Kara Kaminski Email & Phone Number

Pontiac, Mi, Us

Pontiac, Mi

Insurance verification and obtaining authorizations for medical tests and procedures.Verifying accuracy of patient information and physician orders.Organizing and filing patient charts, orders and authorizations.Scheduling and pre-registering patient appointments.Registering and checking in patients, explaining consent and patient rights and responsibilities.Collecting payments of copays and deductibles.

Rochester Hills, Mi, Usa

Scheduling patient appointments and requesting authorizations for MRIs.Verifying accuracy of patient information and physician orders.Organizing and filing patient charts, orders and authorizations.Registering and checking in patients, explaining consent and patient rights and responsibilities.Collecting payments of copays and deductibles.

• Maintained physician database by updating insurances accepted, specialties, and contact information.• Performed quality assurance of telephone representatives by listening to and evaluating incoming and outgoing calls, to maintain standards of operations and customer service.• Updated training documents with new information and instructions resulting from transfer to a new referral system for the department.• Contacted physician offices regarding compliance in the physician referral program.• Responded to and handled email requests consisting of physician updates and issues from telephone representatives, physicians and management.• Sent daily case emails to patients with provider referral and appointment information.• Updated department SharePoint site with links, phone numbers, clinic locations and other hospital information which staff used to assist callers and patients.

• Performed intake of calls from members or providers via telephone, fax, EDI.• Screened requests for appropriate referral to medical services staff.• Approved services that did not require a medical review in accordance with the benefit plan.• Researched eligibility verification, coordination of benefits, and benefits verification.• Maintained accurate and complete documentation required to meet risk management, regulatory, and accreditation requirements.• Protected member confidentiality and adhered to company confidentiality policies.• Communicated with Aetna Case Managers when processing member transactions.• Supported precertification administration in compliance with various laws and regulations, URAQ and/or NCQA standards, where applicable, while adhering to company policy and procedures.

• Coordinated with insurance companies, pharmacies, physicians, nurses, attorneys and patients to facilitate set up of pharmacy, medical equipment and home health services.• Obtained authorization for worker’s compensation claims.• Negotiated rates with vendors.• Processed referrals for catastrophic claims.• Completed customer service duties as outlined by procedure, supervisor or as determined by customer need.• Responded to inbound calls for catastrophic claims.• Processed and made adjustments to schedules and patient information database.• Conducted follow-up phone calls with patients, medical facilities, insurance companies, employers, workers’ compensation, vendors, or attorneys.• Monitored progress of patients’ needs.• Resolved complaints or issues independently or with minimal assistance.• Ensured proper completion of paperwork.• Maintained HIPAA requirements in all aspects of work.

Youngstown, Ohio Area

Performed all aspects of pharmacy tasks, including dispensing and compounding medications, insurance processing and prior authorization, working with physicians' office staff to clarify prescriptions. Processed pharmacy orders, invoices, returns, credits. Trained and supervised pharmacy technicians and staff on pharmacy operations and computer system. Customer service, prescription intake, cashiering.

Youngstown, Ohio Area

As purchasing coordinator responsible for inventory management, processed pharmacy orders, invoices, returns, credits. Revamped ordering process when needed. Established relationships with alternate wholesalers to ensure adequate supply of medications. Blister-packed oral dose medications. Updated patient medication administration records.

Greater Detroit Area

Performed all aspects of pharmacy tasks, including dispensing and compounding medications, insurance processing and prior authorization, working with physicians' office staff to clarify prescriptions. Processed pharmacy orders, invoices, returns, credits.Initiated the use of QS1 pharmacy system shortcuts and perpetual inventory resulting in streamlined data entry and order processing.

Performed all aspects of pharmacy tasks, including dispensing and compounding medications, insurance processing and prior authorization, working with physicians' office staff to clarify prescriptions. Processed pharmacy orders, invoices, returns, credits. Trained and supervised cashiers, wrote cashier schedule. Responsible for auditing and banking. Customer service, prescription intake, cashiering.

Greater Detroit Area

Trained and supervised pharmacy technician staff on pharmacy operations and computer system.Inventory management. As purchasing coordinator, processed pharmacy orders, invoices, returns, credits. I instituted and maintained a 28% reduction in pharmacy inventory, creating cost-savings and less waste.Managed all aspects of pharmacy tasks, including dispensing and compounding medications, insurance processing and prior authorization, working with physicians' office staff to clarify prescriptions.Customer service, prescription intake, cashiering.Responsible for auditing of cashiers' tills and preparation of daily deposit.

Associate'S Degree, General Studies

Magna Cum Laude

Ryt-200, Registered Yoga Teacher, Yoga Teacher Training/Yoga Therapy

Pre-Medicine/Pre-Medical Studies

Art History