Solutions Oriented

KIMMERLY M. HALE

**** ***** *****, *******, ** 38115 H: 901-***-**** ac2l05@r.postjobfree.com

PROFESSIONAL SUMMARY

Client and patient-oriented Medical Professional with strong attention to detail, advocate for policies and procedures. Pleasant demeanor and eager to learn and grow. Strong track record for taking the initiative and handling tasks to completion. Perseveres during the most difficult and stressful situations.

SKILLS

Client/Vendor Relations Collaborative

Review of Policy Information

Commercial and Government Insurance Knowledge Utilization of Information Systems

Exceptional Interpersonal Skills Strong Leadership Qualities Conflict Resolution Specialist Master Customer Service Skills HIPPA Compliance

WORK HISTORY

PATIENT CARE COORDINATOR III/ACCESS LIAISON -2015 to 2017

United BioSource Corporation (UBC) – Memphis, TN

Deliver accurate case specifics to member, health professional and internal/external client inquiries related to PAP, pharmacy benefits, and other approval related activities

Liaise as single point of contact between field specialists and patients

Engage in rapport and relationship building with field specialists

Execute research and investigations to resolve issues

Continuously improve the customer service process and reduce potential legal concerns

Accurate documentation of cases findings in a shared database

Maintain high level of quality

Adhere to compliance policies and procedures

● Strict adherence to HIPAA guidelines

WIRELESS CARE REPRESENTATIVE/FLOOR SUPPORT- 2014 to 2015

KGB/Verizon Wireless – Memphis, TN

Managed wireless accounts by providing various services customers, resolving roadblocks, performing troubleshooting techniques, attending to billing inquiries, updating account credentials, upgrading wireless devices and services, supporting team members with questions, call takeovers.

CLINICAL LABORATORY TECHNICIAN -2011 to 2012

American Esoteric Laboratories – Memphis, TN Acquired and processed patient specimen samples Entered patient and test demographics

Inoculated and incubated media,

Used centrifuge, cytospin and other laboratory machinery to perform tests Generated daily reports and relayed test results to physicians and other laboratories Managed inventory and order supplies

Sanitized laboratory testing areas

PAYROLL VERIFIER- 2010 to 2011

ADP Payroll Services – Memphis, TN

Reviewed and approved payroll statements for accuracy, identified and confirmed employee payroll data, printed and prepared checks for mail via appropriate carrier.

POLICE RADIO DISPATCHER- 2007 to 2008

City of Memphis Police Department – Memphis, TN

Obtained pertinent information from Memphis citizens during 911 emergency and non-emergency calls necessary to provide officers

Dispatched appropriate number of police responders to requested locations via radio

Monitored location and activity of all assigned police personnel during their shift Monitored Memphis City COBRA alarms and bait vehicles

Promptly responded to Memphis Mayor’s Hotline

Attended to various inquiries from radio stations and the news media

PATIENT CARE ADVOCATE (PCA)/REIMBURSEMENT - 2005 to 2007

Accredo/Express Scripts – Memphis, TN

PCA - Provided account management to patients and health professionals regarding specialty prescription drug benefits, scheduled mail order prescription orders via inbound and outbound calls, acquired new and updated prescriptions as needed, updated patient and provider demographics, trained new employees.

REIMBURSEMENT SPECIALIST - Verified and updated billing accounts, verified and updated credit card and bank account information, assist with co-pay assistance programs, posted payments, released pending

orders, assisted with prior authorization reviews, documented accurate account information.

LEAD RETAIL SALES REPRESENTATIVE- 2003 to 2005

Cricket Communications – Memphis, TN

Managed store operation and employees in absence of management, opened and closed store

Generated revenue by assisting customers with the purchase of available products and services

Setup new accounts and collected bill payments on existing accounts

Reconciled daily transactions and prepared bank deposits

Trained new employees

SERVICE AGENT -1998 to 2003

BellSouth Telecommunications – Memphis, TN

Generated revenue by providing available products and services to existing and potential landline customers

Scheduled payment arrangements Collected bill payments

Generated repair technician tickets, scheduled orders for new, transfer and disconnect service

Trained new employees

PREMIUM ACCOUNTANT- 1999 to 2000

Sedgwick/Marsh USA – Memphis, TN

Managed all aspects of fiduciary accounts

Dispensed appropriate funds to pay claims

Traced misplaced funds

Reconciled account transactions monthly and provided reports to clients Transferred/wired funds as required

BENEFITS ANALYST- 1998 to 1999

Cigna HealthCare – Memphis, TN

Communicated accurate interpretation of benefit plans to patients and health care professionals Processed and paid medical claims

Discussed claim statuses

Entered data for workman's compensation Assisted with fraud prevention investigations

Updated patient and provider demographics and document accounts

BENEFITS COUNSELOR -1997 to 1998

Blue Cross Blue Shield – Memphis, TN

Communicated accurate interpretation of benefit plans to patients and health care professionals Processed and paid medical claims

Discussed claim statuses

Ensured accurate and timely review of pre-authorization requests

Assisted with fraud prevention investigations

Updated patient and provider demographics and document accounts

ADMINISTRATIVE ASSISTANT- 1996 to 1997

Lawrence Johnson Realtors – Memphis, TN

Ensured MLS listings, contracted and sold properties updated Generated sales reports

Prepared boardroom for broker/agents Replenished office supplies

Assisted with payroll and commission checks

Assisted property management department with rental properties

EDUCATION

Bachelor of Science: Healthcare Management, 2016 Baptist College of Health Sciences - Memphis, TN

Master of Science: Health Administration, 2019

A. T. Still University - Kirksville, MO

CERTIFICATIONS

CSSYB- Certified Lean Six Sigma Yellow Belt. Completion of Lean Six Sigma modules which outline proven process improvement methodologies.

ACCOMPLISHMENTS

Completion of Quality Analyst Mentorship Program - Gained knowledge in call calibrations, evaluations, performance coaching and development, reporting and analytics

REFERENCES

References and salary requirements available upon request

Contact this candidate