Tina Kaeff
Florence, KY *****
********@*****.***
Professional Summary
To obtain a position with a professional company in a friendly positive work environment that will utilize by strong organizational skills.
Authorized to work in the US for any employer
Work Experience
Denial Specialist
ATI-Florence, KY
October 2024 to Present
• Collaborated with healthcare providers to ensure accurate and timely completion of patient intake forms and documentation
• Conducted comprehensive intake assessments for new patients, gathering detailed medical history, current symptoms, and treatment goals
• Managed a high volume of incoming calls from patients, scheduling appointments and providing information about services offered
• Developed and maintained an organized system for tracking patient referrals, ensuring all necessary paperwork was completed accurately
• Assisted in the coordination of care between multiple healthcare professionals to ensure seamless transitions for patients
• Maintained strict confidentiality when handling sensitive patient information in accordance with HIPAA regulations
• Provided compassionate support to patients during the intake process, addressing any concerns or questions they may have had
• Utilized electronic health record systems to input and update patient data accurately and efficiently
• Collaborated with insurance companies to verify coverage eligibility for new patients prior to their first appointment
• Educated patients on available resources within the healthcare system that could assist them in achieving their treatment goals
• Participated in regular team meetings to discuss best practices for improving the clinical intake process
• Ensured compliance with all regulatory requirements related to clinical intakes by staying up-to-date on industry standards and guidelines
• Worked closely with physicians and other medical staff members to gather additional information needed for accurate patient assessments
• Developed training materials and conducted training sessions for new clinical intake specialists
• Implemented a streamlined intake process that reduced wait times by XX% while maintaining accuracy of information collected
• Improved overall efficiency by implementing automated appointment reminder system resulting in a XX% reduction in missed appointments
• Collaborated with billing department to resolve insurance claim issues, resulting in faster reimbursement turnaround time
• Assisted in conducting research studies by collecting data during the clinical intake process
• Maintained a positive working relationship with referring physicians' offices through effective communication and timely follow-up
• Identified and addressed potential barriers to care during the intake process, ensuring patients had access to necessary resources
• Implemented quality assurance measures to ensure accuracy and completeness of patient intake documentation
• Assisted in the development and implementation of standardized intake forms for improved consistency across healthcare facilities
• Provided ongoing support and guidance to patients throughout their treatment journey, serving as a point of contact for questions or concerns
• Collaborated with interdisciplinary teams to develop individualized treatment plans based on patient needs and goals
• Conducted regular audits of patient records to ensure compliance with regulatory requirements and internal policies
CSR - Customer Service Representative
TravelCenters of America-Florence, KY
October 2023 to July 2024
Operated cash register, stocked, cleaned, answered phones. I also ran the fuel desk. Assisted customers in finding items. Inventory control and ordering. Checking vendors in Intake Specialist
Patient Aids Home Care Equipment & Services-Wilder, KY January 2020 to May 2020
Processed ventilator, affablest, suction machines, cough assists and trach supply orders. Entered patients into system. Verified insurance and received prior authorization when necessary. Collected payments and scheduled RT's to patient homes for set up and follow ups Intake Worker
ATI CPAP Solutions-Edgewood, KY
February 2019 to July 2019
Answer multiple phone lines, insurance verification, enter patients using Brightree. Schedule patients, process orders, collect payment, create shipping labels and ship out supplies. Process claims and denials. Customer Service Representative
Patient Aids-Wilder, KY
October 2015 to August 2017
CSR
Answer multiple phones lines while handling other tasks
• Take service orders from physicians and other referral sources and placed them internally coordinating delivery and set ups.
• Verify insurance and process patient information timely and accurately.
• Handle patients files
• Process NIV orders, Cpap, Bipap, oxygen, and nebulizer orders
• Keep up knowledge of respiratory equipment
• Troubleshoot over the phone for all equipment
• Download on Airview for Pap patients and send to doctor's offices
• Upload patients to Virtuox
• Download results of the overnight pulse ox and fax to the doctor's offices Customer Service Representative
Lincare Inc-Florence, KY
August 2013 to September 2015
• As Customer Service Representative I answer all incoming phone calls and faxes as the first point of contact from the referral sources, make decisions as to required action.
• Take service orders from physicians and other referral sources and placed them internally coordinating delivery and set ups.
• Verified insurance and process patient information timely and accurately.
• Maintain patient files, handle patient request, handle mail.
• Keep up knowledge of respiratory equipment.
• Work internal billing reports
• I perform equipment setups in patients' homes. (40-80 lbs.)
• I also perform on-call duties on a rotational basis with other employees in the center. Includes responding to call outs at night and weekends to provide the service normally done by a service tech Customer Service Representative
Florence Bowl
1995 to 2013
1. Responsible for front desk duties including; register, scheduling parties, maintaining and ordering stock, customer service, answering phone and directing calls, paging for repair assistance. 2. Responsible for running daycare, scheduling employees to cover the daycare, responsible for notifying parents if there were problems.
3. Bar tending
4. Bank deposits/cash reports
5. Posting awards
6. Posting lane assignments
Education
High school diploma
High school or equivalent
Skills
• Insurance Verification (8 years)
• Revenue cycle management
• Microsoft Outlook (8 years)
• Organizational skills (10+ years)
• Customer service
• HIPAA
• QuickBooks
• Front desk
• Medical billing specialist experience
• Food safety
• AS400
• Quality Assurance (10+ years)
• Customer Care (10+ years)
• Microsoft Outlook Calendar
• Microsoft Access
• Medical Receptionist (8 years)
• Human resources
• ICD-9 (7 years)
• Sanitation
• Intake
• Benefits administration
• Supervising experience
• Microsoft Powerpoint
• EDI
• Typing
• CSR (10+ years)
• Office management
• Accounts payable
• ICD-10 (5 years)
• Epic
• Documentation review
• Communication skills
• Attention to detail (10+ years)
• Hospital experience
• Hospice care
• Computer hardware
• Research
• Phone Etiquette (10+ years)
• ICD coding
• Analysis skills
• Industrial cleaning
• Allscripts (8 years)
• Databases
• Hospitality
• Medical collection (8 years)
• HCPCS (8 years)
• Math
• Technical Proficiency
• ICD Coding (8 years)
• Restaurant experience
• Delivery driver experience (8 years)
• Outpatient
• Transcription
• Account reconciliation
• Information security
• Clerical Experience
• Computer operation
• Electronic Medical Records (5 years)
• SharePoint
• Care plans
• Complaint handling
• Management
• FDA regulations
• IVR (8 years)
• Conflict management
• Leadership
• Medical Terminology (8 years)
• Managed care
• Auditing
• Physiology Knowledge (4 years)
• Electronic health records (EHR) management
• ICD-10
• Remote access software
• Claims Processing (8 years)
• Medical records
• Office manager experience
• Medical billing (8 years)
• Appointment scheduling
• Food service
• Call Center (5 years)
• Grammar Experience (10+ years)
• Microsoft Word
• Windows (8 years)
• Hotel experience
• Customer Service (10+ years)
• Anatomy Knowledge
• Microsoft Office (5 years)
• CPT Coding (8 years)
• Food industry
• Utilization review
• Adobe Acrobat
• Sleep management (8 years)
• Time management (10+ years)
• Medicare (8 years)
• Working with people with disabilities
• Data Entry
• Commercial cleaning
• Clinic (8 years)
• Motivational interviewing
• Medical Scheduling (8 years)
• Electronic Health Records (5 years)
• Janitorial experience
• Detailing
• Discharge planning (8 years)
• Dispatching
• Medical Billing (8 years)
• Medical terminology
• Medical Coding (8 years)
• Epic (8 years)
• Patient Care (8 years)
• Pain management
• Customer Support (10+ years)
• Patient monitoring
• Home care
• Computer literacy
• EMR systems
• Multitasking
• Packaging
• Sales
• Medical Office Experience (8 years)
• Inventory control
• Residential cleaning
• Dependability
• Google Docs
• Acute care
• HIPAA (8 years)
• Patient interaction (10+ years)
• Data collection
• Multi-line Phone Systems (8 years)
• Billing (8 years)
• POS
• Durable Medical Equipment (8 years)
• Accounting
Languages
• English
Certifications and Licenses
Driver's License
Property & Casualty License
BC/BE
Life & Health Insurance License