Cristin Palmer
Elmwood Park,IL
Summary
Medical Coder with 10 years experience in behavioral health outpatient coding. Familiar with commercial and private insurance carriers. Experience supporting 10+ therapists in a busy medical office. Expertise includes verifying insurance coverage, records reviews and schedule maintenance. Billing Specialist, offers account management, account reconciliation and invoicing expertise coupled with outstanding time management and data entry capabilities. Focused and meticulous professional with 11 years of comprehensive experience developing and sending bills to insurance companies for services.
Overview
14
14
years of professional experience
Work History
Grant Specialist
Rincon Family Services
ChiCaog, IL
03.2023 - 03.2024
- Managed the preparation of budgets for grant applications.
- Coordinated with staff members to ensure timely submission of grants.
- Analyzed financial information from grantees, including budgets and expenditure reports.
- Prepared detailed reports documenting all aspects of the grant process.
- Monitored progress of awarded grants to ensure that goals are met within specified timelines.
- Maintained an organized system for tracking deadlines, documents, and other related materials.
- Tracked expenditures associated with each approved project or initiative.
- Performed in-depth reviews to check compliance with applicable laws, policies and regulations.
Billing Supervisor
Rincon Family Services
Chicago, IL
09.2010 - 12.2022
- Maintain and update data in the billing systems
- Provide technical support to staff
- Help organize and maintain Central Records facility for paper records and a Central Records database system for clients
- Maintain agency DARTS
- Maintain agency Commercial and Medicaid billing
- Daily billing for Mental Health services through HFS Med-site
- Ensure that all Referrals/Authorization are completed and entered in Samms
- Run periodic reports as needed for management and clinical quality control
- Adhere to all state and federal privacy regulations, including HIPAA, policies and agreements regarding confidentiality, privacy, and security
- Weekly billing submissions and review any rejections and correct within 7 days
- Ensure billing gets submitted with MCO's within 7 days
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Maximized efficiency, reduced delinquency and increased accuracy of billing department by developing and implementing system and process improvements.
- Resolved variances in accounts and reconciled with bank statements.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Investigated and resolved issues to maintain billing accuracy.
- Input payment history and other financial data to keep customer accounts up-to-date in system.
- Collaborated with vendor and staff to gather data sources and expedite billing.
- Worked with team members and leadership to identify and develop process improvements.
- Manipulated data in spreadsheets to reconcile with billing system information.
- Researched and resolved billing inconsistencies and errors through individual and collaborative analysis.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Established, enforced and optimized billing procedures to streamline operations and minimize aging balances.
Education
Certificate -
National Council For Mental Wellbeing
Illinois06-2022
High School Diploma - Education/Business
Northeastern IL University
Coursework in Medical Assisting AMA on line Training -
Skills
- Maintains strict confidentiality
- Knowledge of HMOs, Medicare and
- Medi-Cal
- CPT and HCPCS coding
- Team player with positive attitude
- HIPAA compliance
- Deadline-driven
- Exercises good judgment
- Accounts receivable expertise
- Claims processing
- Data entry
- Medical billing and collections
- Data Management
- Flexible and Adaptable
- Paperwork processing skills
- Grants Management
- Budget monitoring
- Professionalism
Timeline
Grant Specialist
Rincon Family Services
03.2023 - 03.2024
Billing Supervisor
Rincon Family Services
09.2010 - 12.2022
Certificate -
National Council For Mental Wellbeing
High School Diploma - Education/Business
Northeastern IL University
Coursework in Medical Assisting AMA on line Training -
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