Billing Specialist Revenue Cycle

Kelly Ries, Senior Billing and Claims Coordinator

**** ********** **. 513-***-****

Cincinnati, OH 45227 *****.******@*****.***

Summary

Dedicated senior billing and claims coordinator with over 15 years experience in billing and coding within the healthcare sector. mission come on them that I need to come in and sweep them off their feet. everything to them that i need in billing and coding within the health healthcare sector. Proficient and processing high dollar claims and troubleshooting complex issues in clearinghouse and epic systems achieve constants productivity over quotas while training team members and improving operational procedures eager to leverage extensive-experience and compliance and reporting to enhance efficiency and accuracy at the next level

SKILLS:

COMPUTER: OTHER:

* Senior Mentor and Revenue Cycle Trainer (S.M.A.R.T.)

* CRCR Certified

* EPIC

* SSI

* Greenway

* STAR

* Microsoft products

* Pivot tables

* KPIs

* Excellent Customer Service

* Excellent Communication Skills

* Empathetic

* Dependable

* Resourceful

* Ability to Multitask

* HIPPA Compliant

* Detail-Oriented

* Phlebotomy

EXPERIENCE

Front Desk Administrator

Cincy Arthritis Cincinnati, OH

2025 to Present

Answer Multiple phone lines

Assist in schedule of patients

Aiding patients with Coordination of Benefits Issues

Helped resolve past due balances as well as setting up payment arrangements

Collection of copays deductibles and co-insurances

Scanned and faxed research and medical information

Roomed patients

Reconciled Daily Cash balances as well as posted payments

Claims Coordinator CRCR.

Essilor Luxottica, Cincinnati,OH. 2024 to 2025

Process Vision Therapy. Claims and payments for all carriers Government and Non government

Consistently exceeds productivity quota, even while performing other duties

Troubleshoot clearinghouse and EPIC issues

Assist management with reporting on Vision Therapy

Re-educate team members as needed on proper procedures, protocol, and processing to help increase overall team productivity

Helps with creating corrective system tickets as needed

Senior Billing Specialist CRCR, S.M.A.R.T 2015 to 2024

Ensemble Health Partners, Cincinnati, OH

Process high-dollar managed-care hospital, commercial, and government claims

Consistently exceeds productivity quota, even while performing other duties

Troubleshoot clearinghouse and EPIC issues

Primary trainer of new hires

Assist management with meetings and reporting

Re-educate team members as needed on proper procedures, protocol, and processing to help increase overall team productivity

Helps with SOPs, writing tip sheets, and corrective system tickets as needed

Break for children/family

Surgical Billing Tech 1997 to 1998

Cranley Surgical Associates, Cincinnati, Ohio

Scheduled surgical procedures within Good Samaritan Hospital System for seven vascular surgeons

Work with insurance companies and patients prior auth to ensure all approvals were properly obtained prior to surgery and patients had medication and proper preparation prior to their procedure

Administrative Assistant and Receptionist 1994 to 1995

Children’s Hospital, Cincinnati, Ohio

Checked in patients

Assisted techs with patients as needed

Daily dictation of patient records

Helped create new billing form

Computer and Other Specialized Skills:

MS Office products (Word, Excel, PowerPoint, Outlook), as well as many popular accounting-related programs, including Peachtree and Quickbooks (Including Quickbooks Online). ADP Payroll software literate. Basic network administration skills in a windows environment. Trained as a meeting facilitator. Special courses in Human Resources Management.

Education:

Certificate, Medical terminology and coding, Cincinnati State, Cincinnati, Ohio

Studied Accounting and Psychology, Raymond Walters College, Cincinnati, Ohio

Diploma, Norwood High School, Norwood, Ohio

Certifications/Memberships:

Certified Revenue Cycle Representative

American Legion Women’s Auxiliary Executive Committee, S.W.A.G. Committee, Fun Committee Administrator

Essilor Luxottica Foundation Committee

Assist in Sale for Sight

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