Medical Billing Specialist

KIMBERLYN ANDERSON

***** *** ** ****

PALMDALE, CA 93550

424-***-**** ac2agy@r.postjobfree.com

SUMMARY OF ACCOMPLISHMENTS

-Analytical ability, with extensive experience in conception and execution of the Billing process - Proven ability to work independently, handle simultaneous projects, and meet deadlines.

-Effectively motivate others on all levels in the achievement of individual and organizational goals.

-Set up job descriptions and standards of performance for all positions in Billing and Front offices.

-Motivated, efficient, dependable, accurate, and detail-oriented.

EXPERIENCES

MEDICAL BILLER/COLLECTOR - (09/2016 - PRESENT)

Advanced Imaging Center in Lancaster, CA 661-***-****

Reviewed, Analyzed and Audited Accounts Receivable reports for Outstanding Claim Payments, Researched Claims Status via Internet websites and Talking to Insurance carriers, Filed Appeals via Written Request as well as web claim responses as well, Billed and Rebilled claims via Office Ally, Posted payments via paper and electronic eob. In addition, Processed Insurance and Patient refunds based on account audits took Patient calls regarding their account Balance and addressed those who walked into Business Office as well.

BILLING SUPERVISOR - (02/04/14 THRU 07/31/16)

Premier Pediatrics Group in BEVERLY HILLS, CA 310-***-****

My Primary duties include, but were not limited to Completing weekly billing batches via Electronic Health Record, Worked closely with insurance providers (Private insurance, PPO'S, and Cash clients) to properly obtain reimbursement in a timely manner. Analyzed and rectify claim denials. Performed Various administrative duties including managing the receipt, tracking and auditing of insurance reimbursement checks. Notify customers with delinquent accounts & attempt to secure payment on a weekly basis and at Upcoming appointments in office. Project Manager on appeals and inquiries and corrected unpaid claims for re-submission on a daily basis when necessary. Overseen daily eligibility verification and personal account Balances as well as supporting staff to complete execution of collection process. Interpreted Explanation of Benefit statements (EOBs), analyzed and resolved claim denials, and out-of-network insurance denials.

BILLING MANAGER - (03/2010 thru 01/2014)

Dr. Victoria Cohn, MD of Urology Specialist in LAS VEGAS, NV 702-***-****

Performed daily Deposits, posted payments read EOB'S to Determine correct payments been received per Contract

Responded to all correspondence in Billing, reviewing and validating all codes, review of denials and underpayments,

Resubmission of Claims to complete the process to insure clean claims and maximum reimbursement. Worked Insurance & Patient aging’s provided account analysis, reconciled and audited patient’s accounts to determine all Insurance payments had been received per contract, secondaries are forwarded and patients are being billed in a Timely and accurate manner. Reviewed unapplied cash reports for application, allocated payments. Reconciled Deposits to bank statements did proof of cash investigations and dispute any discrepancies. Provided cash flow

LEAD MEDICAL BILLER - (06/2005 thru 02/2010)

Quest Billing Co for Apex Medical Group in LAS VEGAS, NV 702-***-****

Performed all facets of Billing for Multi-Specialty Group including posting office, procedure, hospital visits, and Laboratory Charges. Performed CPT & ICD9 coding of all patient and laboratory reports dictated daily by Physicians for charge entry. Converted charge entry summaries to Excel reports on weekly basis directly to practice location. Performed a variety of accounts receivable review and entries/adjustments needing posting to system. Responsibilities included researching checks for overpayment validity, processing balance billing, handling patients' disputes; processed cash receipts reports from daily summaries received by practice locations. I was responsible for the Supervision of 7 billing clerks also assigned this company's largest client Group. Ran month end financial statements, Developed and implemented billing/collection procedures, including revising the computer billing software to better meet needs of entire medical office staff. By way of changing from Collaborate to Intergy software's.

CERTIFICATIONS

- CPC Certificate in ICD-10 Terminology (2015)

-Certified Medical Biller via PSC Academy (1997 - 1998)

-Microsoft Word and Excel certification via PSC Academy (1997 - 1998)

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