Medical Billing Insurance
Resume:
KIMBERLYN ANDERSON
************@*****.***
OBJECTIVE:
A challenging Supervisory or Lead Medical Billing position with diverse job
responsibility in a growth oriented organization seeking an articulate and
personable professional who displays initiative and is well organized.
SUMMARY OF ACCOMPLISMENTS:
Set up job descriptions and standards of performance for Front office positions.
Analytical ability, with extensive experience in the execution of the Billing
process.
Proven ability to work independently and handle multiple projects, and meet
deadlines.
Effectively motivated others on all levels in the achievement of individual goals.
EXPERIENCE:
LEAD MEDICAL BILLER- HEALTHCARE BUSINESS SOLUTIONS- 10/2008 THRU 03/2011
I was responsible for Coding and posting of Hospital charges and In-Office
Procedure Billing. I performed all Electronic billing, for the entire practice on a
daily basis to include EDI edits and claim rejection report audits. I posted
payments both paper checks as well as EFT's remittances pulled offline via
clearinghouse. I determined if payments are received correctly according to
contract guidelines, and fee schedules. I responded to all correspondence by
recoding bundled claims, per CCI edits, and Written claim Appeals on rejected
claims insuring 100% clean claims for Maximum Reimbursement. I ran Electronic
Patient Statements on a monthly basis; perform audits on patient's accounts to
include collection process. I am in daily communications with the Medical group to
insure a smooth Billing flow from the Front End to the Back. In conclusion I also
perform month end closing procedures in a timely manner reporting directly to the
Groups Physicians. I worked in a very fast paced environment.
SR MEDICAL BILLER-LV NEUROSURGERY, ORTHOPEDIC, & REHABILITATION-08/2006 THRU
09/2008 Posted daily office visits, and Surgery
charges for Multi-Surgeon Specialty practice. Responded to all correspondence in
Billing, reviewing and validating codes, reviewed and corrected denied claims,
resubmitting corrected claims via written appeals, unbundled codes, attaching
records and more to complete the billing process to insure clean claims.
Responsible for a variety of cash operations and adjustments in the billing office,
other responsibilities included researching checks for overpayment validity,
process balance billing, and bill out secondary claims in masses when needed. I
also handled patient disputes, Trained front desk staff on insurance and data
collecting procedures. Maintained constant work flow in a timely manner on a day to
day and month to month basis.
MEDICAL BILLING SPECIALIST-PRIVILEGED BILLING SERVICES-08/2002 THRU 08/2006
I Coded and Posted Charges for various physicians to include office, and hospital
visits. Performed daily deposits, posted payments read Eob's to determine true and
correct payment has been received via fee schedules. Did Electronic as well as
paper claim billing to include secondaries? Worked correspondence as directed by
reviewing and validating coding errors, review denied claims did written and online
appeals to insurance carriers. Work Insurance and Patient aging reports. Reviewed
unapplied cash reports for unallocated payments. Reconciled applied deposits to
bank records. I also handled internal inquiries concerning billing software
problems with Sage software.
CERTIFICATIONS:
Medical and Billing and Coding procedures, PSC, Fully Accredited (1997 - 1998)
Microsoft Word and Excel, w/Internet, Pacoima Skills Center, (1997-1998)
REFERENCES:
Available upon Request.
Contact this candidate