Billing Specialist Management

KIMBERLY K. FREEMAN, CPAR

*** ***** ***** **. *******, Ga 30094

678-***-**** *******.************@*****.***

Career Summary:

Currently enrolled in an Associate’s Degree Program, with an emphasis on Healthcare Business Management. I am a high potential Billing Specialist, dedicated to increasing revenue, and resolving aged accounts and outstanding AR. I’m a thorough individual and nothing short of a team player.

Experience:

Government Follow-Up Denials Specialist

• Follow-Up on all outstanding Government, Traditional Medicaid, CMO, primary and Secondary claims, and Case Management Denials

• Bill and re-bill claims through All Scripts and Epremis

• Resolve all medical claims in the work queue and /or assigned spreadsheet, via follow- up, write-off/adjustment

• Resolve all assigned duties in a timely manner

Managed Care Specialist

• Follow-up on all outstanding Managed Care, Commercial and Government claims

• Bill and re-bill claims through All Scripts and Epremis, work all denials

• Resolve all medical claims in the work queue via follow-up, write off/adjustment

• Resolve all assigned duties in a timely manner

Revenue Cycle Coordinator

• Resolve outstanding AR thru follow-up and resubmittal of claims

• Resolve any EPIC work queue assigned, via follow up, write off or patient due

• Resolve dedicated Specialty groups claims such as Urology Oncology, Ortho, OBGYN, Pediatric, Cardiology, and Hospitalist

• Complete assigned spreadsheets in a timely manner while thoroughly resolving accounts

• Resolve all issues for Specialty Groups throughout the organization Toxicology Billing Analyst

• Resolve claims electronically through Emdeon and manually through Comtron

• Credentialing

• Post ERA’s electronically from Emdeon into billing system Comtron/Labgen

• Bill Medicaid and Medicare claims electronically, with follow up until resolved

• Manually resolve Wellcare claims through their website.

• Resolve all denial, edit, and rejection queues, ensure timely submission for adequate payment

• Insurance follow-up

Regional AR Manager

• Manage 9 AR reps including productivity, attendance and growth

• Completed daily reports on aged AR increasing revenue by 75%

• Follow up on outstanding insurance claims

• Resolve accounts by posting payments, w/o, adjustments, or making patient due

• Complete all denials, edits and rejections through Gateway and Emdeon

• Credentialing

Denial Management Specialist

• Resolve denied insurance claims routed through Denial Processing System

• Insurance Follow-up

• Resolve outstanding claims, reconsiderations, 1st, 2nd and final level appeals

• Settle accounts by determining balances, reason (s) for denial, and contracted reimbursement rates out of STAR financials system

Extended Business Office Supervisor

• Supervise 40 employees including performance, goals and monthly QA,

• Organize monthly meetings, to address any client or employee issues

• Insurance Follow up

• Resolved patient and client disputes.

• Prepare statistical reports on 7 hospitals while resolving AR Patient Account Lead

• Follow up on delinquent accounts

• Third party collections

• Insurance follow-up and resolution

• Manage monthly payment arrangements on outstanding accounts

• Resolve patient accounts preventing charge off or legal action Employment:

2017-Present Government Follow-Up Specialist Dekalb Medical Hospital 2014-2017 Managed Care/Denial Specialist Dekalb Medical Hospital 2014-2014 Revenue Cycle Specialist Piedmont Physicians Group 2013- 2014 Billing Specialist Castle Medical, LLC

2013-2013 Regional AR Manager Apollo MD

2009-2013 Denial Management Specialist Northside Hospital 2005-2009 EBO Supervisor HSI Financial

2000-2005 Patient Account Lead Hollis Cobb and Associates Knowledgeable Billing Systems

Artiva STAR Financials Emdeon/Gateway Comtron/Labgen Centricity/IDX Verinet Epic HBOC Allscripts Epremis PMMC Sovera PFS/HIM Relay Health

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