Kali Ann

Collaborated with healthcare providers to ensure compliance with insurance guidelines and regulations, improving authorization accuracy Developed and maintained relationships with network providers to facilitate timely authorizations for services, reducing approval delays Managed a high volume caseload while maintaining attention to detail and meeting deadlines, ensuring efficient case processing

Utilization Management Representative at Excellus BCBS (2022-08 – 2026-04)

• Collaborated with healthcare providers to ensure compliance with insurance guidelines and regulations, improving authorization accuracy
• Developed and maintained relationships with network providers to facilitate timely authorizations for services, reducing approval delays
• Managed a high volume caseload while maintaining attention to detail and meeting deadlines, ensuring efficient case processing
• Managed a high volume of incoming calls and emails, consistently meeting or exceeding the department's average response time of 5 minutes
• Verified insurance coverage and obtained necessary authorizations for medical procedures, streamlining patient access to care
• Provided exceptional customer service by addressing patient inquiries and concerns in a professional manner, enhancing patient satisfaction
• Ensured compliance with HIPAA regulations regarding patient privacy and confidentiality at all times, maintaining regulatory standards
• Exceeded average response time when on email or chat duty for customer service

High School Advanced NYS Regents Diploma – Charles D'Amico High School (2014-09 – 2018-06)