Kimberly Goguen

Haverhill, Ma ***** (Cell) 781-***-****

adwwyr@r.postjobfree.com

Knowledge of Word, Excel, Google, Epic, Athena, EMR. Energetic, enthusiastic employee with

a clear understanding of the value in time management, communication, ability to work independently or as part of a team, motivated by new learning opportunities and challenges.

Extremely adaptable, quick learner and professional.

Robert Half/Murphy and Rilcy P.C Nov 2022 to Jan 2023

Billing Specialist

Upload billing invoices, review for accuracy prior to submission, post payments, create deposits, follow up on aged accounts.

BILH/Beverly Hospital Aug 2021 to Nov 2022

Patient Access/Emergency Dept

Greeting patients and their families, registration, insurance verification, copay collection,

exceptional customer service, coordinate/facilitate daily administrative departmental activity.

March 2020 to Aug 2021

Layed off from previous employent (Esex County ObGyn Assoc) due to Covid-19. During this time, I continued my job search while working on the start up of my own business of home staging and organizing.

Essex County Ob/Gyn Assoc-Danvers, MA Nov 2019 to March 2020

Medical Billing Specialist

Prepare, review, and transmit claims including electronic and paper claim processing via Epic.

Check each insurance payment for accuracy and compliance with contract discount.

Confirm and billing secondary and tertiary insurance.

Review account for insurance and patient follow up.

Answer all patient and insurance inquiries pertaining to assigned account.

Work insurance denials, resubmit claims (as needed).

Verify insurance eligibility, claim status, referral management.

Winchester Hospital-Woburn, Ma March 2019 to Oct 2019

Patient Access HB/PB Billing Specialist

Resolve insurance unpaid or rejected claims and resubmit claims when necessary.

Obtained authorizations and referrals for claims denied.

Verifying and correcting billing information to assure proper processing and payment.

Compiled information to prepare and file appeals with insurance companies when not in agreement with their decision and file the appeal in a timely manner.

Microsurgical Eye Consultants, PC- Peabody, Ma Aug 2007 to Feb 2019

Medical Billing Specialist

Verified patient’s insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies to accurately insure payment.

Prepare and submit claims to insurance carriers.

Experienced in ICD10 and CPT coding, posting payments, processing denials, resubmitting claims, balancing daily deposits, researching unpaid claims, obtaining authorizations and referrals.

Identify secondary and tertiary claims with primary insurance EOBs.

Manage daily electronic billing, analyze daily discrepancies, and correct all errors prior to submitting. Identify trends impacting charges, coding, collection, and accounts receivables.

Processed accounts receivable reports, coordinate month end close, review credit balances,

process refunds, interact with patients resolving billing questions or concerns.

North Shore Physicians Group-Lynn Ma Feb 2000 to Aug 2007

Medical Administrative Assistant:

Maintain data base of all new patient referrals, prior authorizations, scheduling, follow up appointments, medical records, and other pertinent information.

Assist manager, clinical and surgical coordinator.

Created purchase orders of office inventory.

Obtain and verify patient and insurance information.

Reconciled accounts receivable ledger to verify payments and resolve variances.

Recorded cash and check deposits and generated cash receipts and accounts receivable

Act as receptionist for incoming patients, answering questions or concerns in an efficient and courteous manner.

Direct calls, take messages.

Assisting in projects when needed.

Maintain and reconcile office petty cash.

Maintain and update records of employee sick leave bank, attendance records, and prepare annual statement of benefits.

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