Kandi Miles

Outbound Specialist

Sword Health

Apr 2025 - Current (1 year)

Conduct outbound communications with payers and clients to confirm insurance coverage and expedite authorization processes.Assist in benefits verification to ensure prompt access to necessary services.Maintain accurate records in compliance with verification standards.Collaborate with internal teams to streamline client onboarding and service delivery.

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Business Relationship Manager

MHK

Jul 2024 - Oct 2024 (4 months)

Built strategic alliances with clients, enhancing communication with health plans.Coordinated cross-departmental initiatives to improve operational efficiency and client satisfaction.Partnered with stakeholders to streamline IT and benefits services, improving process outcomes.Fostered lasting relationships with customers through effective communication and quick response, resulting in long-term loyalty and expanded client base.

Client Delivery Manager

Alight Solutions

Oct 2019 - Mar 2024 (4 years 6 months)

Oversaw client operations, including benefits verification and prior authorization coordination.Conducted detailed analysis of enrollment and benefits data, identifying inefficiencies and implementing process improvements.Mentored team members on best practices in insurance verification and client service.Enhanced client retention by refining benefit delivery processes and resolving discrepancies.

Patient Care Coordinator/Referral Coordinator

Emory Healthcare

Jul 2019 - Oct 2019 (4 months)

Developed and implemented referral workflows to streamline prior authorization and insurance approval processes.Utilized Athena and insurance portals to request authorizations and retrieve medical records efficiently.Coordinated with providers and payers to ensure timely patient care and improved satisfaction.Created detailed tracking tools in Excel for monitoring referral and authorization statuses.

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Lead Registration Associate

Children's Healthcare of Atlanta

Oct 2017 - Jul 2019 (1 year 10 months)

Oversaw front-end registration accuracy, directly impacting downstream claims and reimbursement performance.Managed patient intake, insurance verification, and scheduling, ensuring accurate documentation.Analyzed registration data to identify trends and implement improvements, reducing errors and increasing efficiency.Facilitated communication between clinical staff, patients, and insurance payers.

Scheduler Trainer

Wellstar Health System

Dec 2016 - Oct 2017 (11 months)

Trained new hires on Epic system for scheduling, insurance verification, and prior authorization procedures.Resolved scheduling conflicts while ensuring accurate patient coverage verification.Supported onboarding processes to ensure compliance and efficiency.Improved claim accuracy by reinforcing correct appointment setup and insurance data entry practices.

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Front Desk Coordinator Intern

Unified Women's Health

Jun 2016 - Dec 2016 (7 months)

Verified insurance eligibility and benefits to support accurate billing and claim submission.Improved patient intake efficiency and reduced administrative errors impacting revenue cycle performance.Monitored scheduling metrics to optimize patient flow and documentation accuracy.Coordinated with clinical teams to ensure timely communication and continuity of care.

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