Kimberly Arbuckle
Coldwater
Overview
28
28
years of professional experience
6
6
years of post-secondary education
Work History
Office Manager
Mid South Rehab Services
Southaven
07.2024 - Current
- Managed daily office operations and coordinated schedules for staff.
- Assisted in maintaining accurate patient records and documentation for therapy sessions.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Entered data in EMR database to record payer, authorization requirements and coverage limitations.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
- Reviewed medical records to ensure accuracy of required information needed for pre-authorization requests.
- Researched third party payer guidelines related to prior authorizations, coding and billing processes.
- Liaised between physician, site of service and billing department to obtain appropriate documentation.
- Conducted regular audits of patient accounts for accuracy of demographic data.
- Collaborated with healthcare providers to communicate insurance coverage and authorization details.
- Managed multiple tasks and priorities in a high-volume, fast-paced environment.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Compiled and coded patient information or data in appropriate computer system.
- Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
Project Manager/Business Owner
Usery Construction & Design LLC
Merigold
01.1998 - 10.2021
- Managed project budgets, ensuring accurate allocation of resources and materials.
- Supported contract negotiations with clients to clarify project scopes and expectations.
- Analyzed data from various sources such as surveys, interviews, focus groups. to inform decision-making related to projects.
- Developed budgets and monitored expenses throughout project lifecycles.
- Oversaw daily operations of the business and provided guidance when needed.
- Managed operations budgeting, accounts payable, and accounts receivable and payroll.
- Resolved issues quickly through meticulous research and quick decision-making.
- Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
Education
Associate of Arts - Business/Drafting And Design
Mississippi Delta Community College
Moorhead, MS 02.1999 - 05.2002
Associate of Applied Science - Respiratory Therapy
University California Health Sciences
San Francisco, CA 01.1991 - 05.1993
Some College (No Degree) - Business Management
Delta State University
Cleveland, Mississippi, MSSkills
- EMR database management
- Insurance verification
- Medical Records
- Customer relationship management
- Effective communication
- Billing
- Payroll and budgeting
- Clear oral/written communication
- Organizational skills
- Conflict management
- Office management
- Office management software
- Computer skills, Microsoft Office Word/Excel
- Healthcare management software- Net Health/Casamba/Point Click Care
- Insurance Verification Online Apps
Timeline
Office Manager
Mid South Rehab Services
07.2024 - Current
Associate of Arts - Business/Drafting And Design
Mississippi Delta Community College
02.1999 - 05.2002
Project Manager/Business Owner
Usery Construction & Design LLC
01.1998 - 10.2021
Associate of Applied Science - Respiratory Therapy
University California Health Sciences
01.1991 - 05.1993
Some College (No Degree) - Business Management
Delta State University