Medical Billing, Posting of Medical payments, Insurance verification

Kimberly Fletcher

Columbia, TN ***** • 931-***-**** • ************@*****.***

Professional Summary

Reliable Medical Biller with coding and medical terminology knowledge. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills. Skills

File and Records Management

Healthcare Terminology

Data Entry

Bill Payment

Billing Codes

Diagnostic Codes

CPT Code Modifiers

Medicare and Medicaid Processes

Workers' Compensation Knowledge

HIPAA Compliance

Medical Coding Knowledge

Insurance Claim Requirements

Work History

Medical Billing Specialist, 12/2017 to Current

Central Ohio Urology Group – Remote

Precisely evaluated and verified benefits and eligibility. Communicated with insurance providers to resolve denied claims and resubmitted. Evaluated patients' financial status and established appropriate payment plans. Responded to customer concerns and questions on daily basis. Strong Customer Service Skills

Processed billing calls and answered questions from patients and third-party carriers. Working Knowledge of CPT codes and ICD 10 codes

Knowledge of multiple EMR software and usage of each Responded to customer concerns and questions on daily basis. Precertification Specialist, 02/2016 to 12/2017

Central Ohio Urology Group – 701 Tech Center Drive Gahanna, Oh 43230 Devised and implemented strategies to streamline eligibility verification processes. Resolved discrepancies with client applications to verify eligibility. Contacted patients regarding procedures and diagnostic exams. Advised patients of financial responsibility of procedures. Scheduled and informed other departs of needs for procedures or Diagnostic Exam Administrative Clerk, 11/2013 to 02/2016

Central Ohio Urology Group – 701 Tech Center Drive, Gahanna, Oh 43230 Utilized productivity tools to complete tasks and improve performance. Created and updated records and files to maintain document compliance. Entered data into system and updated customer contacts with information to keep records current.

Sorted, opened, and routed mail and deliveries to meet business requirements. Created welcoming environment for customer by greeting and assisting, as well as quickly responding to customer inquiries and needs.

Customer Service Representative, 03/2005 to 06/2013 Proclaim AMS/ McKesson – 680 Cool Springs Blvd, Franklin, TN 57067 Assisted Customers with product information and qualifying patients for Medicare and Multiple Insurance Company Eligibility

Maintained documentation needed for Medical Necessity determination Trained other CSR's in product and system requirements and tested to assess accuracy of knowledge of such training.

Helped to develop, maintain and continue to use Wound Care ordering and assessment software for over 40 facilities.

Trained staff on use of multiple EMR software.

Education

Associate of Applied Science: Business Administration Columbia State Community College - Columbus, OH

High School Diploma: 06/1980

Watkins Memorial High School - Pataskala, OH

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