Quality Assurance Insurance

Kim's InformationLocation: GIG HARBOR, WAExperience: 12+ yearsWork Types:

Willing to Relocate: NoWilling to Travel: Few times a yearCareer Level: StudentWork Status: U.S. CitizenInterests:

Hospital & Health CareMember Since: 2011-10-20 Helpful Links

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Kimberly Kay Finley

101 Point Fosdick Circle NW

Gig Harbor, WA 98335 Cell: 636-***-****

Email: ***.**********@*****.***

Accomplishments

Maintained DSO at 13 days as part of a team, vs. goal of 15 days

Exceeded call volume quotas 100 outbound vs. quota of 75

Independent worker utilizing various reports

Quality Assurance Committee member

Express Scripts SDS, St. Louis, MO March 2005 – September 2011

Financial Analysis Support Staff

Processed Pharmacy claim rejections on AS400Billed secondary insurance on web based claims enginePrepared daily upper management collection reports with AWP dataDSO, (Days Sales Outstanding), Maintained DSO at 13 days as part of a team, vs. goal of 15 days through B2B and patient collections effortsBack up to collection specialist- taking and making collection callsCollecting outstanding monies due from Insurance companies for Freedom PharmacyPrepared and distributed receipts / statements to patientsBilling daily AR for specialized medications (XYREM-pronounced “zirem”) & fertility medicationsProcessed manual claims each dayProvided Insurance verificationBilling / Accounting of the medications we ship each day

Express Scripts SDS, St. Louis, MO February 2002 – March 2005

Intake Coordinator

Received incoming calls 70-80 per dayEntered new patients information- AS400Patient liaison with insurance companyProvided help and explanations to patients about their co-paysNotify Sales representatives of their daily count.Provided Insurance verificationCollected overdue payments from insurance and patients

United Healthcare, Maryland Heights, MO May 1991-Sept. 2001

Patient Care Coordinator

Intake for Mental Health and Substance Abuse patients,

Average calls per day 100Entered authorizations for the patient for therapy visitsInteracted with patients to get correct therapistReceptionist for Mental Health Program

DePaul Health Center, Bridgeton, MO May 1980-April 1991

Patient Care Coordinator

Collect monies due from patient and insurance companiesAudit the explanation of benefits from insurance companies to verify the correct contract discount is taken.Audit hospital patient billing for accuracy.Quality Assurance Committee member (2 years)DePaul Quota 75 calls per day, I made 100

Community Involvement

I have been the Secretary, Treasurer, Literature Specialist, Speaker, leader of the group, on several Marathon Committees, phone triage for a Non Profit group for over 5 years.

Education

General Classes at Maryville University in MO, 11 Credits

Computer Proficiency

MS Word MS Outlook

MS Excel AS-400

CHIPS QS1

Certificates: HIPPA, Code of Conduct, Information Security User

10 key adding machine

Typing about 65 words per minute

Published Poet

Switchboard intercom system (30 lines)

Fax machine with a scanner

Reference=Available upon request

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