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Medical Billing Insurance

Location:
Sacramento, California, United States
Posted:
October 22, 2018

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Resume:

Kyla Stone

**** ********** ***., **********, ** *5820, 916-***-**** (cell), ac7gql@r.postjobfree.com

Experience Patient Account Rep

Jan. 2014 – Present Sierra Hematology Carmichael, CA

Assisted with projects to help improve billing methods to decrease denials.

Follow-up and appeal any claim that was not reimbursed according to our contractual obligations.

Daily claim status performed ensuring clean claims and claim received.

Input codes based on daily ledger.

Increased revenue with overturned appeals on aged accounts over 365 days.

Point of contact for patient statements and patient payments.

Follows regulations for managed care contracts, government guidelines. Patient Access Rep/ HIM Clerk

2013 – Present Sacramento Pediatric Gastroenterology

Triage calls for MD detailed messaging system.

Scheduling patient appointments.

Process all ROI request within 48 hours of receipt.

Subject matter expert for government payers billing guidelines.

Input patient records into our patient EHR.

Back-up for data entry and insurance verifications and authorizations. Medical Biller/Coder

2008 – 2013 Jerri Green Medical Billing Company

Specialized in all Government payers and Secondary Medicare payers.

Daily claim status performed ensuring clean claims and claims received.

Worked claim denials and recoupments and patient refunds.

Reviewed EOB’s from various insurances to verify contractual payments.

Eligibility checked for up to date insurance information.

Superb client service to patients and insurance companies as needed. Medical Biller/Coder

2004 – 2008 C.A.S.E Medical Group

Worked all Government payers and Secondary Medicare payers.

Daily claim status performed ensuring claims receipt and claims submission.

Worked claim denials and recoupments and patient refunds.

Reviewed EOB’s from various insurances to verify contractual payments.

Superb client service to patients and insurance companies as needed. Claims Examiner

2003 – 2004 E.D.S Superior Staffing

Enrolled patient demographics to EMR and scheduled patient appointments.

Verified patient insurance for eligibility and benefits.

Performed quality assurance check for clean claim submission.

Corrected claims when necessary.

Education New Direction Medical Billing/ Coder Program

2003-Certified Billing Specialist

Napa High School

1983-High School Diploma

Skills Microsoft Office, medical terminology, ICD- 9CM coding, CPT coding, HCPCS, office administration, authorizations, medical law and ethics, insurance verifications, HIM, Medi-Cal, GMC’s, Government claims processing, HIPAA compliant.



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