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Insurance Manager

Location:
Lakewood, OH
Posted:
August 04, 2017

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Resume:

KIM ROLF

**** ******* *****, ********, ** *****

Cell 216-***-****, Home 216-***-****

ac1nyl@r.postjobfree.com

Professional Summary

Medical Billing Specialist - Administrative Assistant with over 20 years of experience.

Qualifications

Specializes in Internal Medicine & Mental Health

Proficient computerized charting

Excellent communication skills

Meticulous organization skills

Experience

Mental Health Billing Specialist

April 2016 - March 2017

Benedetto & Associates - Brecksville, Ohio

Ensure all claims are entered and submitted for 11 therapists and 2 psychiatrists within 48 hours of receipt.

Accurately apply insurance and patient payments to accounts. Reconcile insurance and patient payments.

Research and resolve EOB rejections, and all other issues with outstanding accounts. Submit paper and

electronic claims. Work with clearinghouse to resolve issues. Retrieve ERA's. Monthly processing of patient statements. Answer and resolve all billing inquiries. Follow up on patient and insurance aging.

Assistant Business Office Manager/Billing Representative

February 2015 - April 2016

Villa St. Joseph- Garfield Heights, Ohio

Post and reconcile insurance payments for 3 facilities. All billing processed, reviewed and sent out by last day of

the month. Review all resident charts for accuracy. Set up financial information, payor tree and authorizations. Prepare conference letters. Notify departments when missing info and monitor. Work with families during

Medicaid process. Prepare and submit reports on a timely basis. Assist with ancillary charges and imports.

Address patient inquiries. Process refunds. Assist with accounts receivable. Manage Trinity students. Assist

office manager duties

Credentialing Specialist/Billing/Office Manager

February 2014 -October 2014

Nurse Practitioner Health Services - Strongsville, Ohio

Responsible for government enrollments, Medicare, Medicaid, and BWC for all new nurse practitioners.

Maintain and create CAQH and MITS profiles. Initial applications and follow up on all health plan provider

enrollments. Responsible for all billing, coding, insurance claim follow up, and account receivable monitoring. Responsible for learning new programs and teaching incoming members. Supervise all employees.

Medical Biller

January 1999 - January 2008

Premier Physicians Centers - Westlake, Ohio 44145

Responsible for eight (8) physicians billing, prepare charges for entry, ICD and CPT coding, demographic and

insurances, enter all charges. Follow requirements for all companies. Prepare all patient statements. Collecting, maintaining, and reconciling all patient accounts. Handle all incoming phone calls. Process all denials. Meet

monthly and weekly deadlines. Complete all month end procedures. Coordinate and work closely with office

staff and physicians to maintain accurate information.

Education

Cuyahoga Community College

St. Augustine Academy

Community Service

Early Childhood PTA

Lakewood Family Room - Set up for city events such as Meet The Trucks

Lakewood Animal Shelter/Love A Stray - Foster animals, assist at shelter



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