing and prioritizing work
- Data entry
- Records management
- Teamwork and collaboration
- Paperwork processing
- Appointment scheduling
- Patient rapport
- Prior authorization processing
- Billing software
- Insurance claim forms review
- Coverage determination
- Documentation skills
- Eligibility determination
- Denied claims identification
- Claim amount calculations
- Financial transactions
- Customer service
- Documentation processing
- Recordkeeping organization
- Information verification
- Patient contact
References
Wayne Ozio 409-790-0668
Gina Bourque 409-998-0219
Lena Nilles 409-749-0790
Timeline
Insurance Coordinator
Garrett Dental Clinic
01.2021 - Current
Bail Bond Agent
Professional Bail Bonds
01.2018 - 02.2019
TV Host/Lead Video Editor
KITU-TV 34
08.2013 - 03.2018
High School Diploma -
Nederland High School