Kandice H King

**** * *******

Chicago, IL *****

773-***-****

acb9he@r.postjobfree.com

Objective:

To obtain a position within the healthcare billing/coding field that will enable me to

utilize my skills and experience, and will provide an opportunity for growth and

advancement.

Experience:

September 2012- August 2013 Chicago IVF –Skokie, IL

Patient Account Representative

Posting of payments to patient’s accounts

Researched any discrepancies of past payments

General collections of AR using all methods of communication

Collection of Self Pay accounts

Generated patient statements

Resolve patient billing issues and discrepancies

Electronic billing and manual posting

Follow up and resolve of insurance appeals

Daily and monthly reconciliation and close

Processed all Frozen Cyro Embryo and Sperm accounts tracking of all

payments and logs to insure correctly monthly and initial freeze billing.

Other duties as assigned...

July 2010 – September 2012 Ear Nose & Throat Center-Park Ridge, IL

Medical Billing Coordinator / Office Assistant

Handled all correspondence from all sources electronic / mail.

Follow-up on aged accounts and collections of outstanding insurance claims

submitted to carriers including appealed claims.

Researched denied claims through the use of explanation of benefits received

from insurance carriers and online access. Corrected errors for resubmission.

Pre-certifications and Retro Pre-certifications with Encompass, Med-Solutions

also obtained RQI numbers through AIM and all other insurance’s as required for

CT, MRI, X-rays & surgical procedures.

Processed denied claims for HMO, PPO, Commercial, Workers Comp,

Medicare, Medicaid, & Third Party Pay

Monitored patient accounts and payment plans

Applied insurance denials, payments, and adjustments

Maintained Office Benchmark Logs

Client services worked closely with doctors to insure all policies and procedures

are being followed within HIPPA guidelines

Post and track all daily deposits & A/R

Accessed Hospital sites for patients and demographics and requested medical

records

Called for Benefits for Audiology services

Help front office staff as needed

Created Benchmarks and Medical Billing Policy and Training Handbook for office

Training of new employees

Ran end of month and processed reports for doctors meeting.

Training of new employees

Ordered Supplies

Other duties as requested

April 2005-July 2010 Physi-Bill, Inc A Medical Billing Service Skokie, IL

Medical Biller / Team Leader / Reimbursement Specialist

Handled all correspondence via Electronic Denials / Mail.

Follow-up on aged accounts and collections of outstanding insurance claims

submitted to carriers including appealed claims for five client accounts.

Researched denied claims through the use of explanation of benefits received

from insurance carriers and online access. Corrected errors for resubmission.

Pre-certifications and Retro Pre-certifications with Encompass, MedSoultions

also obtained RQI numbers through AIM and all other insurance’s as required for

CT, MRI, X-rays & surgical procedures.

Processed denied claims for HMO, PPO, Commercial, Workers Comp,

Medicare, Medicaid, and IME & Third Party Pay

Monitored patient accounts and payment plans

Applied insurance denials, payments, and adjustments

Maintained Client check logs for five client accounts

Client services worked closes with doctor’s offices

Post and track all daily deposits for client accounts

Accessed Hospital sites for patients and demographics and requested medical

records

Training of new employees

Ordered Supplies

Other duties as requested

March 2004-April 2005 Talcott Medicine Chicago, IL

Medical Billing / Receptionist / Patient Care

Computer entry of daily & hospital charges

Patient triage and weight

Front Desk check out and appointment setting

Switchboard

Calling in prescriptions and refills

Calling patients with lab results

Responsible for all Medicare, Medicaid and Commercial insurance rejections

Updated all patient information in computer (Medical Manager Software)

Printing and sending of all patient statements

Closing at end of day printing of all reports and cash received reports

Any other duties asked of

Aug 2002-Nov 2003 Dr. Sawalani/ Dr. Sukenik Chicago, IL

Medical Biller/Receptionist/Medical Asst/ Office Manager Asst

Computer entry of daily & hospital charges

Patient insurance billing and collections

Patient triage, weight, and EKG’s

Switchboard, Chart preparation

Back up all computer systems (Medical Manager) Obtained lab results

Any other duties asked of

Skills:

Basic computer skills such as Microsoft Windows, Microsoft outlook, Excel,

Internet, Medical Manager Billing software, Medsys (Infosys) software., Practice

Point Manager software, RealMed, eClinical Works, Centricity, Intergy Cerner,

Decision Coder, E-care, C-snap (Medicare), E-bridge, VATSA, Easy print, Epic,

Care Connection, eIVF, Typing, filing, switchboard, patient care, Knowledge of

medical terminology, CPT and ICD-9 coding, Commercial Insurance Billing,

Medicare and Public Aid billing, Medical Terminology, also be able to manage

multiple concurrent tasks with exceptional organizational skills also skilled in

claims research and detail oriented. Very customer / patient focused, reliable

very quick to learn. CCS-P eligible.

Education:

1994-1998 Taft High school graduated with Diploma General Classes

Nov 2003 AMS Medical Billing School (Certified Medical Billing Specialist)

March 2007 Medical Management Institute-Continuing Education Units 6.0

Coding for Optimal Reimbursement (Coding updates & changes)

Aug 2007 AMS Medical Billing School (Certified Advance Coding Specialist)

Feb 2008 The Coding Institute-Continuing Education Units 1.5 Crystal clear

Expert Advice to Help you triumph over the nuances of CT & PET coding.

May 2009 Wisconsin Physicians Service-Continuing Education Units 6.0 Save

Dollars, Avoid Denials

References:

Brittany Zelazny 614-***-****

Sheila Dumalo 847-***-****

Karen Urso 773-***-****

Cecilia Corbett 773-***-****

Angelica Silwo 773-***-****

Contact this candidate