Insurance Verification Care Coordinator

KIMBERLY S. KOHLER

631-***-**** • ** Church Drive, Mastic Beach, NY 11951 • *************@***.***

OBJECTIVE

Experienced healthcare professional with extensive experience in insurance verification, financial records management, and auditing. Seeking to transition to a Tax Compliance Officer, Revenue Agent, or Tax Examiner role with the IRS. Adept at analyzing financial records, ensuring compliance with regulatory requirements, and effectively communicating with clients, insurance providers, and financial stakeholders. Proven ability to resolve discrepancies, handle sensitive data, and maintain meticulous attention to detail in all aspects of financial and regulatory compliance.

PROFESSIONAL EXPERIENCE

Manager / HCC Health Care Coordinator

AudioNova

2019 – Present

Oversee daily operations of two healthcare offices, including patient scheduling, insurance verification, and financial record management, ensuring seamless coordination between departments.

Responsible for handling patient inquiries, billing issues, insurance claim follow-ups, and maintaining high levels of patient satisfaction and operational efficiency.

Manage and update electronic health records (EHR), ensuring accurate and up-to-date patient data, while maintaining strict compliance with healthcare regulations and organizational standards.

Collaborate with insurance providers to verify patient benefits, resolve claims discrepancies, and ensure timely processing of claims.

Conduct audits on patient accounts, ensuring accuracy, proper billing practices, and compliance with insurance guidelines.

Ophthalmology Technician & Insurance Verification Specialist

East End Eye Associates

2016 – 2021

Managed patient financial records and insurance claims using electronic health records (EHR) systems, ensuring compliance with billing procedures and regulatory requirements. Coordinated with insurance providers to verify patient benefits, resolve coverage discrepancies, and ensure accurate claims processing.

Assisted in auditing patient accounts to identify discrepancies, preventing billing errors, and ensuring financial accuracy.

Maintained and prepared ophthalmic equipment for daily procedures, contributing to the clinical team’s operational efficiency and success.

Conducted regular financial reviews of patient accounts to ensure adherence to insurance regulations and proper billing practices.

Brand Ambassador 2012 – 2016

Swedish Match

Coordinated setup and breakdown of promotional displays, enhancing brand visibility at events and improving customer engagement.

Utilized data collection devices to track sales, report on promotional efforts, and improve customer acquisition strategies.

Managed merchandising efforts and directly engaged with customers to promote products and increase sales.

EDUCATION

William Floyd High School

High School Diploma

1991

CERTIFICATIONS & TRAINING

HIPAA Compliance Training

Certified in Electronic Health Records (EHR) Management Insurance Verification and Billing Training

Customer Service Excellence Certification

TECHNICAL & CORE SKILLS

Tax Compliance & Financial Records Management: Expertise in ensuring accurate financial records, verifying claims, and maintaining compliance with regulatory standards.

IRS Regulations & Taxpayer Communication: Knowledge of regulatory frameworks and skilled in effective communication with clients and representatives.

Insurance Verification & Claims Adjustments: Proven ability to work with insurance providers to verify benefits and resolve discrepancies in claims.

Data Analysis & Tax Law: Strong ability to analyze financial data and apply tax law to ensure accurate assessments.

Auditing & Financial Reporting: Experience in auditing patient accounts, preventing billing errors, and generating accurate financial reports.

Customer Service & Client Relations: Skilled in addressing client inquiries and resolving issues promptly, maintaining positive working relationships.

Problem-Solving & Issue Resolution: Excellent problem-solving skills, with a focus on resolving discrepancies and ensuring compliance.

Accounting Practices & Financial Review: Familiarity with accounting practices, ensuring financial data is accurate, and conducting reviews to ensure compliance.

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