Summary
Overview
Work History
Education
Skills
Timeline
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KENYA SILCOTT

Oviedo,FL

Summary

Experienced healthcare and administrative professional with expertise in prior authorizations, patient scheduling, insurance verification, and utilization management. Proven track record of delivering high-quality service in fast-paced environments. Skilled in utilizing electronic health record (EHR) systems, resolving patient inquiries, and streamlining workflows to enhance operational efficiency and customer satisfaction. Dedicated to maintaining compliance with policies while ensuring superior patient and client experiences.

Overview

13
13
years of professional experience

Work History

Remote Support Team Admin

Wellvana
01.2024 - Current
  • Conduct 75+ outbound calls daily to engage patients and potential clients, ensuring effective communication using provided scripts
  • Perform Epic audits to identify and resolve scheduling discrepancies, maintaining accurate appointment records
  • Utilize EHR systems and scheduling software to efficiently manage workflows
  • Provide one-on-one training to staff on scheduling protocols, improving proficiency
  • Identify and correct data or scheduling errors, ensuring adherence to quality standards

Benefits Verification Specialist

Prestige Staffing
12.2023 - 01.2024
  • Verified commercial insurance coverage for in-network and out-of-network physicians/facilities, ensuring accuracy
  • Efficiently conducted benefits and eligibility verification for pharmacological and medical services
  • Documented and updated insurance information in patient charts, ensuring clarity and compliance

Medical Receptionist

Silver Lining Psychiatry
06.2023 - 11.2023
  • Scheduled patient appointments and ensured pre-visit preparation, enhancing patient satisfaction
  • Collected patient financial responsibilities with accuracy, maintaining precise transactions
  • Managed communication channels, including emails and voicemails, ensuring efficient workflows

Remote Outreach Agent

CIOX Health / Datavant
05.2021 - 06.2022
  • Delivered customer service for 60+ outbound calls per shift, answering inquiries and providing insurance-related information
  • Documented interactions in Chart Finder and prepared reports using Microsoft Excel
  • Ensured compliance with call scripts and improved service delivery through follow-ups

Remote Customer Service Representative

Continuum Global Solutions
12.2020 - 02.2021
  • Achieved a 97% CSAT (Customer Satisfaction) score quarterly by resolving inquiries and providing accurate information
  • Assisted with claims processing, authorizations, and appeals while handling 50+ inbound calls daily

Support Team Administrator

Morreale Real Estate
10.2018 - 11.2019
  • Managed inquiries and escalations, ensuring acknowledgment within 24 hours
  • Facilitated system access for referrals and title orders while providing cross-training to staff
  • Provided regular updates on contracts, payoffs, and inspections

Surgical Scheduler

Comprehensive Orthopedic
06.2015 - 09.2017
  • Scheduled surgical procedures, pre-operative testing, and post-operative appointments
  • Coordinated patient insurance verification and addressed surgical inquiries
  • Prepared and maintained patient surgical charts, ensuring accurate documentation

Medical Assistant / Ophthalmic Photographer

Plessen Ophthalmology PC
01.2012 - 06.2015
  • Assisted physicians with procedures, including chalazion removal and injections
  • Scheduled patient surgeries and ensured pre-surgical compliance
  • Performed diagnostic tests such as visual acuity and tonometry

Education

Associate's Degree - Medical Billing & Coding

Ultimate Medical Academy
Clearwater, FL
05.2014

Associate's Degree - Medical Secretary

Summit Institute
West Palm Beach, FL
06.2004

Skills

  • Prior Authorizations
  • Insurance Verification
  • Utilization Management
  • Scheduling
  • EHR Systems
  • Compliance
  • Data Entry
  • Problem Solving
  • Communication
  • Call Center Management
  • Epic
  • Microsoft Office Suite
  • CRM Software

Timeline

Remote Support Team Admin

Wellvana
01.2024 - Current

Benefits Verification Specialist

Prestige Staffing
12.2023 - 01.2024

Medical Receptionist

Silver Lining Psychiatry
06.2023 - 11.2023

Remote Outreach Agent

CIOX Health / Datavant
05.2021 - 06.2022

Remote Customer Service Representative

Continuum Global Solutions
12.2020 - 02.2021

Support Team Administrator

Morreale Real Estate
10.2018 - 11.2019

Surgical Scheduler

Comprehensive Orthopedic
06.2015 - 09.2017

Medical Assistant / Ophthalmic Photographer

Plessen Ophthalmology PC
01.2012 - 06.2015

Associate's Degree - Medical Billing & Coding

Ultimate Medical Academy

Associate's Degree - Medical Secretary

Summit Institute
KENYA SILCOTT