AMANDA KETRON
GREENVILLE
Summary
I am seeking a rewarding position with a progressive company where I can use and further develop my professional skills while providing maximum benefit to my employer.
Overview
25
25
years of professional experience
Work History
Office manager/COLLECTIONS-BILLING SPECIALIST
family foot ankle specialist
08.2016 - Current
- Oversee all aspects of 2 locations with 3 providers, including human resource functions such as hiring, training, performance management, and discipline
- Schedule meetings, appointments, staff and physicians
- Ensure services are invoiced and paid in a timely manner
- Maintain current provider credentials
- Create monthly and yearly analysis and reporting
- Manage coding and billing for office and outpatient services, including DME and medical supplies.
- Post insurance and patient payments via ERA, EFT, and paper checks; ensured accurate account reconciliation.
- Correct, appeal, and follow up on denied and rejected claims through the clearinghouse.
- Monitor monthly reports, credit balances, and past-due accounts.
Collections-Billing Specialist
Hopkins County Memorial Clinic
09.2015 - 08.2016
- Posted Medicare and BCBS payments and managed payment denials and correspondence.
- Corrected rejected claims prior to electronic submission and prepared corrections and appeals for denied claims.
- Handled high-volume inbound calls from patients and insurance companies.
Infusion Billing
Biscript
12.2013 - 08.2014
- Processed and billed prescription claims received from the pharmacist, including separation of medications from medical supplies.
- Adjudicated claims with prescription benefit plans and corrected rejected claims.
- Conducted follow-up on past-due accounts and worked payment denials.
Collections-Billing Specialist
Greenville NeurologY
03.2011 - 11.2013
- Managed all office billing, including coding and charge entry.
- Posted payments and ERAs, resolved denials and correspondence, and maintained the accounts receivable report.
- Assisted with patient check-in/check-out as needed and obtained prior authorizations for MRIs.
Front Office-Billing
North Texas Orthopedics
06.2006 - 03.2011
- Managed front office operations, including patient check-in and check-out.
- Posted payments, prepared paper charts for upcoming appointments, scheduled surgeries, and obtained prior authorizations.
- Assisted the physician with rooming patients as needed.
Collections-Billing Specialist
Emphysis Medical Management
04.2001 - 02.2006
- Managed all billing for a freestanding MRI facility and supported billing for a Fort Worth–based radiology group.
- Entered charges, submitted electronic claims through the clearinghouse, posted mailed payments and ERAs, and resolved denied claims and appeals.
- Prepared monthly reports and trained for a supervisory role.
Education
high school gradutate -
lone oak, txcODING PRACTICE MANAGEMENT -
Skills
- ICD-10 Knowledge
- 10-key by touch
- Eclinicals
- Meditech
- EPIC
- RCM software
- Revenue Cycle Management
- Ability to work independently
- Excellent verbal and communications skills
- Critical thinker
- Team player
- Excellent time management skills
- Skilled negotiator
- Working knowledge of HIPAA
- Medical insurance regulations
- Coding
- Billing
- Reimbursement protocols
- Coding accuracy
- Claims processing
- Financial reporting
- Medical billing
- Customer relationship management
- Account reconciliation
- Operational efficiency
- Performance management
- Effective communication
- Team collaboration
- Problem solving
- Attention to detail
- Scheduling and calendar management
- Scheduling
- Database administration
- Documentation expertise
- Data entry
- Training and coaching
- Employee training
- Office administration
- Expense reporting
- Scheduling coordination
- Document management
- Credit and collections
- Staff management
- Customer service
- Compliance monitoring
- Team supervision
Timeline
Office manager/COLLECTIONS-BILLING SPECIALIST
family foot ankle specialist
08.2016 - Current
Collections-Billing Specialist
Hopkins County Memorial Clinic
09.2015 - 08.2016
Infusion Billing
Biscript
12.2013 - 08.2014
Collections-Billing Specialist
Greenville NeurologY
03.2011 - 11.2013
Front Office-Billing
North Texas Orthopedics
06.2006 - 03.2011
Collections-Billing Specialist
Emphysis Medical Management
04.2001 - 02.2006