Medical Billing Manager
Resume:
Danielle Kyler
***************@***.***
PROFESSIONAL EXPERIENCE
April 2012-current
Independent Consultant
Consulting ICD-10 coding and implementation
Medicare Compliance Manual Implementation
Helping Hands Medical Offices - Lawrenceville, GA
July 2006 to April 2012
Billing Manager Coding and Compliance Specialist
• Secured major contracts with hospital and physician’s offices
• Consistently achieved 99% accuracy in claims processing
• Averaged 96% in claims recovery
• Participated in 5010 implementation and ICD-10 coding classes
• Increased revenue 200% through more accurate claims processing
• Grew company through expansion in southeastern region
• Handled all appeals and audits to satisfy unpaid or denied claims
• Processed A/R month-end reconciliation
• Specialized in billing/coding for internal medicine, dermatology, OB-Gyn, and anesthesiology
• Approved Patient billing and ICD-9 coding
• Instrumental in achieving accreditation by JHCO
• Vast knowledge of HIPPA regulations and medical billing
• Trained others in the regulations regarding plans of Medicaid, Medicare, Advantage Plans,
HMO's and PPO's
• Consistently recognized as a premier provider of Medicare and Medicaid revenue cycle
management
Regional Medical Group - Greenville, SC
April 2004 to June 2006
AR Supervisor-- Family Practice/ Internal Medicine/Sports Medicine
• Responsible for Profit and Loss (P&L), Medical Billing, and Accounts Receivable (A/R)
• Prepared collections aging report break downs
• Conducted program development activities as directed by management
• Successfully created and implemented strategic plans and administrative budgets
• Developed improved process to meet short and long term corporate goals
• Increased employee retention by 36% by establishing improved training and recognition
programs for new hires
• Initiated programs which improved employee satisfaction from 42%-71%, increasing employee
longevity
• Ensured HIPPA and Center for Medicare Services Compliance
• Conducted Employee/Employer complaint resolution
• Performed insurance verification (all types) including workers’ compensation
• Upheld the finest customer services with senior solutions and surrounding hospitals
Investigated all issues relating to problem claims
Ram Medical Supplies Inc - Greenville, SC
February 2000 to April 2003
Sales Representative
• Marketed and sold power mobility, orthopedics, CPAP, and oxygen supplies
• Provided supplies to Medicare, Medicaid beneficiaries
• Supervised twenty employees
• Successfully completed Resna classes for ATP certification
• Liaisoned between doctors, patients, and insurance companies
• Complied with HIPPA laws and regulation
EDUCATION
B A Psychology
North Carolina State University
May 1997
Resident Advisor
-Assisted Resident Manager with day to day operation of co-ed dormitory
-Mediated student disputes
-Directly over 40 freshmen
-Community projects
SKILLS
• 12 years of experience with Medical Billing and Claims Management, Medicare, Medicaid, HMO
and PPO
• Strong leadership, analytical capabilities, and problem skills
• Solid knowledge of medical terminology
• Experience in 837 billing and 835 remittance processing, CPT, HCPCS, and ICD 9 coding.
Experience with UB-04's and CMS-1500's.
Contact this candidate