Christina Keith
Josephine,TX
Summary
Seasoned Billing Specialist with a proven track record at Tandym Group, adept in billing cycle management and analytical thinking. Excelled in enhancing revenue generation and reducing unpaid accounts through meticulous claims processing and denial management. Demonstrates exceptional attention to detail and problem-solving skills, ensuring compliance and efficiency in high-stakes environments.
Overview
7
7
years of professional experience
Work History
Billing Specialist
Tandym Group
New York, NY
12.2023 - Current
- Checked claims coding for accuracy with ICD-10 standards.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Input statement information, reconciled accounts and resolved discrepancies.
- Performed insurance verification, pre-certification and pre-authorization.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Maintained accurate records of collections, adjustments and denials in the system.
- Reviewed engine assigned codes and modifiers to update and verify accuracy.
- Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Healthcare Billing Specialist
QMACS
Waco, Texas
08.2021 - 02.2023
- Completed and submitted appeals for denied claims.
- Managed multiple databases of patient records for efficient retrieval of data.
- Monitored the progress of unpaid claims and followed up as needed.
- Processed insurance claims electronically using approved software applications.
- Verified accuracy of all charges billed for services rendered by providers.
- Resolved billing discrepancies with other departments or insurance companies.
- Performed insurance verification, pre-certification and pre-authorization.
- Reviewed engine assigned codes and modifiers to update and verify accuracy.
- Checked claims coding for accuracy with ICD-10 standards.
- Submitted claims to insurance companies.
Healthcare Billing Specialist
Medco ER
Frisco, Texas
01.2019 - 04.2020
- Completed and submitted appeals for denied claims.
- Monitored the progress of unpaid claims and followed up as needed.
- Processed insurance claims electronically using approved software applications.
- Resolved billing discrepancies with other departments or insurance companies.
- Reconciled codes against services rendered.
- Performed insurance verification, pre-certification and pre-authorization.
- Applied HIPAA privacy and security regulations while handling patient information.
- Checked claims coding for accuracy with ICD-10 standards.
Admitting Supervisor
Code 3 ER And Urgent Care
Frisco, Texas
11.2017 - 02.2019
- Verified schedules and arrival times.
- Applied knowledge of medical terminology and insurance processes to support office administration productivity.
- Implemented departmental policies and standards in conjunction with management to streamline internal processes.
- Interpreted and explained work procedures and policies to brief staff.
- Guided employees in handling difficult or complex problems.
- Recruited, interviewed and selected employees to fill vacant roles.
- Provided leadership to department staff, ensuring quality service to patients.
- Determined charges and collected co-pays.
- Coordinated with other supervisors, combining group efforts to achieve goals.
- Served as liaison between various departments in order to coordinate patient transfers and admissions.
- Discussed job performance problems with employees, identifying causes and issues to find solutions.
- Created training materials for new employees on proper completion of admitting documentation.
- Reviewed medical records for completeness prior to admission or discharge from facility.
Education
Licensed Nursing School - Nursing
Oswego County BOCES
Mexico, NY12-2008
Skills
- Billing cycle management
- Payment posting
- Audit procedures
- Analytical thinking
- Collections
- Attention to detail
- Billing software proficiency
- Insurance claim processing
- Record preparation
- HIPAA compliance
- Problem-solving
- Accounts receivable management
- Multitasking and organization
- Billing dispute resolution
- Medical coding
- Claims processing
- Denial management
- Coding proficiency
Timeline
Billing Specialist
Tandym Group
12.2023 - Current
Healthcare Billing Specialist
QMACS
08.2021 - 02.2023
Healthcare Billing Specialist
Medco ER
01.2019 - 04.2020
Admitting Supervisor
Code 3 ER And Urgent Care
11.2017 - 02.2019
Licensed Nursing School - Nursing
Oswego County BOCES
Similar Profiles
Olivia ManorOlivia Manor
Psychiatric Registered Nurse at Tandym GroupPsychiatric Registered Nurse at Tandym Group
Kimberly KaufmanKimberly Kaufman
Account Director at Tandym GroupAccount Director at Tandym Group
Alexus HeggieAlexus Heggie
Digital Marketing Manager at Tandym GroupDigital Marketing Manager at Tandym Group
Betty ClemonsBetty Clemons
Implementation Consultant at Xplor TechnologiesImplementation Consultant at Xplor Technologies
Jennifer GrimesJennifer Grimes
Inventory Quality Control Specialist at Academy Sports and OutdoorsInventory Quality Control Specialist at Academy Sports and Outdoors