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Medical Biller

Holbrook, New York, United States
March 04, 2018

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Kristina Kirillova – Medical Billing/Coding & Office Administration

**** ****** ** • Holbrook, NY 11741 • • 631-***-**** QUALIFICATIONS SUMMARY

Certified Billing & Coding Specialist (CBCS), 4/2017

Guidelines for the Medical Assisting Professional (OSHA) Certification, 3/2017

The Privacy Rule and Health Care Practice (HIPAA) Certification, 12/2016

Accurately research, compile, process, and manage extensive medical information and financial data for precise practice decision-making and optimum effectiveness

Excellent skills in evaluating, organizing, and communicating toward better practice alignment, internal controls, and process improvements


United Rehab Physical Therapy – Ronkonkoma, NY (Feb. 2017-Present) Medical Office & Billing Administrator (Sept. 2017-Present) Medical Biller (May 2017-Aug. 2017)

Medical Biller Externship (Feb 2017-Apr. 2017)

Steadily promoted and consistently meet or exceed practice expectations in improving processes to ensure accuracy from registering the patient, data entry and verifying benefits down to pursuing precise and rapid maximum reimbursement

Proficiently utilize skills in ICD-10 & CPT Coding; extensive billing knowledge, HCPCS Level II Coding Claim Appeals, medical insurance – Managed Care (HMO, PPO) Medicare, Workers Compensation, NF, benefits interpretation, online & paper claims, HIPAA Compliant, payment posting, insurance authorization

Computer expertise: MS Office/Excel,Thera Office, Medisoft, and EMR

Plan and direct electronic and paper billing for this busy practice

Recruit, train and supervise employees Conduct on on-boarding of all new hires

Manage insurance verification and requests on authorizations

Execute operational aspects of insurance claims, denials and accounts receivables

Oversee correct insurance reimbursement according to contracts

Post daily insurance payments and process statements billing

Research and update new protocols for billing and coding

Explained EOB’s to patients, offices as needed

Ensure accuracy of patients records and manage patients HIPAA compliance and regulations

Respond to inquiries from providers on a broad scope of coverage issues pertaining to eligibility, coordination/explanation of benefits, and payment schedules

Carefully research and review individual/group claims exercising a strong working knowledge of major medical plans and leading healthcare networks EDUCATION

Medical Billing and Coding Graduate, President’s List – 4.0 GPA, 2017 Branford Hall Career Institute - Bohemia, NY

Finance credits, -2015: Baruch College - Manhattan, NY

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