Kimberly D. Louderback

***** ****** **** **.

Louisville, KY 40223

502-***-****

adxx1e@r.postjobfree.com

EMPLOYMENT HISTORY:

Research Finance Analyst UofL Health – ULHRO, Louisville, KY

Sept 2021 – Present

Provide research pricing to clinical researchers

Prepare coverage analysis documents as requested

Log Finance, Billing, Invoicing and Pricing in RedCap Cloud for clinical studies

Review final clinical research budgets to ensure accurate coverage analysis, pricing and

UofL Health cost coverage

Review and track UofL Health research invoices and payments

Develop billing profile for administrative fees and pharmacy fees as required by clinical

research studies and establish payment process

Create/Maintain log for CMG subject reimbursement and sponsor billing

Submit check request in Premier

Research Billing Coordinator UofL Health – ULHRO, Louisville, KY

December 2020 – September 2021

Work with researchers and patient accounting/revenue cycle to ensure research subject encounters are identified

Ensured appropriate condition code, modifier, & NCT# is provided for claims submitted to insurance carriers

Remove research-related charges from claims and add to queue to bill researchers

Bill research subject charges and pharmacy and administrative fees monthly

Work with revenue cycle team and clinical researchers to resolve inquiries regarding services provided to research subjects

Added data to Epic system and maintained spreadsheets for charges

Communicated with outside billing vendors to identify research charges

Billing Office Supervisor UofL – Pulmonary Care, Louisville, KY

January 2017 – December 2020

Monitored AR and collaborated with the Central Business Office on denials

Reduced AR days from 105 to 38

Entered charges into Patient Keeper

Worked directly with providers and monitored work RVU

Revenue Cycle Manager OPTUM 360 / Medsynergies, Louisville, KY

October 2014 – December 2017

Involved with implementation for leveraging business with offshore team - 2015

Oversee Occupational Medicine, Work Comp / MVA, HIPS/Palliative Care, Gastro, OBGYN, Surgical and other specialties

Assisted with Credit Balance Redux project Q1-2017

Identified loss of revenue for OBGYN/Passport accounts - 2015/2016

Analyze outstanding AR to determine root cause for denial

Managed reports for workforce

Review write-off requests for legitimacy

Knowledge of Lean Fundamentals and process mapping

Breakdown AR reports to determine staff productivity

Direct team on special projects and ensure deadlines are met

Perform weekly team huddles and monthly one on ones

Responsible for annual performance development plans and goal setting

Mentor staff for career advancement

Administrator for Kentucky Medicaid, UHC, Availity user access

Responsible for Internal Control reporting -Quality Audits, Claim Adjustments, RCM Aging

Knowledge of Microsoft Word, Excel (pivot tables, VLOOKUP, formulas), PowerPoint, Visio

Databases used – Cerner, ChartMaxx, Sovera, Meditech, Citrix, AllScripts, IDX, Gensys, NICE, NWM, ExponentHR, Availity, Navinet

Customer Service Supervisor, Senior Kentucky One Health, Louisville, KY

December 2012 – June 2014

Launched audit tool based on patient account activity

Executed dashboard reporting

Generated stats reporting based on number of calls answered, abandoned, revenue collected

On boarded new employees

Implemented one on one meetings

Completed annual performance reviews

Handled escalated recovery service calls

Completed adjustments to accounts as needed

Researched missing payment requests

Designed tracking tool for coding review to identify trending and coaching needs

Mentored team to identify trends in calls and escalate them to management

Set up document for customer complaints and grievances to determine root cause

Worked with ProComm and Genesys Systems

Worked Occupational Medicine accounts and spoke direct with vendors

Financial Advocate Kentucky One Health, Louisville, KY

June 2012-December 2012

Verified patient insurance coverage prior to visit to negate billing denials

Collected self-pay balances at time of service

Called on account balances and arranged payment schedules for private pay accounts

Discussed charity options with private pay patients

Created a template for patient letters on delinquent accounts

Accounting Assistant Jewish CBO, Louisville, KY

July 2010 to June 2012

Updated outstanding A/R spreadsheet for Assistant Director

Compiled Daily Cash Total and email to management team

Assisted Credentialing – Medicaid / ADOs

Provided back-up assistance completing insurance verifications for Anesthesia accounts

Assisted Credentialing – Medicaid / ADOs

Track Follow Up Departments Analyzer reports based on date of completion

Assess Coding Departments charge tracking tool to ensure timely keying of medical procedures for billing based on date of completion

Sent request to MDO for medical records for coding review and coordinated site audit review

Process pre-existing letters from insurance plans / pull medical records and proof of insurance coverage using Availity and commercial websites.

Pulled/Mailed medical records for workman’s comp and auto accident claims

Distribute mail correspondence to billing representatives

Process contract vendor invoices for reimbursement

CBO Event Coordinator

Databases used: Meditech, Sovera, IDX, MD Valet, Impromptu, CAQH

Program Supervisor - March 2007 to Dec 2009 RX Crossroads, Louisville, KY

Team Lead, Subject Matter Expert -March 2006 to March 2007 Reimbursement Case Manager - March 2003 to March 2006

Ensured KPI’s were reached

Analyzed data reports to track open/dormant accounts

Ensured continuous production from intake to insurance verification

Oversaw specialty pharmacy vendor contacts and home health nursing

Responsible for continuous education of office staff

Reviewed open accounts and monitored the progress and request updates from case management staff

Created weekly aging reports to identify outstanding referrals

Monitored inbound and outbound calls for quality assurance

Set up contracts with nurses in North America to complete specialty injection training

Coordinated nurse educational training

Completed monthly reimbursement invoice for contracted nurses and agencies

Maintain time sheets using ADP system

Screened patients for medication assistance programs /Medication shipments

Worked daily with medical offices, sales representatives, patients, insurance companies and specialty pharmacies

OTHER EXPERIENCES

UPS – package sorter

Home Depot - cashier

BrightStar – caregiver

K-Mart – customer service desk

Lens Crafters – lab

Industrial Belting and Transmission – data entry clerk and reception

Tri- City Oldsmobile – service cashier

EDUCATION:

Sullivan University Louisville, KY

1991 - Associates Degree: Marketing Management/Airline and Travel

Christian County High School Hopkinsville, KY

1988 - Diploma -Marketing and Management

Kimberly D. Louderback

10312 Whipps Mill Rd.

Louisville, KY 40223

502-***-****

adxx1e@r.postjobfree.com

REFERENCES

Name: Kathleen Cashon

Title: Field Manager

Company Name: OptumRX

Phone: C 502-***-****

Previous Director

Name: Lucy Vincze

Title: Account Resolution

Company Name: Optum 360

Phone: C 502-***-****

Previous Peer – Revenue Cycle Manager

Name: Quantalia Washington

Title: Director Revenue Cycle

Company Name: UofL Health Central Business Office

Phone: C 502-***-****

Phone: W 502-***-****

Previous Peer – ULP CBO

Name: Maggie Zeller

Title: Accounts Receivable

Company Name: Bennett and Bloom Eye Center

Phone: C 502-***-****

Previous Peer – RX Crossroads, Medsynergies

Name: Rosie Johnson

Title: Accounts Receivable

Company Name: Interventional Radiology of KY

Phone: C 502-***-****

Previous Peer – Revenue Cycle Manger – Optum/Medsynergies

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