Kimberly A DePugh

PO Box ***

Jonestown, PA ***38

717-***-****

717-***-****

ab9ojx@r.postjobfree.com

Objective I am a highly qualified and well organized individual. I am able to work well under

high levels of pressure. I also enjoy working with others and am always ready for

a challenge.

Experience Financial Account Technician

Department of Veterans Affairs NE CPAC – Lebanon, PA

May 2012 –

Had responsibility for the collection functions of the Revenue program third party

insurance reimbursements and other account receivables.

Performed aggressive follow up analysis on outstanding third party receivables

and other accounts receivables to determine best course of action to effect

maximum recovery.

Initiated or performed all follow up action based on a variant number of criteria

(age, type and amount of receivables); and analyzed, planned, initiated,

coordinated and implemented actions required to maximize collections of

receivables.

Received and responded to a variety of communications generated by third party

payers, and has signatory authority for collection letters and subsequent follow up

correspondence.

Audited, analyzed and reviewed information regarding the established third party

receivables to discuss the status of the account when inquiry is made on follow

up.

Contacted and pursued insurance companies and other third party payers to

expedite collections; and determined when referral to Regional Counsel or other

departments is appropriate for further progression of the collections.

Analyzed claims to ensure expected payments are consistent and in accordance

with the specific policy and or regulatory rules.

Identified and followed up on ways to expedite collections through contacts in the

public and/or private sector.

Maintained and updated computerized records of debts to document collection

efforts and to prepare statistical reports for management.

Coordinated collections efforts by utilizing an automated accounts receivable

program, edited and uploaded an automated system to ensure the information is

accurate; and maintained account receivable files by ensuring appropriate

documentation to support subsequent auditing activities (i.e., audit trails)

Medical Reimbursement Technician

Department of Veterans Affairs – NE CPAC, Lebanon, PA

February 2012 – May 2012

Verified patients’ insurance coverage for inpatient and outpatient services,

entering updated information and maintained the database, including verifying

benefits, policy numbers, pre certification requirements, insurance company

contact information and effective dates of coverage.

Documented pre admission requirements and identified patients’ requiring second

opinions, assisting with the pre certification process, generating monthly reports

and reviewing and explaining insurance coverage with patients.

Performed all reimbursable billing activities, including consideration of

professional and facility services, sharing agreements, Tri care, Champ VA,

Medicare and pharmacy billing, ensuring that all billable cases are identified and

bills are generated, coordinating completion of forms with patients, providers and

administrative staff and obtaining information required for tort cases, workman’s

compensation, Office of Workers Compensation Programs (OWCP) and personal

injury cases.

Patient Account Associate

Milton S Hershey Medical Center – Lebanon, PA

November 2003 – December 2011

Patient account billing, follow up with patient accounts in work list. Requesting of

patient medical records, review of professional claims, phone contact with auto

insurance companies, compositions of auto exhaust letters, processing of trauma

and non trauma claims with both hospital and physician facilities, preparation of

medical records and release letters. Special projects: work reports off of e

premis, pc print and intra viewer, Distributing and processing of mail for all

departments.

Claims Processor/Assistant

Princeton Insurance Company, Camp Hill, PA

December 1999 – October 2003

Processing of medical and loss time claims, personal phone contact with

insured/claimant. Contact with attorneys and witnesses to workman’s

compensation injuries/incidents. Issuing of URO’s, denials, statement of wage

forms and letters, processing of occupational injury forms and hospital letters and

medical report forms. Processing of incoming payments, posting of recovery

checks, stop payments and voids. Coding of claims sent out to re pricing

companies. Distributing and processing of mail to departments.

Typist/Claims Processor

Nationwide Insurance Company, Harrisburg, PA

June 1996 – December 1999

Typing of farm policies, form letters, processing of claims, sorting and distributing

mail, filing. Operation of copier, fax machine, typewriter and computer

Education Certification in Dental Assisting

Harrisburg Area Community College, Harrisburg, PA

May 1992

Graduated from Middletown Area High School, Middletown, PA 1990

Computer Skills

Microsoft Word 6.0, Excel, Outlook Express, Windows 95,98, 2000 and XP, Citrix,

AS 400, Microsoft Word 12, Eclipsys, SMS, Group Wise and Power Chart, Vista,

Vista web and Huron programs

Training Programs

HMC Annual Safety Training

Outpatient Payment Prospective Overview

Cultural Competency for PFS and IA Staff

Rebill Competency

Transaction Master Consolidation and Fee Changes

Adult and child CPR Training Heart saver with AED and choking

Service Excellence for Staff

Generations in the Workplace

Release of Information

Coordination of Benefits 3

Coordination of Benefits II

Received Certification of Training from North East Consolidated Patient Account

Center (CPAC)

*Basic Accounts Management Course

*Basic Billing Course

*Basic Eligibility Course

References Danny L Bass Sr – Department of Veterans Affairs

717-***-**** – ab9ojx@r.postjobfree.com Joshua Freeman – Department of Veterans Affairs

717-***-**** – ab9ojx@r.postjobfree.com George Olsen – Princeton Insurance

503-***-**** Indicates Professional References

Robyn Hartman – Department of Veterans Affairs (

717-***-**** – ab9ojx@r.postjobfree.com

Troy Horst – Department of Veterans Affairs – ab9ojx@r.postjobfree.com

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