Kia Ross

Received claims, confirmed policy coverage, and verified eligibility and benefits for treatments and procedures. Reviewed and interpreted clinical records to ensure patient met medical policy guidelines for coverage, completeness, and performed follow-up for additional information if necessary.

Addressed customer inquiries, resolved issues, and offered informed guidance on coverage, rates, and billing matters. Educated customers on policy details, empowering them with knowledge to make well-informed decisions.

Completed data entry from enrollment forms into the CRM and electronic eligibility checks for payer and coverage details. Conducted benefit investigations to determine plan coverage, payer restrictions, and cost share information from insurance plans.

Prepared quality order requests to aid Providers with exam reviews and identified order types to maintain the quality of each order. Managed a high volume of inbound calls, ensuring prompt and accurate response to patient inquiries, insurance queries, and requests from medical professionals.

Managed a high volume of inbound calls, ensuring timely and accurate response to patient inquiries, insurance queries, and requests from medical professionals. Facilitated appointment coordination, including rescheduling, editing, and confirming follow-up engagements, optimizing physician schedule utilization.

Managed daily operations and led a team of medical staff, focusing on conflict resolution and staff training to enhance patient care efficiency. Ensured accurate insurance verification, adeptly handled high-volume telephone communications, and coordinated patient scheduling and insurance claim filing.

Managed a team of dispatchers, ensuring efficient daily operations and effective conflict resolution while facilitating comprehensive training for new operators. Compiled and analyzed statistical reports of alarm activity, providing insights and regular updates to senior management.

Managed daily operations, including conflict resolution and staff training, to enhance patient care efficiency. Coordinated insurance verification, managed multi-line phone systems, scheduled appointments, and conducted laboratory and diagnostic testing.

Facilitated patient care by providing administrative support to the physician, including involvement in medical procedures, staff management, and implementing new staff training programs. Enhanced practice operations through effective coordination of insurance verification, appointment scheduling, and processing of laboratory and diagnostic tests.

Completed a program focused on the practical and theoretical aspects of pharmacy operations. Gained expertise in medication dispensing, inventory management, and patient support within a pharmaceutical setting.

Studied various disciplines within health sciences, preparing for roles in healthcare administration and patient support. Developed skills in understanding health systems and patient care coordination.

Pursued a dual degree program focusing on human biology, gaining a comprehensive understanding of biological systems relevant to health. This program provided a strong foundation for medical and administrative roles.