Kellie Knight Email & Phone Number

Minneapolis, Minnesota, United States

Remote

• Delivered urgent high-level Referral/Prior Authorization completion for physician offices and facilities.
• Navigated healthcare needs by confirming referral, obtaining Referral/Prior Authorization from healthcare payers.
• Led project incubation processes, assessed problems, and worked to deliver a resolution. Calibrated with internal stakeholders and external BPO vendors.
• Successfully developed major workflow changes and processes. Assured success of the projects by keeping stakeholders informed, accurately reporting on the project.
• Seek continuous process improvement to increase success rates and reduce time for completion of athenaOne product clients.
• Improved client satisfaction and operation efficiency of complete product or service and best practice knowledge base.

Remote

• Identified query opportunities for insufficient support and documentation conflicts.
• Created a US Team Quality Audit Program that ensured consistent quality outcomes.
• Analyzed quality data for clients surfacing trends and opportunities for workflow and process development.
• Managed and presented meetings for quality and training processes.
• Accelerated high score team quality performance, maintaining a quality metric of 99.0% accuracy.
• Advised follow-up training with continued improvement processes for Referral/Prior Authorization.

Remote

• Monitored specialty physician order queues for high-risk clients.
• Provided support and strong interpersonal and communication skills for time sensitive inquiries for the Referral/Prior Authorization process.
• Developed a training program for US and offshore vendor teams for one-off issues related to the precertification process, resulting in minimal disruption to the service and enabling stability of patient care.
• Strove to understand the unique needs of co-workers and identified strategies and gaps to utilize existing and develop new functionality for referral/authorizations.
• Collaborated with patients, physicians, and facilities to pursue Referral/Prior authorization success.
• Trained over 20 dynamic staffers from other lines of business on emerging new processes regarding Referral/Prior Authorization on a quarterly basis.

Remote

• Delivered urgent high-level Referral/Prior Authorization completion for physician offices and facilities.
• Operated as a subject matter expect in the medical and pharmacy Referral/Prior Authorization process.
• Prioritized and self-managed projects while working with all healthcare insurance carriers and third payers. Processed medical and pharmacy Referral/Prior Authorizations through portal, phone, and fax submission.
• Validated insurance coverage information for patients to access medical care.
• Presented clear documentation skills with end-to-end execution for new hire shadowing and training sessions for a successful Referral/Prior Authorization completion.

Meridian, MS

Supervised all office billing, EOBs, payments, maintained patient records.