Admission

KIM FORBES

Medina, Texas *****

210-***-**** - ad5ucv@r.postjobfree.com

PROFESSIONAL SUMMARY

Organized detail oriented in medical front and back office. Medical billing,coding and collection manager. Professional with over 10 years experience in inpatient,outpatient, hospital, physician and durable medical billing. Specializing in filing timely, accurate claims and medical collections. Adjusting rejected claims, and understanding insurance contracts,collections, payments, appeals and EOBs. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. SKILLS

Remote Work Experience Deadline Management

Scheduling Management File Management

Database entry Virtual Collaboration

Call Center Nex - Gen, DialPad, VoIP

phone systems

Telephone Etiquette

Team Support Information Gathering

Mail Routing Team Collaboration

Creative Thinking Phone and Email Etiquette

Mind Mapping

WORK HISTORY

01/2024 to Current VA Educational Benefits Remote -Contract Western Governors University – Salt Lake City, UT

Call center- answers multiple calls for veterans

Explaining various of military benefits : Stem, TOE all various Chapters for education,VA administers seven different education benefits. Worked effectively in fast-paced environments.

Skilled at working independently and collaboratively in a team environment. Remote

Self-motivated, with a strong sense of personal responsibility work alone. Excel, sales forces,Cloud Base,Hyland Virtual Printer, Vpn Excellent communication skills, both verbal and written. Add funding to accounts,gather documents, attach notes to accounts Upload VA-Military Approval documents, extensions addendum and financial statements

Answering calls and explaining military retired educational and active duties benefits Upload Certificate of entitlement to veterans accounts. Explain length of Military Benefits and benefit types 06/2023 to 12/2023 Medical Collections & Billing - Contract American Medical & Rehab Company – Live Oak, TX

Durable medical equipment-Process clean claims and review orders for processing to insurance companies

Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.

Kept all patient information secure and confidential. Processing claims and collection Medicare, Tricare Care and several other insurances for billing

CPT, DX CODES, make sure all codes are correct

Worked independently and collaboratively

ICD10, CPT CODES, HCPCS CODES, durable medical equipment, for clean claim or collection

Medicare Reviews, Medical Billing and collection

Medical Billing Software Amazing charts, Availity, Brightree, Medisoft, Tricare- Humana, Aethna, Microsoft Suites software

Microsoft Office Experience

Assist with Medicare accreditation, Medicaid -Title 19 and other insurance companies

Multitasking, organizational skills.

Provided exceptional customer service in handling billing inquiries, resolving disputes promptly and professionally.

Reviewed aging reports regularly to prioritize collection efforts strategically based on account status and risk level.

06/2020 to 04/2023 Disaster Recovery Specialist-REMOTE, Emergency Small Business of Administration-Contract – 409 3rd Street SW Washington, DC 20416

Call Center, Responding to various customer inquiries, Serving customers, explaining, communicating effectively, dealing with demanding customers, and providing detailed information to the public regarding federally declared disasters and SBA's disaster loan program, business, and home loans Demonstrated leadership skills while managing multiple priorities during high-stress situations, contributing significantly to successful recoveries. Preparing written responses to email inquiries received through SBA's disaster customer service mailbox

Multitask and navigate multiple phone systems

Answering all customer service inquiries received by inbound telephone calls or email, helping with information processing loans, dealing with fraud accounts, and giving information for customers to report fraud accounts Assisting borrowers with completing their loan closing documents and answering questions regarding the loan closing and disbursement process Accepting borrower payments using online payment processing tools Using various computer systems to research customer inquiries, record call activity, and prepare appropriate forms and letters Handling many inbound calls, call center, and timed calls, exceeding metrics while supplying excellent customer service accuracy 97% cells responsible for processing actionable alerts/fraud notifications, conducting research into these alerts as needed

Managing large amounts of inbound and Analyze and validate Identity, fraud claims as they arise.

Enhanced disaster recovery capabilities by implementing efficient strategies and procedures.

01/2012 to 04/2020 Medical Biller and Coder

DR. VICKI J. SPARKS MD – San Antonio, TX

Patient account setup and maintenance, billing, collections, medical coding of performed services, and communicating with various insurances such as Medicaid, Medicare, and Tricare

Review and ensure compliance with insurance plan contracts, malpractice insurance, patient rights forms, workers compensation, and DOT forms Management of the physician's schedule, including provider travel arrangements Planning and overseeing clinic inventory

Scheduling for clinical support, administrative support, and externship participants Performance and training of clinical support functions such as blood draw, patient triage, and medication training

Perform chart reviews based, active listener

Evaluate and communicate documentation and coding deficiencies in provider records

Understand and keep up to date with Risk Adjustment and ICD-10-CM Guidelines Set priorities for own work assignments and uses initiative in completion of tasks Assist in special projects as directed by physicians. Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies. Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement. Reviewed patient charts to better understand health histories, diagnoses, and treatments.

01/2016 to 01/2019 Medical & Billing Coding Instructor & Intern Concorde Career Colleges – San Antonio, TX

Developed the coding and billing curriculum and syllabus, along with the selection of appropriate instructional material under the guidance of the Program Director Organize, present, and deliver instruction in both a classroom and virtual educational setting

Worked in tandem with Career Pathways Manager to assist students with problem resolution

Trained various EHR software, CMS-1500

Assist in interview and selection of prospective students Conduct extern site visits when necessary

Maintain records of student attendance, progress, and grade distributions Attend and participate in staff meetings and development training Stay abreast of current trends in the related field Also responsible for obtaining and maintaining my professional memberships and licenses as a part of my professional development

Monitor and evaluate student progress with written feedback Be familiar with and adhere to the current Student Handbook Attend any scheduled advisory committee meetings when necessary Establish and maintain positive student interaction Provide non-discriminate, fair, and equal treatment of all students Perform other duties as needed and assigned by the Director, including assisting with the graduation ceremony planning

Solves difficult insurance claims problems

Responsible for follow-up on unpaid claims and collections of unpaid balances. Increased overall course satisfaction by regularly updating lesson materials to reflect current industry trends.

Assisted colleagues in adopting best practices for integrating technology into their classrooms, resulting in a more cohesive and inclusive learning experience. Enhanced student coding skills by implementing hands-on projects and real-world scenarios in the curriculum.

EDUCATION

Expected in 05/2024 Associate of Arts: AAPC Coding UTSA - San Antonio, TX

06/2011 Certification, MEDICAL ASSISTANT ACPC, NRCMA, NAHP KENNESAW - Kennesaw, GA

06/1989 Bachelor of Arts: Fashion Merchandising

The Art Institute of Houston - Houston, TX

CERTIFICATIONS

Medical Assistant Training - UTSA Certificate -2010 Medial Administration UTSA Certificate - 2011

Medical Coder AAPC - 2024

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