Christine Kern
North Babylon,NY
Summary
Detail-oriented Front Desk & Billing Coordinator with 5+ years of experience in high-volume, multi-physician practices. Proven expertise in maximizing revenue cycle efficiency, reducing denied claims by 15%, and enhancing patient satisfaction through seamless check-in and billing procedures.
Overview
18
18
years of professional experience
Work History
Accounts Receivable Representative/Payment Poster
Northwell Orlin & Cohen Medical Specialist
Merrick, NY
01.2015 - Current
- Accurate and timely insurance patient payment posting
- Process and posting of credit card payments
- Payment batch reconciliation
- Verifies accuracy of patient insurance and demographic information
- Investigates duplicate payments and takes appropriate action to resolve. Initiates refund requests, where necessary, in accordance with departmental procedures.
- Perform follow up on all outstanding accounts assigned in accordance with departmental procedures.
- Perform follow up on all outstanding accounts assigned in accordance with established standards and procedures.
- Follows up on payer payment variances. Applies managed care contract rules to determine payment accuracy. Reports trends of payer behavior.
- Cross trained in all phases of third party billing, follow up, cash, credit and collections and customer service related activities.
- Establishes and demonstrates competency in accounts receivable systems and associated applications
Accounts Receivable/Payment Poster
Billing Services Inc.
Ronkonkoma, NY
06.2014 - 01.2015
- Responsible for interacting with the Client’s patients, payer and front desk staff to clarify health insurance coverage and financial responsibility
- Completed and processed insurance claims in addition to appeals for denied claims
- Monitored that payment from insurance clients were within contract guideline percentages
- Posted, balanced and reconciled daily and end of month for 13 major accounts including; The Hospital for Special Surgeries (HSS), Anesthesia, Pain Management and Orthopedic practices
- Working knowledge of downloading EFT’s, Lock box payments, Clearinghouses
- Transferred co-pays and unapplied monies
- Investigatory research for appropriate refund requests
- Skills used: Excel Spreadsheets; Processed credit card payment
- Accomplishments
- Company had clients in 3 different systems. The majority of employees were given clients in one system only. I was one of the 3 employees who learned and worked in all three systems.
Accounts Receivable Representative
Medical Arts Radiology
Bay Shore, NY
03.2008 - 06.2014
- Accountable for posting payments for 7 major radiology practices
- Liable for bank deposits, end of day reports and crediting over 600 patient accounts
- Highly knowledgeable of contractual insurance agreements
- Insurance follow up for Blue Cross/ Blue Shield, Multiplans and Magnacare
- Established a 75% success rate collecting on insurance appeals
- Diligent in observing all HIPPA guidelines
- Review third-party aged trial balances and follow-up on all unpaid claims either by phone, mail, or online in accordance with departmental procedures and insurance guidelines
- Ensure the timely filling and collections of the designated region according to insurance billing and collection guidelines
- Analyze Managed Card contracts to verify accuracy of payments
- Knowledge of Electronic Remittance Advice & Electronic Fund Transfers
Skills
- Medical Terminology
- Electronic Health Records (EHR)
- HIPAA Compliance
- ICD-10/CPT Coding
- Insurance Verification
- Accounts Receivable
- Patient Scheduling
- Customer Service
Timeline
Accounts Receivable Representative/Payment Poster
Northwell Orlin & Cohen Medical Specialist
01.2015 - Current
Accounts Receivable/Payment Poster
Billing Services Inc.
06.2014 - 01.2015
Accounts Receivable Representative
Medical Arts Radiology
03.2008 - 06.2014