Yinel Killen
Kingman,AZ
Summary
Denials & Appeal Coordinator with experience resolving payer-denied medical claims, analyzing EOB's, and submitting appeals to ensure accurate reimbursement and compliance with payer requirements.
Previous Office Manager with noted experience in administrative management. Prioritize projects and multitask effectively to achieve project goals. Methodical and detail-oriented team player with expertise in team leadership. Offering these skills and strong work ethic.
Overview
22
22
years of professional experience
Work History
Denials & Appeals Coordinator
Kingman Regional Medical Center
08.2023 - Current
- Reviewed and analyzed denied medical claims to determine root causes, documentation gaps, and appeal opportunities, ensuring accuracy and compliance with payer policies.
- Prepared and submitted detailed appeal letters supported by clinical documentation, coding guidelines, and regulatory requirements to overturn inappropriate denials.
- Collaborated with providers, billing teams, and insurance representatives to resolve claim issues and expedite reimbursement.
- Monitored appeal timelines and maintained organized tracking systems to ensure all cases met payer deadlines and internal performance standards.
- Reviewed and analyzed denied medical claims to determine root causes, documentation gaps, and appeal opportunities, ensuring accuracy and compliance with payer policies.
- Prepared and submitted detailed appeal letters supported by clinical documentation, coding guidelines, and regulatory requirements to overturn inappropriate denials.
- Collaborated with providers, billing teams, and insurance representatives to resolve claim issues and expedite reimbursement.
- Monitored appeal timelines and maintained organized tracking systems to ensure all cases met payer deadlines and internal performance standards.
- Utilized EMR and billing systems (Meditech) to research claim history, update case notes, and manage appeal workflows.
- Educated staff and providers on common denial reasons and documentation best practices to reduce future claim rejections.
Office Manager
Aban Care Clinic
08.2013 - 03.2019
- Oversaw accounting, budgeting and financial reporting.
- Assessed processes and procedures, complying with OSHA and HIPAA regulations.
- Managed 10 employees with various personalities and from different cultures for large 3-physician practice.
- Developed close working relationships with front office and back office staff.
- Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
- Addressed and remedied all patient or team member issues.
- Provided proper scheduling of patients, ensuring timely and effective allocation of resources and calendars.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing and accounts receivable.
- Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills.
Referral Coordinator
Aban Care Clinic
07.2010 - 07.2013
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Scheduled appointments with specialists on behalf of patients.
- Reviewed medical charts and served as liaison between patient and doctor.
- Encouraged patients to schedule recommended tests and procedures.
- Worked with patients to schedule tests and procedures.
Front Desk Receptionist
Aban Care Clinic
08.2009 - 08.2010
- Used computer programs and registration systems to schedule patients for routine and complex procedures.
- Checked patient insurance, demographic and health history to keep information current.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Completed and filed financial documentation for accounting purposes.
- Kept waiting room neat and organized by stacking magazines, removing trash and cleaning glass.
- Transcribed phone messages and relayed to appropriate personnel.
- Helped patients complete necessary medical forms and documentation.
- Managed multi-line phone system and pleasantly greeted patients.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Organized paperwork such as charts and reports for office and patient needs.
Certified Nursing Assistant
Wester Arizona Regional Medical Center
08.2005 - 06.2007
- Checked patient vitals such as temperature, blood pressure and blood sugar levels.
- Oversaw and maintained patients' rooms.
- Obtained biological specimens for ordered tests and prepared for laboratory transport.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing.
- Maintained patient stability by checking vital signs and weight and recording intake and outtake information.
- Maintained for individualized care in 36-bed unit by continuously checking in with patients and families and quickly providing care
Certified Nursing Assistant
Silver Ridge Village Nursing Home
03.2004 - 12.2006
- Checked patient vitals such as temperature, blood pressure and blood sugar levels.
- Answered call lights and supported patient comfort and safety by adjusting bed rails and equipment.
- Promoted good oral and personal hygiene by aiding patients with shaving, bathing and teeth brushing.
- Cared for residents in assisted living facility and delivered high-quality support to meet needs.
- Participated in fun group activities with patients to boost mood, improve overall memory and provide light entertainment.
- Provided care to patients throughout lifespan with consideration of aging processes, human development stages and culture.
- Facilitated personal hygiene management, feeding and ambulation.
- Transported patients between rooms and appointments or testing locations.
Education
Register Nurse - Nursing
CONALEP
San Luis Rio Colorado, Sonora, Mexico2001
High School Diploma -
CONALEP
San Luis Rio Colorado, Sonora, Mexico1999
Skills
- Communication
- Management
- Teamwork
- Spanish Fluency
- Friendly and Relatable
- Collaboration
- Denial resolution
- Appeals processing
- HIPAA compliance
- Healthcare reimbursement
- Clinical documentation
- Claims management
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Denials & Appeals Coordinator
Kingman Regional Medical Center
08.2023 - Current
Office Manager
Aban Care Clinic
08.2013 - 03.2019
Referral Coordinator
Aban Care Clinic
07.2010 - 07.2013
Front Desk Receptionist
Aban Care Clinic
08.2009 - 08.2010
Certified Nursing Assistant
Wester Arizona Regional Medical Center
08.2005 - 06.2007
Certified Nursing Assistant
Silver Ridge Village Nursing Home
03.2004 - 12.2006
High School Diploma -
CONALEP
Register Nurse - Nursing
CONALEP