P a g e * *

Cathy J Kaiser

Medical Billing Specialist

ad1j8g@r.postjobfree.com • 816-***-****

www.linkedin.com/in/loremipsum • Lee's Summit, MO

Summary

Summary

Seasoned detail-oriented billing

manager with 15+ years of proven

success in leading and directing

profitable revenue cycle operations.

Hands on experience in reviewing

claims and maintaining billing

reports. Adept at optimizing billing

processes, minimizing claim

rejections/denials, and enhancing

reimbursement rates. Demonstrated

prowess in examining patient

insurance coverage, identifying

discrepancies, filing appeals, and

submitting claims.

Areas of Expertise

• Billing Process

• Customer Service

• Accounts Receivable (AR)

• Administrative Assistance

• Medical Terminology

• Insurance Verification

• Strategic Planning

• Medicare/Medicaid billing

• Compliance Regulations

• Logistics Management

Career Experience

Khan Eyelid and Facial Plastic, Overland Park, KS 05/2005 – Present Medical Billing Specialist,

Processed appeals and managed claims submissions. Identified inaccuracies and swiftly corrected denied or rejected claims to minimize payment delays. Prepared precise billing statements for patients, incorporating appropriate diagnostic coding. Maintained comprehensive knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third-party billing requirements. Facilitated seamless posting and adjustment of insurance company payments. Utilized NexiGen to accurately input patient information, diagnosis codes, and procedure codes.

• Ensured prompt and precise charge submission through electronic charge capture, utilizing billing and account receivables (BAR) system and clearing house.

• Transitioned office to ICD10 codes and established electronic claim submission. Streamlined billing department and developed and maintained up-to-date AR reports.

• Conducted outreach to patients regarding outstanding claims for HMO, PO, and private accounts, and implemented a courteous follow-up process to ensure adherence to contract terms. State Line Eye Care, Kansas City, MO 07/1998 – 05/2005 Medical Billing Specialist

Analyzed patients' insurance policies to determine coverage, deductibles, potential insurance carrier payments, and remaining balances not covered by policies. Processed appeals and submitted claims, ensuring prompt completion and submission. Identified errors in denied or rejected claims and promptly resubmitted them to prevent payment delays. Kept updated knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third-party billing requirements. Managed insurance company payments by posting and adjusting them as required. Generated accurate billing statements for patients, utilizing precise diagnostic coding.

• Orchestrated regulatory and strategic initiatives to guarantee precision of medical claims.

• Conducted rigorous evaluations of provider charges, scrutinizing dates of service, procedures, level of care, and diagnoses for accuracy.

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