Cathy J Kaiser
Lee's Summit,MO
Summary
Seasoned detail-oriented billing manager with 15+ years of proven success in leading and directing profitable revenue cycle operations. Hands on experience in reviewing claims and maintaining billing reports. Adept at optimizing billing processes, minimizing claim rejections/denials, and enhancing reimbursement rates. Demonstrated prowess in examining patient insurance coverage, identifying discrepancies, filing appeals, and submitting claims.
Overview
25
25
years of professional experience
Work History
Medical Billing Specialist
Khan Eyelid and Facial Plastic
05.2005 - 08.2023
- Processed appeals and managed claims submissions. Identified inaccuracies and swiftly corrected denied or rejected claims to minimize payment delays. Prepared precise billing statements for patients, incorporating appropriate diagnostic coding. Maintained comprehensive knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third-party billing requirements. Facilitated seamless posting and adjustment of insurance company payments. Utilized NexiGen to accurately input patient information, diagnosis codes, and procedure codes.
- Ensured prompt and precise charge submission through electronic charge capture, utilizing billing and account receivables (BAR) system and clearing house.
- Transitioned office to ICD10 codes and established electronic claim submission. Streamlined billing department and developed and maintained up-to-date AR reports.
- Conducted outreach to patients regarding outstanding claims for HMO, PO, and private accounts, and implemented a courteous follow-up process to ensure adherence to contract terms.
Medical Billing Specialist
State Line Eye Care
07.1998 - 05.2005
- Analyzed patients' insurance policies to determine coverage, deductibles, potential insurance carrier payments, and remaining balances not covered by policies. Processed appeals and submitted claims, ensuring prompt completion and submission. Identified errors in denied or rejected claims and promptly resubmitted them to prevent payment delays. Kept updated knowledge of CPT and ICD-10 coding principles, government regulations, protocols, and third-party billing requirements. Managed insurance company payments by posting and adjusting them as required. Generated accurate billing statements for patients, utilizing precise diagnostic coding.
- Orchestrated regulatory and strategic initiatives to guarantee precision of medical claims.
- Conducted rigorous evaluations of provider charges, scrutinizing dates of service, procedures, level of care, and diagnoses for accuracy.
Education
No Degree - Business
Longview Community College
Lee's Summit, MOSkills
- Billing Process
- Customer Service
- Accounts Receivable (AR)
- Administrative Assistance
- Medical Terminology
- Insurance Verification
- Strategic Planning
- Medicare/Medicaid billing
- Compliance Regulations
- Logistics Management
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
Timeline
Medical Billing Specialist
Khan Eyelid and Facial Plastic
05.2005 - 08.2023
Medical Billing Specialist
State Line Eye Care
07.1998 - 05.2005
No Degree - Business
Longview Community College