Mr. Kim Bowman

San Diego, CA. *****

PROFESSIONAL EXPERIENCE

Logistic Coordinator

Seenadriver Transport, San Diego, CA Aug 2019- March 2023

Assigned routes to drivers while assigning rescues to drivers needing assistance

Created route assignments in accordance with Amazon policies

Case Manager August 2020 – March 2021

Child Development Associates (CDA, Inc) San Diego, CA

Managed child care cases through the State and County’s Welfare to Work case management system

Case Manager March 2018 – August 2020

Public Consulting Group (PCG, Inc.) San Diego, CA

Identified child care needs for County of San Diego residents based on monthly statistical analysis

Patient Services Rep March 2017 – March 2018

Magellan Health, Inc. San Diego, CA

Responded to inquiries from clients, providers and in-house departments regarding member’s in-network and out of network benefits

Utilization Management Coordinator Sept 2016- Nov 2016

Anthem Blue Cross, Inc. San Diego, CA

Created retro-authorizations for patients to access multi levels of care.

Case Manager 08May 2016-Sept 2016

Randstad - Covance, Inc. Valley, Sorrento Valley, CA

Worked with patients and doctor’s offices to help patients access treatment.

Performed case management duties of acquiring authorizations and verifying pharmaceutical benefits.

Established treatment plans for patients by accessing charitable resources throughout the medical community. .

Eligibility Worker August 2011 –March 2013

San Francisco General Hospital-Department of Health & Human Services, San Francisco, CA

Interviewed patients, law enforcement, private nurses, social workers and patient advocates to obtain confidential information related to visit to trauma center.

Guided patients through application procedures to attain medical coverage for them from Federal, State and/or County programs.

Coordinated with health insurance companies and patient to attain most suitable healthcare insurance for patient.

Patient Financial Analyst June 2005 – March 2013

California Pacific Medical Center-Sutter Hospital, San Francisco, CA

Researched and interpreted patients’ financial assistance options to obtain payment of their hospital bills.

Automated tracking of expenditures and patient usage for twelve Community Benefit Programs in San Francisco County.

Created and implemented efficient reporting tools for measuring inpatient and outpatient usage trends in a timelier manner.

Coordinated as lead analyst to manage department’s metrics and monthly to yearly allocation goals.

Assisted individuals in applying for Medi-Cal, CCCS and SF Healthplan; verifying their qualification.

Participated in quarterly meetings and follow-up work from them for CHiP Program for the allocation of state funds for medical procedures for homeless patients and other underprivileged patients.

Streamlined charity program processes and tracking, proving to external and internal auditors that the charity program was being used legitimately.

Collaborated with Health Departments to determine approvals, denials and coordination of surgical procedures for uninsured/underinsured patients

Facilitated ongoing discounted or free of charge treatment activities with Community Benefit agencies and hospitals for homeless patients and other underprivileged patients.

Benefit Specialist June 2002 – June 2004

OptumHealth, Golden Valley, MN

Articulated mental health, substance use, medical and dental benefits to be loaded into claims and clinical platforms.

Worked closely with account management to articulate carve-out benefits specific to smaller businesses.

Determined with providers what was considered a covered or non-covered service based on benefits related to pre-existing conditions.

EDUCATION

Golden Gate University San Francisco, CA.

B. A., Business/ Management August, 2017

Pius XI High School Milwaukee. WI.

High School Diploma 1984-1989

TECHNICAL SKILLS

Proficient in Microsoft Word, PowerPoint, Excel, Outlook, CPT and ICD-9 coding and numerous internal applications (COSMOS, UNET, SUNRISE, MS-4, MEDI-CAL, ONE-E-APP) including claims payment applications.

Contact this candidate