Rhonda Kibby
Indianapolis
Summary
Dedicated professional with strong background in healthcare administration. Experience with handling customer interactions and resolving issues promptly. Utilizes strong communication skills and empathy to resolve issues and ensure patient satisfaction. Excellent verbal and written communicator with keen attention to detail and strong decision-making skills to manage multiple concurrent tasks. Self-motivated work ethic with ability to perform effectively in independent or team environments.
Overview
31
31
years of professional experience
Work History
Prior Authorization Specialist
Purpose Home Health
Indianapolis, IN 46217
04.2025 - 01.2026
- Reviewed and processed prior authorization requests for patient services.
- Maintained accurate records of authorization requests and outcomes in electronic systems.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
- Input all patient data regarding claims and prior authorizations into system accurately.
Customer Service Representative
Aetna/CVS
07.2024 - 10.2024
- Answered Inbound customer phone inquiries about medical, dental, vision benefits and claims.
- Navigated multiple computer systems and utilized search tools to find information.
- Documented all call information according to standard operating policies and procedures.
- Managed difficult customer situations with professionalism and empathy.
Care Coordinator
Cicoa Aging and in Home Solutions
01.2022 - 01.2024
- Assisted clients in connecting with health and community services.
- Assisted my team's Care Managers by completing home and phone visits with Clients for care coordination with a person centered approach.
- Served as a client advocate.
- Managed data entry in an efficient and timely manner.
- Delivered exceptional customer service to bolster strong relationships and build positive experiences.
- Approached and solved problems with initiative and sound judgment.
- Demonstrated the company required ICARE values (Integrity, Courage, Accountability, Respect and Excellence.)
Care Management Assistant
Franciscan Health Indianapolis
01.2011 - 01.2022
- Delivered top-notch administrative support to the Utilization Management nurses, promoting excellence in office operations
- Strong ability to multitask in a fast paced environment
- Provided administrative services, including phone and email correspondence, and handling incoming electronic faxes in a timely manner
- Answered and managed or redirected large volume of calls from insurance companies to appropriate utilization management nurse
- Consistently followed HIPPA guidelines to maintain patient confidentiality
- Demonstrated respect, friendliness and willingness to help wherever needed
- Assisted coworkers and staff members with special tasks on daily basis
- Consistently rewarded for multiple years of prefect attendance.
Precertification Specialist
Franciscan Health
01.2001 - 01.2011
- Called appropriate insurance companies to initiate precertification for all inpatient hospital stays for two Franciscan facilities
- Managed a high volume of cases while maintaining attention to detail and meeting strict deadlines.
- Efficiently documented the patients notes into EPIC once the authorization was obtained
- Always followed HIPPA guidelines to maintain patient confidentiality.
Surgery Scheduler
Franciscan Health Indianapolis
01.1998 - 01.2001
- Coordinated with multiple physicians and medical staff to set up surgeries for two hospitals
- Maintained detailed records of scheduled surgeries, cancellations, and rescheduling requests. Coordinated room, equipment and staff schedules for planned surgeries.
- Developed strong working relationships with surgeons, nurses, anesthesiologists, administrators, and ancillary staff across various departments.
- Carried out day-day-day duties accurately and efficiently.
Central Scheduling Specialist
Franciscan Health Indianapolis
01.1995 - 01.1998
- Handled a large volume of incoming calls from patients and physician offices to schedule needed outpatient tests and general inquiries about facility's services.
- Managed patient records and updated necessary information into EPIC.
- Communicated information to patients regarding requirements for appointments and test preparation
- Carried out day-day-day duties accurately and efficiently.
Education
High School Diploma -
Perry Meridian High School
Indianapolis, INSkills
- Insurance Pre-authorization
- Centralized Scheduling
- Surgery Scheduling
- Medical terminology proficiency
- HIPPA compliance awareness
- Adaptive team player
- Customer service excellence
- Detail oriented
- Insurance verification
- Knowledge of benefit coverage
- Utilization review experience
- Knowledgeable in EMR systems
Timeline
Prior Authorization Specialist
Purpose Home Health
04.2025 - 01.2026
Customer Service Representative
Aetna/CVS
07.2024 - 10.2024
Care Coordinator
Cicoa Aging and in Home Solutions
01.2022 - 01.2024
Care Management Assistant
Franciscan Health Indianapolis
01.2011 - 01.2022
Precertification Specialist
Franciscan Health
01.2001 - 01.2011
Surgery Scheduler
Franciscan Health Indianapolis
01.1998 - 01.2001
Central Scheduling Specialist
Franciscan Health Indianapolis
01.1995 - 01.1998
High School Diploma -
Perry Meridian High School