Resume

Sign in

Medical Billing Data Analyst

Location:
Arvada, CO
Posted:
March 24, 2021

Contact this candidate

Resume:

K A N I N A M K E L L Y

1-720-***-****

adk5tn@r.postjobfree.com

**** **** **,

Arvada, CO 80003

PROFESSIONAL SUMMARY

Hardworking and reliable individual that is focused on going above and beyond to support team and serve customers. Trained in medical and accounting and offering top-notch leadership abilities. Motivated to continue to learn and grow as a wonderful professional. SKILLS

Accounting Credentialing

Management Billing

Superior Customer Service Excellent Communication Skills Verbal and Written

Knowledge of multiple platforms:

Caretracker, AS400, Optum, CMS, PECOS,

NPPES, Navicure, DocuTap, Evips, and

Centricity.

EXPERIENCE

Credentialing Coordinator, RT Welter, Jun 2019 - Current, Arvada, CO https://rtwelter.com/kanina-kelly Profile

Medicare & Medicaid enrollment and revalidation

Coordinate application/reapplication process, responding to requests for initial application and verify privileging eligibility

Request written verification of applicant's education, experience, professional references, current and past licenses and insurance and professional liability claims history directly with the source for all applications

Update Provider Enrollment, Chain and Ownership System (PECOS) and National Plan & Provider Enumeration System (NPPES) when appropriate.

Excellent verbal and written communication skills

Update Provider Enrollment, Chain and Ownership System (PECOS) and National Plan & Provider Enumeration System (NPPES) when appropriate.

Maintain and update Medicare 855B enrollment for CMA group locations and providers Maintain the confidentiality of all verbal and written communications and all collected data, as appropriate Serve as an educational resource to providers and staff concerning credentialing activities

Medical Billing Analyst, Aegis Business Services, LLC, Apr 2013 - Jun 2018, Englewood, CO Solid understanding of medical billing

Utilized knowledge of EOB's CPT's, ICD10 Coding

Collections, appeals, denials

Reject Re-entry

Work Comp Billing

Front Office -Patient Coordinator Urgent Care multiple locations Physician Scheduling *Call center for multiple locations* Quickly processed incoming payments and posted to the correct account. KK

Discussed inquiries with customers to address questions about rates and procedures. Followed-up on claims submitted to insurance companies to mediate disputes and obtain reimbursement for services rendered during patient's treatment. Answered questions from patients regarding billing charges by explaining services and clinical duties performed.

Payment Processing Specialist, Diversified Radiology of Colorado, Jun 2009 - Nov 2012, Lakewood, CO

Commercial payment posting for multiple insurance carriers to patient's accounts. Posting of Government payables

Patient Accounts Receivable and Payables

Data Analyst, Kaiser, Jul 2007 - Nov 2007, Aurora, CO Created, revised and suspended Kaiser codes

EDUCATION



Contact this candidate