KK KEARNEY KOLEDUK

CELL: 727-***-****

ady2w8@r.postjobfree.com

OBJECTIVE

Proficient Billing Specialist, lead role, well-versed in healthcare standards, practices and compliance. Bringing over 17 years of related experience. Top-notch customer relations and problem-solving skills. Prepared to pursue new opportunities with long-term potential and advancement.

SKILLS

Managerial/Supervisory duties

Medical coding capability

Patient-oriented

Processing payments and adjustments

Systems: Nextgen, Medman,Waystar,

Vision, Advantx, Navigator, LaClaro

and SMAnalytics proficient

Medical billing and collections

Problem resolution ability

Healthcare billing proficiency

HIPAA complaint

ASC/Professional Expert

All Microsoft product knowledge

Attention to detail

EXPERIENCE

REVENUE CYCLE SPECIALIST •NSN REVENUE RESOURCES • MAR/2022 - PRESENT

Handle billing and collections for 3 large ASC centers

Call on patient balances and prep for collections when applicable

Review insurance refunds, adjustments and reduction request for approval

Bill and correct claims daily

Review OP notes for coding accuracy and make changes when needed

Liaison between business office and ASC

Knowledge of Third-party contracts

Work denials and appeals

Knowledge of LCD, CCI and MUE edits

Proficient with deadlines

Interpret eobs

Work CPT audit reviews

Correct rejections

Provide excellent communication

BUSINESS OFFICE SUPERVISOR •ST LUKES CATARACT & LASER • JAN/2019 - MAR/2022

Oversee all aspects of the billing, collections and credentialing team for all locations (both linics and ASCs)

Review and approve all insurance refunds, adjustments and comangement payments

Post and bill all plastic surgery charges

Transmit and upload all claims daily

Work all rejections and denials within the EDI system

Liaison between business office, clinic and ASC techs to confirm accurate billing practices

Maintain records for all insurance contracts

Created BPP electronic batches for IT department

Write up employee annual reviews and rate increases

Hire and train new and existing employees when needed BILLING DIRECTOR • ROSE RADIOLOGY • MAY/2007 – OCT/2018

Served on leadership teams (Compliance Committee and Board of Directors)

Managed all aspects of billing, collections and authorizations for 11 Radiology centers

Maintained patient privacy and confidential information as the Medical Records Custodian

Revised policies/procedures in accordance with local, state and federal laws and regulations

Specialized in PIP claims processing, demands and affidavits

Attended depositions and hearings regarding patient accounts

Verified proper coding (CPT and ICD10) for charges FRONT OFFICE COORDINATOR • PHYSIOTHERAPY ASSOCIATES • NOV/2006 – APR/2007

Schedule appointments, post charges and payments, run opening and closing reports

Verify insurance eligibility

Handle claims from primary and secondary payers

Assist physical therapist with ultrasound and hot/cold pack treatment SENIOR RETIREMENT ASSOCIATE • FRANKLIN TEMPLETON • AUG/2000 – JUNE/2005

Handled processing and authorizing of mutual fund accounts

Researched death and divorce transactions

Created correspondence according to IRS standards

Department lead for accuracy and anti-money laundering team BRANCH AUTOMATION COORDINATOR • AAA AUTO CLUB SOUTH • FEB/1995 – AUG/2000

Planned sales seminars for large companies

Dealt directly with the Help Desk regarding computer issues

Trained new employees

Handled irate members and hotel reservation issues on a daily basis EDUCATION

CPC • 2006 • CAREER INST OF FL Certified Professional Coder thru AAPC ACTIVITIES AND HONORS

President - local chapter, American Academy of Professional Coders (AAPC) for 2 years Served on the Compliance Committee and Board of Directors for Rose Radiology Team Manager for Sunlake High School Boys Varsity Soccer Team Customer Sevice Sales Excellence Award for AAA Auto Club South

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