Kayla Kytle
Independence
Summary
Results-driven Orthotic & Prosthetic Authorization Specialist with strong expertise in claims management and HIPAA compliance. Demonstrated ability to optimize authorization workflows and enhance customer service in high-demand environments. Proficient in effective communication and meticulous record keeping, consistently achieving productivity targets while ensuring timely patient care.
Overview
7
7
years of professional experience
Work History
Orthotic & Prosthetic Authorization Specialist
Hope Orthotics & Prosthetics
10.2022 - Current
- Processing patient authorizations for medical services and procedures.
- Manage timely follow ups
- Requesting and submitting medical records to insurance companies for authorization purposes
- Learned to navigate healthcare software systems for authorization tracking and documentation.
- Supported team by gathering necessary information for timely authorization requests.
- Maintained accurate records of authorizations and follow-up communications with providers.
- Manage practitioners works in progress charts and patient charts
- Billing claims to insurance companies and ensuring correct coding is applied to claim.
- Auditing of patient charts to ensure all required documents are included.
- Customer service
- Financial counseling
- Taking patient payments
- Opening and closing of practice
- In depth knowledge of Prosthetic & Orthotics L coding and ICD diagnosis coding.
- Collaborated with healthcare professionals to ensure compliance with authorization requirements.
- Developed understanding of regulatory requirements impacting authorization workflows.
- Supported clinical staff by providing timely updates on the status of prior authorizations for various services.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Contributed to team goals by consistently meeting or exceeding individual productivity targets for processing authorization requests.
- Reduced processing times by effectively managing a high volume of authorizations, referrals, and appeals.
- Optimized workflow processes through effective communication between departments regarding authorization needs and statuses.
- Adapted to changes in insurance policies and procedures affecting authorization processes.
- Experience in billing claims to insurance companies
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.
- Assisted clients with accurate eligibility form, application and document completion.
Line Cook
Panda Express Restaurant Group
10.2020 - 10.2022
- Enhanced customer satisfaction through exceptional service in a fast-paced environment.
- Maintained cleanliness and organization, ensuring a welcoming dining experience for guests.
- Streamlined dish preparation and presentation, adhering to company standards consistently.
- Trained new team members in operational procedures and food safety practices effectively.
- Adapted swiftly during peak hours, ensuring seamless operations and customer service.
- Coordinated with staff to deliver orders promptly, boosting overall customer satisfaction.
Sales Associate
Aeropostale Clothing Store
04.2019 - 12.2019
- Enhanced customer shopping experiences by providing personalized product recommendations.
- Ensured accuracy in transactions by processing payments according to company policies.
- Optimized product visibility through organized displays and inventory management techniques.
- Trained new associates on effective customer service and operational best practices.
- Maintained store aesthetics to engage customers and promote key merchandise effectively.
- Managed returns and exchanges efficiently, adhering to established store guidelines.
Education
High School Diploma -
Fort Osage High School
Independence, MO06-2021
Skills
- Medical terminology expertise
- Claims management
- Insurance verification
- Data entry proficiency
- HIPAA compliance
- Prior authorization processing
- Appointment scheduling
- Documentation and paperwork
- Microsoft office
- Effective communication skills
- Data entry
- Verbal communication
- Record keeping
- Telephone etiquette
- Medicaid
- Authorizations
- Customer service
- Problem-solving
- Time management
- Attention to detail
Timeline
Orthotic & Prosthetic Authorization Specialist
Hope Orthotics & Prosthetics
10.2022 - Current
Line Cook
Panda Express Restaurant Group
10.2020 - 10.2022
Sales Associate
Aeropostale Clothing Store
04.2019 - 12.2019
High School Diploma -
Fort Osage High School