Angela L KELLY
Syracuse,NY
Summary
Competent Medical Biller with 6 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
11
11
years of professional experience
Work History
Medical Biller
Practice Resources LLC
Syracuse, NY
02.2016 - Current
- Responsible for Review and entry of daily charges, modifiers and services. billing
- Processing and posting of payments, research and follow up on unresolved payment issues
- Research, review and communicate with insurance carriers regarding open accounts receivables
- Review HCFAs, C4s electronic edits for submission to insurance companies
- Identified possible trends or issues and provides possible solutions.
- Communicate with offices through calls, e-mails and visits to review billing concerns and provide technical support/training.
- Review, research and initiate collection procedures
- Prepare and submit appeal for various denials (i.e. under payment, untimely filing, and retro authorization request, investigational and not medically necessary.).
- Receive and initiate patient calls to resolve billing or payment concerns.
- Use billing software to prepare and transmit claims
- Use of insurance carrier portals for eligibility and claims information
- Knowledge of Medent/Lab Net
- Knowledge of Health reimbursement and payment systems (Payspan, Echo, Instamed, EasyPay)
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted payments and collections on regular basis.
Medical Receptionist
Syracuse Community Health Center
Syracuse, NY
10.2007 - 07.2009
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Managed multi-line phone system and pleasantly greeted patients.
- Helped patients complete necessary medical forms and documentation.
Comprehensive Medicaid Case Management
Syracuse Community Health Center
Syracuse, NY
10.2007 - 07.2009
- Managed 20 open Cases per month
- Collaborated with multidisciplinary teams to facilitate client care and reduce case management barriers
- Devised and implemented cost-control plans to enhance department operations.
- Fostered professional networks and relationships with service and resource providers to promote continuity and quality of care for clients
- Support developing healthy skills, linking to education or job training
- Provide home visits
AmeriCorps Member
Americorps Vista - Volunteers In Service To America
Syracuse, IN
10.2007 - 11.2008
- Addressed critical community needs in education, public safety, health, and environmental
- Conduct outreach for workforce development training opportunities.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services
Education
NATIONAL CERTIFICATION - Certified Medical Reimbursement Specialist
SUNY EQUAL OPPORTUNITY CENTER
Syracuse, NY02.2022
Certification - Medical Billing/Secretary
OCM BOCES
Liverpool, NY02.2016
Skills
- Medical Terminology
- Medical Transcription
- MS Word, Windows, Excel, PowerPoint
- ICD-10-CM and CPT-4
- Insurance Billing
- Typing 45WPM
- Account Reconciliation
- Clerical Support
- Commercial and Private Insurance
- Credit Card Payments
- Medical Billing Experience
- Reception
- Billing Systems And Software
- Collection Practices
- Medical Records
Timeline
Medical Biller
Practice Resources LLC
02.2016 - Current
Medical Receptionist
Syracuse Community Health Center
10.2007 - 07.2009
Comprehensive Medicaid Case Management
Syracuse Community Health Center
10.2007 - 07.2009
AmeriCorps Member
Americorps Vista - Volunteers In Service To America
10.2007 - 11.2008
NATIONAL CERTIFICATION - Certified Medical Reimbursement Specialist
SUNY EQUAL OPPORTUNITY CENTER
Certification - Medical Billing/Secretary
OCM BOCES
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