Ka’Wanna Anderson

**** *. **** *** ***. 773-***-****

Chicago, IL 60649 ac3c82@r.postjobfree.com

PROFESSIONAL SUMMARY: A highly resourceful customer service professional with a record of increased responsibility in the healthcare field who is able to be a productive problem solving asset in a fast paced organization.

QUALIFICATIONS

Solid medical insurance knowledge

Proficient in medical terminology

Efficient in Microsoft Office 2010

Excellent communication and interpersonal skills

Experienced in working effectively in time sensitive situations, handle multiple priorities simultaneously, and able to make prompt responsible decisions

Trained in Meditech/LSS, IDX, Epic, Nable, Medical Management, Medisoft, and Athena software

EDUCATION

WESTWOOD COLLEGE River Oaks, Illinois

Concentration: Medical Billing and Coding Graduated: March 2006

PROFESSIONAL EXPEREINCE

LARIBADA CHILDREN HOSPITAL Chicago, Illinois

Billing/Collection Auditor May 2015-Present

Followed up on Behavioral/Mental claims

Manage reports for claims previously submitted

Answer billing questions

Set-up payment arrangements and take over the phone payments

Responsible for accurately billing all commercial/Government carriers

Resolve financial discrepancies on all fiscal records

Review claim for accurate coding information

Maintain strict patient confidentiality

Handle insurance claims electronically and manually

Actively monitor credit balances to ensure compliance with Federal and State regulatory requirements

Follow-up on 30 to 181 days aging reports

Generate claims for appropriate payer reimbursements

Adjust financial patient accounts

Correct, follow-up, and submit additional information requested by payers in order to process claims accurately

PROFESSIONAL EXPEREINCE

NORWEGIAN AMERICAN HOSPITAL Chicago, Illinois

Biller/Follow up Clerk October 2013-May 2016

Manage reports for claims previously submitted

Followed up on all Behavioral/Mental claims

Answer billing questions

Set-up payment arrangements and take over the phone payments

Responsible for accurately billing all commercial carriers

Resolve financial discrepancies on all fiscal records

Train medical and managerial staff on Athena software

Maintain strict patient confidentiality

Handle insurance claims electronically and manually

Actively monitor credit balances to ensure compliance with Federal and State regulatory requirements

Follow-up on 90 to 181 days aging reports

Generate claims for appropriate payer reimbursements

Adjust financial patient accounts

Correct, follow-up, and submit additional information requested by payors in order to process claims accurately

NORTHWESTERN MEDICAL FACULTY FOUNDATION Chicago, Illinois

Physician Billing (Addison Group) April 2013- June 2013

Corporate billing

Researched and studied trial accounts

Created statements for payment

Worked Edits

Resubmitted any claims for any additional information

Responded to emails, and mail correspondence

Follow up on client payments

Submitted corrected claims and documentation

Managed payment and collection activity

SCHAUMBERG IMMEDIATE CARE Schaumberg, Illinois

Reimbursement Specialist October 2012- March 2013

Developed accurate clean claims and submitted to third party payers and patients

Handled all the explanations of benefits

Gathered information from carrier and patient when services billed are rejected

Checked all the admission forms and Medicare waivers

Verified patient’s insurance benefits

Recognized network providers, provider restrictions, co-pays as needed

Documented the activities appropriately in progress notes

CSR Chicago, Illinois

Medical Billing Specialist (Target Staffing) December 2007- December 2012

●Verified accuracy of medical billing, data and revised any errors

●Prepared itemized statements, bills, and invoices for health services rendered

●Reviewed documents such as clinical records to compute fees or charges due

●Kept records of invoices and account documentation

●Resolved discrepancies in medical billing records

●Reviewed physicians’ notes and charts for accuracy

●Obtained any necessary clarification of information on notes and charts

●Ensured all medical records were signed by appropriate parties

Other HealthCare Experience from 2006- 2012

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