Kelly Gilson
Wheatland
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.
Overview
18
18
years of professional experience
Work History
Access Center Representative
Tahoe Forest Hospital
- Answering and directing operator calls to the appropriate departments
- Inputting referrals accurately into patient charts
- Obtaining authorization for referrals and procedures
- Submitting referrals to appropriate facilities/specialties
- Scheduling Diagnostic Imaging procedures
- Communicating between departments for accurate patient care
- Knowledge of insurance companies
- Scheduling of cancer center procedures and office visits
Senior Benefits Support Services Analyst
TriNet
05.2020 - Current
- Data entry
- Conducted benefit reconciliations to ensure accuracy of all deductions.
- Submitting for refunds or charges
- Handled reloading and reprocessing of benefit elections.
- Handled service orders across multiple processes.
- Benefit Program Changes
- Date of Hire Changes
- Employee Reinstatements
- Benefit Service Date changes
- Pay Group Changes
- Employee Terminations
- Funding Changes
- Leave of Absents Requests (Return to Work)
- Processing Life Status Change request
- Handled incoming calls efficiently.
- Provided assistance through chat support.
- Identified and rectified event error discrepancies.
- Conducted training sessions for new employees.
Patient Access Representative
Tahoe Forest Hospital
04.2017 - 01.2020
- Oversaw front desk operations.
- Handled incoming calls and guided patients to relevant departments.
- Verified and recorded essential demographic and insurance information for patients.
- Gathered estimates and copays.
- Efficient with Mercy Epic
- Performed pre-appointment insurance verifications.
- Ensured comprehensive scanning of necessary documents.
Surgery Scheduler
Epic Care
02.2016 - 01.2017
- Organized patient surgery appointments efficiently.
- Secured approvals for surgical procedures.
- Facilitated collaboration among multiple departments and providers.
- Managed submission of electronic prescription orders.
- Completion of surgical orders
- Submitting orders to appropriate departments
- Delivered exceptional support through telephone communication.
- Coordinated pre-operative and post-operative care schedules.
- Facilitated clear communication with patients to confirm surgical details.
New Patient Information Coordinator
Epic Care
09.2015 - 01.2017
- New patient appointment scheduling
- Creating patient charts and obtaining insurance verification
- Retrieving all necessary medical records
- Familiar with the John Muir and Sutter Health Epic system
- Communication with Physicians and medical staff
- Retrieving patient information and demographics from referring doctors’ offices
- Provide customer service via phone
Chart Preparation
Epic Care
09.2015 - 01.2017
- Obtaining records for next day or same day appointments
- Rescheduling appointments if necessary
- Responsible for maintaining communication with physicians regarding missing information for appointments
Medical biller/receptionist
Muir Obstetrics and Gynecology Group
02.2007 - 11.2012
- Coordinated patient appointments efficiently.
- Managed arrival check-in procedures for patients.
- Verification of Patient Insurance Eligibility
- Collection of applicable copays
- Balanced Insured Accounts each day
- Delivered customer support through phone and face-to-face interactions.
- Acquired knowledge of Pre-Certification and Authorization processes.
- Finalized billing paperwork.
- Processed medical claims through insurance web portals and postal services.
- Experienced in ICD-9 and CPT coding.
- Managed electronic filing of insurance details and authorizations for patient charts.
Medical Records Filer
Muir Obstetrics and Gynecology Group
02.2007 - 07.2007
- Filed Doctor notes and laboratory results in appropriate patient charts
- Responsible for organization of charts in alphabetical order
- Pulling charts for next day appointments
Education
Associates Art Degree - Liberal Arts
Diablo Valley College
High school Diploma - undefined
Alhambra High School
06.2003
Skills
- Strong organizational skills
- Proficient in Microsoft Office Suite
- Proficient in excel
- Comfortable with deadlines and good time management skills
- Strong communication and customer service skills
- Quickly learns office procedures and adapts well to any environment
- Productive individually, but strong team player
- Detail and goal oriented
Timeline
Senior Benefits Support Services Analyst
TriNet
05.2020 - Current
Patient Access Representative
Tahoe Forest Hospital
04.2017 - 01.2020
Surgery Scheduler
Epic Care
02.2016 - 01.2017
New Patient Information Coordinator
Epic Care
09.2015 - 01.2017
Chart Preparation
Epic Care
09.2015 - 01.2017
Medical biller/receptionist
Muir Obstetrics and Gynecology Group
02.2007 - 11.2012
Medical Records Filer
Muir Obstetrics and Gynecology Group
02.2007 - 07.2007
Access Center Representative
Tahoe Forest Hospital
High school Diploma - undefined
Alhambra High School
Associates Art Degree - Liberal Arts
Diablo Valley College
Similar Profiles
Alexis TostadoAlexis Tostado
Receptionist at Tahoe Forest Hospital DistrictReceptionist at Tahoe Forest Hospital District
ROHANNA SANADROHANNA SANAD
PATIENT ACCESS TEAM LEAD at Tahoe Forest Hospital DistrictPATIENT ACCESS TEAM LEAD at Tahoe Forest Hospital District
Valerie Brust, BSN, RNValerie Brust, BSN, RN
Nursing House Supervisor at Tahoe Forest HospitalNursing House Supervisor at Tahoe Forest Hospital
Macy GiffenMacy Giffen
Monitor Technician at Sutter HealthMonitor Technician at Sutter Health
Adonis SheeleyAdonis Sheeley
Ranch Hand at True Ranches Unit 1Ranch Hand at True Ranches Unit 1