KELLY SMALL
Easley
Summary
Dynamic, results-driven professional eager to embrace new challenges and contribute to team success. Strong work ethic, adaptability, and exceptional interpersonal skills enable effective collaboration in diverse environments. Comprehensive understanding of medical and payer terminology, complemented by a proven track record in delivering outstanding customer service and a commitment to patient care and satisfaction. Highly skilled in multitasking and time management, ensuring efficient operations while maintaining a focus on quality outcomes.
Overview
18
18
years of professional experience
Work History
Patient Financial Services Associate/Receptionist, Accounts Receivable
MedQuest Associates
Greenville, SC
11.2015 - Current
- Manage high-volume insurance verifications under pressured timeframes.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Verify client information by analyzing existing information on file.
- Make contact with insurance carriers to discuss policies and individual patient benefits.
- Assure timely verification of insurance benefits prior to patient procedures or appointments.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Update patient records with accurate, current insurance policy information.
- Assist patients with understanding insurance coverage and benefits.
- Obtained insurance pre-authorizations to enable timely patient procedures.
- Communicate verification and authorization status updates with correct department to facilitate decision-making for patient admissions and insurance coverage.
- Help large volume of customers every day with positive attitude with focus on customer satisfaction.
- Responded promptly to customer inquiries regarding their benefits and eligibility status.
- Analyzed complex health plan contracts to determine benefit coverage levels for services rendered.
- Analyzed accounts receivable data to identify discrepancies and resolve payment issues.
- Developed and maintained accurate customer invoices, ensuring compliance with company policies.
- Collaborated with cross-functional teams to streamline billing processes and improve cash flow.
- Performed thorough account reconciliations to locate discrepancies and ensure accuracy in company records, avoiding costly errors down the line.
- Contacted internal and external customers to obtain documentation to support invoices and claims.
Sales Associate
GNC, General Nutrition Center
Greenville, SC
06.2008 - 11.2015
- Answered customer questions about products and services, helped locate merchandise, and promoted items.
- Greeted customers and provided exceptional customer service.
- Resolved and/or escalated issues to management to satisfy enhance customer satisfaction.
- Oversaw and maintained check out operations including credit card transactions, and cashflow.
- Built relationships with customers to encourage repeat business.
- Engaged in conversation with customer to better uncover individual needs.
- Maintained knowledge of store sales, payment policies and security standards.
- Provided accurate information about products, prices and services.
- Maintained up-to-date knowledge of store merchandise and policies.
- Processed transactions using a point-of-sale system.
- Upsold additional items based on customer interests and needs.
Education
High School Diploma -
Tri County Technical College
Pendleton, SC01-2008
High School Diploma - undefined
TL Hanna High School
Anderson, SC01-2006
Skills
- Insurance Terminology
- Medical Terminology
- Strong Work Ethic
- Insurance Plan Verification
- Prior Authorization Processing
- Detail-Oriented
- Microsoft Excel expertise
- Teamwork
- Adaptability
- Flexibility
- Customer Relations
- Proficient Communication
- Cash reconciliation
Languages
English
Full Professional
Timeline
Patient Financial Services Associate/Receptionist, Accounts Receivable
MedQuest Associates
11.2015 - Current
Sales Associate
GNC, General Nutrition Center
06.2008 - 11.2015
High School Diploma - undefined
TL Hanna High School
High School Diploma -
Tri County Technical College