Kim Womack

Experience

• 

  Behr's Inc.

  Apr 1986 - Apr 1997

  Credit Manager
• 

  Cornerstone Appraisal Services

  Apr 2000 - Apr 2001

  Proofreader
• 

  Mark's Hallmark

  Apr 2002 - Apr 2012

  Postal Clerk
• 

  KentuckyOne Health

  Sept 2013 - Jul 2019

  Medical Assistant

  Accurate data entry, and record keepingScheduling tests, procedures and appointments for patients during re-evaluation to remain on the waitlist.Preparation of patient charts and reports for clinic.Strong verbal and written communication skills.Safety CoachCreated scheduling calendar to more accurately keep track of clinic appointments and avoid overbooking of surgeons.

• 

  PharmaCord

  Jul 2019 - Aug 2023

  • Analyzed and processed claims identifying areas for improvement. Educated clients and staff on billing and coding practices.• Provided dedicated support to three oncology medications including locating financial resource options that may be available.• Developed a thorough understanding of the ever-changing legal and regulatory reimbursement environment, with a proven record of working collaboratively with a cross-functional team to ensure compliance with company policies, legal and regulatory directives.• Leveraged expertise in Medicare and Medicaid to analyze reimbursement claims, identify areas for improvement, and implement process improvements to enhance accuracy and timely reimbursement.• Proven ability to contribute to special projects and perform additional duties as required, including interdisciplinary team initiatives and process improvement implementations. Show less • Collaborated with multi-disciplinary teams to successfully launch a patient services program for a new to market drug. • Fostered strong relationships by working collaboratively with healthcare providers, insurance companies and specialty pharmacies to ensure accurate and timely reimbursement for services rendered and products supplied, ultimately resulting in enhanced customer satisfaction.• Launched in-depth training programs on insurance verification, intake, benefits investigation, utilization management, and case management to employees, resulting in enhanced productivity and improved client and patient satisfaction.• Demonstrated ability to remedy reimbursement claim rejections through successful appeals and other remediation plans. Show less • Facilitated timely reimbursement for pharmaceutical products by working with doctor's office personnel, insurance companies and patients.• Increased referrals from the Northwest region by approximately 20% which directly aligned with my strong working relationships with Healthcare Provider practices.• Converted Patient Assistance Program patients to Insurance coverage where appropriate.• Communicated clearly and effectively with patients, doctor’s offices, and insurance companies to verify information.• Provided personalized case management to patients and doctor's offices by growing relationships and providing personalized, reliable customer service, and demonstrating a passion for helping patients.• Sustained a professional demeanor by staying calm when addressing difficult patients. Show less

  • Oncology Access Advocate

    Apr 2022 - Aug 2023

  • Specialty Pharmacy Liaison

    Nov 2020 - Aug 2022

  • Case Manager

    Jul 2019 - Nov 2020
• 

  PharmaCord

  Oct 2024 - now

  Operations Supervisor

  • Oversaw day-to-day operations of patient services, ensuring seamless service delivery and adherence to company standards.• Managed and mentored a team of patient service representatives, leading to a 5% improvement in team productivity.• Analyzed operational workflows to identify areas for improvement, implementing process enhancements such as streamlining patient onboarding procedures.