Medical Billing Manager

Keishawna Hearn

Roswell, GA 630-***-**** *******@*****.***

Medical Billing Manager

Financial Collections Account Management Insurance ClaimsProcessing

Meticulous quality Billing Manager with over fifteen

solid years of experience conducting billing practices, financial analysis, and insurance processing within high-profile corporations. Skilled in resolving complex account deviations and disputes across multiple organizations. Instrumental in streamlining and improving processes, enhancing productivity, and implementing technology solutions. Technical proficiency in MS Office, Optis, Mars, AllScripts, IDX, NextGen, Ecare Salesforce, and Sidetrade Excel, Microsoft Word

Medical Insurance & Terminology

Loan & Payment Collections

Loss Mitigation & Recovery

Claims & Collections Processing

Confidentiality Compliant

Team Building & Leadership

Accounts & Records Management

Statement Reconciliations

Client & Customer Relations

PROFESSIONAL EXPERIENCE

Kool Smiles 11/2017-Current

Orthodontic revenue cycle specialist

Research and resolve all outstanding patient insurance credit accounts.

Billing, invoicing and overseeing the accounts receivable and reimbursement process.

Obtaining insurance pre-authorizations, insurance claims submission.

Ensure rendering provider service and subsequent claims are accurate.

Auditing patient accounts and providing communication to the orthodontic team. Analyzes and organizing complex information for effective reporting.

EXPEDIA/CREDIT ACCOUNT, 8/2015 – 10/2017

Collector

Initiate overdue payment collections and manage customer accounts, liaising between customers and hotel collection vendors in efforts to resolve account discrepancies, deficiencies, and deviations.

Build and maintain strong rapport with customers, vendors, corporate colleagues, and hotel partners, providing exceptional quality customer services and oversight.

Innovate new strategies and methods through cross-collaboration with global team, daily team building and training, and continuous process improvements to increase productivity and exceed target metrics.

GREAT SOUTHERN BANK, 7/2014 – 6/2015

Consumer Collector

Performed loss mitigation and recovery for customers with delinquent accounts or overdue loan payments in compliance to legal statues and regulations.

Utilized loan collections and application system to research and resolve complexities, and maintained customer account information.

Provided customers with repayment and refinancing options, and administered collection correspondence.

LAKELAND HOSPITAL, 1/2013 – 6/2014

Commercial Claims Biller

Handled commercial insurance billing for physicians and hospital claims, ensuring accuracy and compliance to insurance contracts and established policies and procedures.

Validated information on medical claims from patients seeking payment from insurance companies.

Processed up-front cash collections, estimated quotes, and negotiated payment plans compliant to benefits.

ATHLETICO, 8/2008 – 3/2012

Accounts Receivable Manager

Communicated with over 70 Physical Therapy clinics, providedcontact direction to ensure optimum, accurate, and timely reimbursement from insurance companies, governmentagencies, patients and vendors.

Liaised to payers, collected payments for outstanding dates of service, and performed follow-ups to ensure complete submittal of claims and account resolutions, including secondary billing, appeals, and patient liability.

Led the Self-Pay Collections system and the department team members, effectuating training to secure operational efficiency, and quality assurance and performance.

EDUCATION & CREDENTIALS

Medical Billing, MALCOM X COLLEGE, Chicago, IL

Medical Billing Certificate Medical Coding Certificate

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