Crystal Kennard
Desert Hot Springs,CA
Summary
Over twenty years experience providing dedicated medical billing professionalism with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Detail oriented and efficient in a fast paced, deadline driven environment. Strong analytical ability, proficient in HIPPA compliance, CPT, ICD, HCPCs.
Overview
19
19
years of professional experience
Work History
Medical Billing Company Owner
Maximum Effort Medical Billing
03.2023 - Current
- I'm responsible for all aspects of the billing process, as well as the AR and age report
- I do all electronic and paper submissions
- Request needed authorizations for services rendered
- Claims follow up, payment posting
- Insurance verification and eligibility
- Contacted patients regarding unpaid and underpaid accounts, resolving all issues while maintaining a positive and pleasant attitude
- Performed accounts receivable duties including invoicing, researching charge-backs, discrepancies, issuing credit memos, reconciliations and responding to customer requests for documentation
Medical Billing Manager
Imperial Foot & Ankle Specialist
01.2022 - 08.2023
- I was responsible for all aspects of the billing process, as well as the AR and age report
- I did all electronic and paper submissions
- Requested needed authorizations for services rendered
- Claims follow up, payment posting
- Insurance verification and eligibility
- Contacted patients regarding unpaid and underpaid accounts, resolving all issues while maintaining a positive and pleasant attitude
- Performed accounts receivable duties including invoicing, cash application, researching charge-backs, discrepancies, issuing credit memos, reconciliations and responding to customer requests for documentation
- Audited new customer files to verify medical necessity and satisfaction of coverage criteria.
Medical Biller
Physicians Billing Service
07.2018 - 05.2022
- I was responsible for four facilities, two facilities that are podiatry, physical therapy and gynecologist
- I did all electronic and paper submissions
- Claims follow up, payment posting
- Insurance verification and eligibility
- Contacted patients regarding unpaid and underpaid accounts, resolving all issues while maintaining a positive and pleasant attitude
- Performed accounts receivable duties including invoicing, cash application, researching charge-backs, discrepancies, issuing credit memos, reconciliations and responding to customer requests for documentation
- Audited new customer files to verify medical necessity and satisfaction of coverage criteria.
Operations Manager
The Medicine Shoppe Pharmacy
07.2017 - 04.2018
- I was responsible for making the policies and procedures manuals for the pharmacy staff for DME as well as the handbooks and all paperwork patients have to fill out
- I prepared the warehouse and well as getting all the certification needed to supply DME items for patients and facilities.
- I was in control of applications for Medicare, Medi-Cal, and IEHP to supply DME for patients.
- Improved operational efficiency by streamlining processes and implementing cost-saving measures.
- Electronic and paper insurance billing as well as collections and helping patients.
Executive director of travel
Readylink Healthcare
06.2015 - 06.2017
- I was responsible for the travel production floor and maintained everyday activities
- Help to increase numbers and production
- Responsible for overseeing hospital account managers as well all travel placement recruiters and managers
- Ensure rules are followed and handle appropriate disciplinary actions as needed
- Perform office meetings to boost morale as well as training sessions for all new hires
- Schedule and perform all interviews for several departments
- Assist with heavy phones
- Saw to the day to day activities, follow up and compliance, also responsible for terminating employment as well as hiring new recruits
- Contracts between us and hospitals negotiating wages and pricing
- Contracts for employment between hospitals and nurses
- Reviewing contracts to ensure both parties are content managing contracts to avoid lapses.
DME Coordinator
River's Edge Pharmacy
09.2012 - 07.2014
- Inventory ordering, stocking, negotiating prices with vendors and wholesalers
- Electronic and paper submissions
- Processed accounts receivable
- Performed accounts receivable duties including invoicing, cash application, researching charge-backs, discrepancies, issuing credit memos, reconciliations and responding to customer requests for documentation
- Audited new customer files to verify medical necessity and satisfaction of coverage criteria
- Calculated Coordination of Benefits (COB)
- Communicated with patients via phone, email and in person to obtain payments on outstanding accounts or accounts requiring deductibles or copays
- Contacted insurance companies to verify correct insurance information and get authorization for proper billing codes
- Trained new employees on multiple medical billing programs and data entry software
- Verified payments done by insurance companies were accurate and according to contract guidelines
- Also prepped my department for JCAHO accreditation.
Billing Supervisor
Wendy Roberts MD
06.2011 - 09.2012
- Electronic and paper submissions
- Claims follow up, payment posting
- Insurance verification and eligibility
- Contacted patients regarding unpaid and underpaid accounts, resolving all issues while maintaining a positive and pleasant attitude
- Performed accounts receivable duties including invoicing, cash application, researching charge-backs, discrepancies, issuing credit memos, reconciliations and responding to customer requests for documentation
- Audited new customer files to verify medical necessity and satisfaction of coverage criteria
- Trained for back office, prepped rooms for patients, assisted Dr
- With procedures.
Medical Billing Manager
Yes I Can, DME
03.2006 - 05.2009
- Document scanning, Electronic and paper submissions
- Managed incoming and outgoing calls for a busy office
- Payment posting, account settling
- Assisted patients with all questions or items needed
- Demonstrated all products we carried and fitted patients for compression stockings/socks and diabetic shoes.
Medical Biller/Laser Coordinator
Coastal Dermatology and Plastic Surgery
12.2004 - 12.2005
- Insurance billing, payment posting, account reconciliation, training, group support, aged report
- Scheduled patients for laser treatments
- Prepped everything needed for laser day.
Education
Insurance Billing and Coding -
Concorde Career Institute
Garden Grove, CA01.2001
Skills
Medi-cal, Medicare, MS Word, MS Excel, MS Outlook, reports, documentation, medical billing, insurance billing 10-Key, Account
Management, Creative Problem Solving, Critical Thinking, Customer Service, Data Collection, Data Entry, Management Support, Filing,
Internet Research, Letters and Memos, PowerPoint, Scheduling, Multi-Task Management, Organizational Skills, CPT-4 coding, rebills,
reports
Keywords
- Medi-cal
- Medicare
- MS Word
- MS Excel
- MS Outlook
- Reports
- Documentation
- Medical billing
- Insurance billing
- 10-Key
- Account Management
- Creative Problem Solving
- Critical Thinking
- Customer Service
- Data Collection
- Data Entry
- Management Support
- Filing
- Internet Research
- Letters and Memos
- PowerPoint
- Scheduling
- Multi-Task Management
- Organizational Skills
- CPT-4 coding
- Rebills
Timeline
Medical Billing Company Owner
Maximum Effort Medical Billing
03.2023 - Current
Medical Billing Manager
Imperial Foot & Ankle Specialist
01.2022 - 08.2023
Medical Biller
Physicians Billing Service
07.2018 - 05.2022
Operations Manager
The Medicine Shoppe Pharmacy
07.2017 - 04.2018
Executive director of travel
Readylink Healthcare
06.2015 - 06.2017
DME Coordinator
River's Edge Pharmacy
09.2012 - 07.2014
Billing Supervisor
Wendy Roberts MD
06.2011 - 09.2012
Medical Billing Manager
Yes I Can, DME
03.2006 - 05.2009
Medical Biller/Laser Coordinator
Coastal Dermatology and Plastic Surgery
12.2004 - 12.2005
Insurance Billing and Coding -
Concorde Career Institute
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