Accounts Receivable/Medical Billing Manager
Resume:
Kathy S. Kelly
Overland Park, KS 66212
***********@*****.***
OBJECTIVE Seeking a responsible and challenging position with an employer
where my experience and knowledge will allow me to significantly
contribute to the company’s success.
EXPERIENCE
03/2013 to Present Continua Home Health and Hospice
Hospice Billing Manager
01/2007 to 02/2013
Senior Collector-Financial Service Unit Gentiva Health Overland Park, KS
Coordination of claim activities and timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits.
Determine and initiate action to resolve rejected claims.
Analyze outstanding monthly accounts receivable and process claims to zero balances.
Clear payment variances, resolving differences and initiating corrective action.
Guide/Instruct agency personnel in all aspects of insurance and medicare claims
processing.
Prepare updated contract information for input in computer system.
Communicate daily with agencies to educate them about claim expectations.
12/2004 to 12/2006
Employee Benefit Administrator FBD Consulting Overland Park, KS
Extensive knowledge of IRS Code Section 125, Flexible Spending Account
reimbursement substantiation and processing regulations.
Review of Medical & Daycare FSA claims to ensure compliance with IRS regulations.
Enter claims in claims processing and accounting software.
Notification of participants of ineligible expenses or missing documentation.
Answering general to complex participant questions with regard to IRS regulations.
Resolve escalated issues.
3/2004 to 12/2004
Patient Account Rep. OP Reg. Med. Center Overland Park, KS
Billing and collections of insurance billed accounts.
Identifying coverage and contractual issues.
Review of medical records and CPT coding.
Working with Medicaid/medicare and private insurance to resolve billing issues.
Patient’s personal contact, responsible for all financial service needs.
07/2003 to 4/2005
Chiropractic Assistant BS Chiropractic Blue Springs, MO
Checking patients in and out.
Collecting accounts payable/receivables.
Maintain medical records filing system.
Scheduling appointments and gathering all necessary patient information.
Administering physical therapy treatments such as IFC/Ultrasound.
Developing x-rays.
5/2002 to 3/2003
Account Manager Thomas McGhee LLC Kansas City, MO
Marketing renewal Commercial Insurance Accounts
Developing and submitting renewal proposals to management and clients.
Internet rating of Workers Compensation and General Liability risks.
Auditing of Workers Compensation policies.
Working with clients to maintain accurate risk information and to implement changes.
Contact with clients regarding their questions concerning their coverage.
10/2001 to 05/2002
Claims Adjuster Insurance Overload Overland Park, KS
12/1988 to 08/2001
Senior Claims Adjuster AAA of Missouri Kansas City, MO
Investigation of Automobile and Homeowner claims in office and in the field.
Evaluation, negotiation and settlement of property damage and bodily injury claims for
automobile and homeowners policies, dealing with plaintiffs and/or their attorneys.
Gathering necessary evidence including medical records and background information.
Working with defense counsel preparing cases for litigation or mediation.
Research and assess contractual policy coverage and liability exposure.
Researching and identifying subrogation issues, preparing them to be heard in arbitration.
AIC designation earned in 1996.
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