Kyle Ferguson Email and Phone Number

Claims QC Coordinator:-Data collection, data analysis, general statistics, trend analysis, mathematics, and revenue cycles-Simplify complex data into insights-Craft narratives around data to better illustrate trends &/or areas for opportunity-Conduct quality reviews on RCM products to ensure consistency across individuals-Measure Process Adherence and ensure Compliance -Provide consistent, fair, and transparent feedback to individuals on a weekly basis-Categorize and… Show more Claims QC Coordinator:-Data collection, data analysis, general statistics, trend analysis, mathematics, and revenue cycles-Simplify complex data into insights-Craft narratives around data to better illustrate trends &/or areas for opportunity-Conduct quality reviews on RCM products to ensure consistency across individuals-Measure Process Adherence and ensure Compliance -Provide consistent, fair, and transparent feedback to individuals on a weekly basis-Categorize and reporting on trends-Perform root cause analysis on common issues-Collaborate with Operations to increase effectiveness of reporting -Support projects aligned with OKRs as needed-Calibrate with other QC Coordinators/QA Specialists to ensure methods are not dispersed-Take ownership of learning-Meet production standards independently-Maintain a working knowledge of OrthoFi software-Maintain a working knowledge of OrthoFi Departments/Systems Show less

In addition to daily insurance claims tasks, I was also responsible for taking on more intensive responsibilities.-Quickly expanded knowledge of the healthcare industry by product offerings and capabilities and where they fit within both the healthcare industry and the client's environment.- Promoted to serve as lead resource for on-the-job training for new Claims Coordinators. Assisted with onboarding and escalation of common questions in order to provide faster onboarding for new… Show more In addition to daily insurance claims tasks, I was also responsible for taking on more intensive responsibilities.-Quickly expanded knowledge of the healthcare industry by product offerings and capabilities and where they fit within both the healthcare industry and the client's environment.- Promoted to serve as lead resource for on-the-job training for new Claims Coordinators. Assisted with onboarding and escalation of common questions in order to provide faster onboarding for new hires. Show less

Insurance Claims Team: Submitted orthodontic claims & followed up with insurance carriers when claims were denied/delayed.Contract Adjustment Team: Reviewed accounts of beginning-to-end RCM and performed final payment reallocation to balance out clients' ledger appropriately.

-Lead coworkers in sales, and due to success, was subsequently made the head trainer of new employees.-Enhanced guest experience with my comprehensive beverage and food knowledge.-Assisted in the opening process and helped establish the daily order of operations.

- Coordinated distribution schedules for in-house designed products and packaging. Managed production lines for sample creation for multiple products and projects with varying timelines and scopes. - Managed printing and packing machine capacity to prioritize high profile project completion while ensuring greatest overall capacity of shipments.