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Medical Billing Accounts Receivable

Location:
Evansville, IN
Posted:
August 23, 2023

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Resume:

Kimberly Czech

Evansville, IN

812-***-****

ady53e@r.postjobfree.com

Medical Insurance Billing/Accounts Receivable, Sr. Level

Skills –

Advanced computer skills, over 80 WPS, reliable and professional, advanced knowledge in medical billing (A/R), CPT and ICD-Coding, Collaborator and works well alone, works well under pressure. I was the top employee on several occasions that collected the highest A/R for the month. I also have outstanding follow-up techniques to make sure the insurance companies pay on time and pay properly.

Summary

Talented Biller with over 19 years’ experience in the medical billing, accounts receivable, and insurance appeals with experience in several different specialties such as Retina Specialist, Private Practice, Orthopedics, lab and hospital billing, mental health, OB/GYN and Anesthesia billing including all aspects of billing front start to finish. Excellent work ethic and strength while working A/R aging with follow-up until claim has been resolved. Extensive knowledge of CPT and ICD-10 coding. I am advanced with all Microsoft programs and multiple medical billing/EMR software such as Nextgen, Imagine, Kareo, Allscripts, eClinical EMR, Medisoft to name just a few.

Work History:

CVS Pharmacy, Retail, Evansville, IN

Customer Service

2022- 2022

●Works varied hours to meet seasonal and business needs

●Liaison with customers to assist any concerns

●Front Cashier/Stock/Re-Shops/Damaged out items

Fairfield Inn & Suites, Hotel, Evansville, IN

Houseman, Laundry, Housekeeping, Customer Service

2021-2021

●Worked in various parts of the hotel including Houseman, Laundry, including housekeeping

●Completed laundry services and sanitation procedures

●Responded to requests from patrons

2017 - 2021 : I was on temporary disability because I had several major surgeries that hindered me from working; however I continue to keep up on the many changes with CPT, ICD-10 coding online to keep myself updated.

Pollux Systems, Evansville, IN

Medical Billing Representative

2017-2017

●Data Entry/Insurance Verification

●Followed up on aging report of unpaid claims (30, 60, 80, 120+)

●Checked claim status on multiple websites including with Availity if possible and various other sites including Medicare and Medicaid

●Filed 1st, 2nd, and even 3rd level appeals to insurance companies if not paid correctly

●Answered large volume of calls from patients and insurance companies

●Posted PPO, HMO, EPO, commercial and government payments

MBC Systems, Santa Ana, CA

Workmans Comp & Litigation Representative

2016-2017

Collaborated closely with lawyers and insurance companies to get the case closed

●Posted payments and processed refunds

●Appealed denied cases including orthopedics, neurosurgical, and the pain management from accidents

●Kept up on A/R reports and repeatedly checked case status

●Prepared demand letters for attorney offices

●Full cycle medical billing

Ranstad Temporary Staffing for United HC, Costa Mesa, CA

Product Builder

2014-2015

●Utilized insurance company software (PF Tracker & Facets) to build up several different UHC insurance plans, new insurance plans entered the system with Peer Auditing to make sure the product is 100% correct.

●Used advanced Excel Spreadsheet software to get information off to enter, plus needed to enter formulas to get calculations to balance

Pacific Billing Solutions, Aliso Viejo, CA

Medical Front Office/Medical Billing/Accounts Receivable, authorization requests (off-site office)

2011-2013 (Company closed)

●Did all aspects of running an office from an off-site location

●All appointments, authorization request, making appointments and answering calls from patients

●Beginning to end medical insurance billing, accounts receivable, posted insurance payments, and appeals

●Sent out all claims electronically and paper

Inland Valley Retina, Sun City, CA

Medical Billing, A/R, Front Office Cover, Authorizations

2008-2009

●All Aspects of Medical Billing and A/R

●Covered for front office (Main Office)

●Traveled to 2 locations to work surgery scheduling and authorization requests

●Data Entry and insurance verification

●When I left this job, the Dr’s wife wrote me a letter of recommendation

Education:

Western Wyoming Community College, Rock Springs, WY

Graduated: 2005, Associate of Arts in Business Administration

3.8 GPA

Dean's Honor Roll



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