Data Entry Green River

Kimberly Rivera

**** ***** ***** *******, ** ****8 206-***-**** *******@*****.***

Summary

As a dedicated, knowledgeable professional with experience in organization leadership, communication, and problem-solving, I seek to bring my abilities to add value to your company. I am a self-motivated individual with a proven track record of success driving the highest standards of efficiency and productivity.

Key Skills

Communicating clearly and effectively with clients, colleagues, and other professionals.

Multitasking and prioritizing time-sensitive responsibilities with attention to detail.

Applying problem-solving skills to identify and resolve arising issues efficiently.

Collaborating with colleagues to align and achieve organizational objectives.

Ensuring compliance with all relevant policies, procedures, standards, and regulations.

Professional Experience

SOUND MANAGEMENT AND BILLING SERVICE INC — Seattle, WA

Owner/Manager, 1994 – Present

Oversee charge and payment processing by vendors, ensuring timely completion, as well as reviewing charges and payments received to maintain submission timeframes.

Collaborate with AR Supervisors, communicating with clients if charge and payment submissions are below normal.

Monitor file transfers, charge preparation, and coding according to policies.

Provide coverage between vendors, scanning and charging preparation/coding departments, ensuring processes completed efficiently during staff leave.

Manage CPT and ICD9 coding reviews, supporting staff in submitting appeals for carrier reimbursement, and verifying correct coding practices.

Research procedures and services, gathering reimbursement information, coding guidelines, medical necessity information, provider certification, and equipment/supply compliance.

Implement protocols for vendors and AR team regarding new and revised coding guidelines as well as internal charge and coding procedures.

Educated clients regarding coding updates related to their specialty, and provided reference materials according to requirements.

Perform review and completion of charge logs for clients 2, 8, 32, 38, and 40, including medical record and coding review, and hospital or HER system research.

Ensure completion for requests for information, including updated charge, claim approval, and release to bill.

Act as HIPAA Director of Internal Controls and Compliance according to policies and procedures.

Review subpoenas and attorney medical records, itemizing billing requests for all clients to ensure requirements were met before releasing patient information.

Investigate HIPAA complaints, researching transpired events, handling notification procedures, and recommending operational changes, as well as overseeing compliance monitoring.

Deliver training for all staff members when new or revised guidelines have been issued, monitoring compliance.

Assist vendors and charge preparation/coding department with coding.

Technical Proficiencies

Multiple Phone System

Data Entry

Microsoft Office, including Excel

Internet and Intranet

Fax Machine and Copier Use

10-Key

Data Entry

Postal Machine

Certification

Certifications?, Year(s)?

Education

A.S. DEGREE IN ACCOUNTING

Green River Community College, Location?, 1985

GED

Name of Institution?, Location?, 1979

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