Kim L. Ambrose

**** ******** *****, #***

San Bernardino, CA 92404

Cell: 626-***-****

Objective: To use my extensive background in the medical field to continue my growth. To increase revenue from medical billing and to follow-up claims through collections for rapid reimbursement. Education:

Citrus College 1989

Business Management

Experience:

Legacy Staffing August 2023 to October 2023

Leasing Assistant

Conducted tours of the property, handled and resolved resident’s complaints, created work orders for maintenance, reception, followed-up on emails, and web requests. Ventra Health May 2020 to August 2023

A/R Specialist

Billing and collections of accounts, claims processing, and accounts receivables, which includes review for correct ICD-9 and CPT codes, and various government/insurance forms. Reviewed patient accounts with credit balances for refund to either the patient or the insurance company. Analyze EOB for proper payment of claims. All aspects of medical billing and collection. Familiar with all Medicare, Medicare PPOs, HMOs, Medi-Cal and Medi-Cal PPOs and HMOs, and all HMO and PPO products. Authorizations for PPOs, HMOs, and Medi- Cal ETARs. Providing great customer service in resolving issues by email and phone calls. Training of co- workers on various aspects of billing procedures. Appeals insurance denials for HMOs, PPOs, etc. California Medical Business Services, Arcadia, CA June 2007 to May 2020 A/R Specialist

Billing and collections of accounts, claims processing, and accounts receivables, which includes review for correct ICD-9 and CPT codes, and various government/insurance forms. Reviewed patient accounts with credit balances for refund to either the patient or the insurance company. Analyze EOB for proper payment of claims. All aspects of medical billing and collection. Familiar with all Medicare, Medicare PPOs, HMOs, Medi-Cal and Medi-Cal PPOs and HMOs, and all HMO and PPO products. Authorizations for PPOs, HMOs, and Medi- Cal ETARs. Providing great customer service in resolving issues by email and phone calls. Training of co- workers on various aspects of billing procedures. Appeals insurance denials for HMOs, PPOs, etc. Accurate Cate/Dr. Grgula, DC, Sedona, AZ March 2004 to May 2007 Medical Biller/Collector

Billing and collections of accounts, claims processing, payment posting, and accounts receivables, which includes review for correct ICD-9 and CPT codes, and various government/insurance forms. Reviewed patient accounts with credit balances for refund to either the patient or the insurance company. Analyze EOB for proper payment of claims. Payroll and accounts payable. Monthly health screenings to generate increase patients. All aspects of running the front office of a fast-paced, busy chiropractic office, including, but not limited to, patient flow, charts, collections, appointment book, phones, etc. RevCare Agency/Select Personnel Services/Med Square March 2002 to Dec 2003 Medical Collector

Reviewed physician claims for unreimbursed amounts, follow-up with insurance company and/or patients regarding payment of claims, analyze all explanation of benefits, ICD-9, CPT codes, insurance reimbursement fees, and all correspondence regarding correct processing of claims, and other duties as requested.

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Lewis & Kleen Enterprises, Murrieta & Temecula, CA March 2001 to Feb 2002 Optical Collector

Research and follow-up rapid reimbursement of all third party claims and patient self-pay accounts. To review and evaluation all insurance company reimbursements for correct fee schedule, and all appeals regarding correct ICD-9, CPT codes, authorizations, etc. Credentialing doctors with various insurance companies. Keep compliant with insurance regulations.

Quadramed, Escondido, CA June 2000 to March 2001

Medical Collector

Conduct research of third party medical claims and/or patient self-pay accounts for rapid and accurate reimbursement of claims. Duties included follow-up calls, notes and documentation on information obtained regarding account. Analyze all explanation of benefits for proper reimbursement, ICD-9, CPT codes, appeals for insurance claim denials which includes various government/private insurance forms.