AR Billing Payments Medical
Resume:
KANINA KELLY
Forney, TX *****
adwiia@r.postjobfree.com
PROFESSIONAL SUMMARY
I am a hardworking reliable individual that is focused on going above and beyond. I support my team and leadership, always striving to exceed expectations. I am trained in medical and accounting and offering top-notch leadership abilities with motivation to continue to learn and grow as an outstanding professional and leader. SKILLS
● Accounting AR/AP 10-key
● Stellar Customer Service
● Excellent Communication Skills Verbal and Written
● Professional, friendly demeanor.
● Flexible, adaptable, creative.
● Ability to prioritize.
● Knowledge of multiple platforms: AMICAS Care Tracker, AS400, Optum, CMS, PECOS, NPPE, Navicure, DocuTap, eVips Excel, Word, Google, Microsoft CAREER HIGHLIGHTS
Multiple Customer Service Awards
Built and implemented new collections department. EXPERIENCE
USPS United States Postal Service Oct 2021 - Current, Terrell, TX Sorting and delivery of parcels, priority, and express mail. Credentialing Coordinator, RT Welter, Jun 2018 – Oct 2021, Arvada, CO https://rtwelter.com/kanina-kelly Profile
Physician and Group Onboarding
Coordinate with physicians, group administrators, and leadership to credential and revalidate providers and group government enrollments.
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. Obtain primary source of information through utilization of verification software/databases as well as approved verification sites via the internet.
Update Provider Enrollment, Chain, and Ownership System (PECOS) and National Plan & Provider Enumeration System (NPPES) when appropriate.
Diligently track process of credentialing applications and requested information. Manage multiple projects simultaneously and under tight deadlines. Train medical groups and upper management various aspects of government payor credentialing via in person or remotely.
Medical Billing Analyst, Aegis Business Services, LLC, Apr 2013 - Jun 2018, Englewood, CO Medical Billing
Utilized knowledge of EOB's CPTs, ICD10 Coding
Collections, appeals, denials.
Claims HCFA’s
Reject Re-entry Claim corrections and resubmit.
Review AR Reports track to track issues & resolutions. Work Comp Billing
Accounts Receivables
Accounts Payable
Independent problem solving
3rd Party Billing
Front Office -Patient Coordinator Rocky Mountain Urgent Care Physician Scheduling *Call center for numerous locations* Training
Insurance Verification, Deductibles, Co-Pays, Pt. On-boarding Payment Processing Specialist, Diversified Radiology of Colorado, Jun 2009 - Nov 2012, Lakewood Post payments, both insurance and patient.
Identify and follow-up on payment inconsistencies, i.e., low pay, no pay, etc. Commercial payment posting for multiple insurance carriers to patients' accounts. Posting of Government payables Collaborated with multiple departments for any unresolved issues. Data Analyst, Kaiser, Jul 2007 - Nov 2007, Aurora, CO Created, revised, and suspended Kaiser codes.
Payment Processing Specialist, Radiology Imaging Associates, Jun 2006 – July 2007 Englewood, CO Post payments, both insurance and patient.
Identify and follow-up on payment inconsistencies, i.e., low pay, no pay, etc. Commercial payment posting for multiple insurance carriers to patients' accounts. Posting of Government payables Collaborated with multiple departments for any unresolved issues. Aurora Loan Services/ Lehman Brothers Jul 2003 – July 2006, Lone Tree, CO Reviewed, reconciled and remitted investor portfolios. Ensured all investors funds were routed to and from correct GL bank accounts. Logged and analyzed monthly variances.
Xelco Collection Agency, Administrative Assistance July 2000 – July 2003, Aurora, CO Accounts Receivables
Accounts Payables
Bank Deposits
New Account data entry
Multi Phone
Proof Operator, 5th 3rd Bank, 2000 Louisville, KY
Check Processing
GL Balancing
AIC Cash & Securities/ Resources Trust Company.
Data entry
Proof Operator, data entry posting dividend, interest and qualified plans. Mail distribution
Posting of wires, transfers and rollovers
Certification of book shares
Bank Deposits
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