Kimberlee Totman

Healthcare professional with extensive experience in patient access, healthcare operations, utilization management, revenue cycle, and customer service. Skilled in scheduling, care coordination, insurance verification, referrals, authorizations, EHR use, and HIPAA-compliant communication. Known for managing multiple priorities, resolving patient concerns, and supporting clinical teams with professionalism and accuracy.

Intern-Medical Support Assistant - Veterans Administration - Long Beach, CA

(2026-06 - 2026-07)

Assist administrative support and clinical providers.

• Greet patients
• Scheduling assistance for consults, referrals coordination of care
• Communication both with team and patient to resolve issues or coordination
• Problem solving while maintaining patient privacy
• Assist with maintaining patient flow

Intern-ROI/HIMS - Veterans Administration - Long Beach, CA

(2026-02 - 2026-03)

Assist Release of Information and Health Information Management team.

• Review and process first and third-party requests for information while complying with HIPAA and VA regulations

Medicare Utilization Management - Stance Health Solutions - Tustin, CA

(2020-12 - 2025-08)

• Reviewed and verified Medicare insurance coverage and eligibility for primary beneficiaries
• Processed and submitted durable medical equipment (DME) authorizations while ensuring compliance with Medicare guidelines and medical necessity requirements
• Obtained and reviewed clinical documentation to support coverage determinations and authorization approvals
• Managed internal and payer audits, reducing claim denials and ensuring regulatory compliance and document security
• Developed standard operating procedures (SOPs) to improve consistency and accuracy in Medicare processes
• Trained and mentored staff on insurance verification, authorization procedures, and Medicare compliance requirements

Office Manager - Total Wellness Center - Huntington Beach, CA

(2016-02 - 2024-12)

• Managed daily clinic operations, staff performance, and workflow efficiency
• Ensured insurance compliance, accurate documentation, and adherence to regulatory requirements
• Delivered exceptional customer service while resolving patient and insurance-related concerns
• Analyzed claims data and reimbursement trends to improve operational and financial performance
• Identified and corrected billing errors, reducing denials and optimizing reimbursement
• Managed internal and external audits, successfully resolving findings through corrective actions and appeals

Revenue Cycle Specialist - Consolidated Billing, Inc - Spokane Valley, WA

(2015-02 - 2015-08)

• Analyzed claims data to identify trends and improve reimbursement performance
• Corrected documentation and billing errors to ensure accurate claim payment
• Resolved claim discrepancies through detailed review and investigation

Bachelor of Science - Health Care Management and Certificate Healthcare Data Analytics - California State University, Long Beach (2026-08)

AAS - Chiropractic Radiology Tech - Spokane Community College (2003-09)