Debra Kallner
Tavares,FL
Summary
Seasoned Billing Specialist and Medical Billing Manager with a proven track record at Care and Comfort Ambulance Services, enhancing billing efficiency and accuracy through expert management of billing cycles and robust account reconciliation. Skilled in insurance verification and adept at leading teams to exceed revenue goals by streamlining collection practices and implementing innovative billing solutions.
Overview
7
7
years of professional experience
Work History
Billing Specialist
Central Mobility & Rehab Equipment
Tavares, FL
11.2021 - 12.2024
- Checked claims coding for accuracy with ICD-10 standards.
- Input statement information, reconciled accounts and resolved discrepancies.
- Reconciled codes against services rendered.
- Monitored accounts receivable activity to ensure timely payment of invoices.
- Generated periodic reports summarizing account balances and collection activities.
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Expedited payments by verifying accuracy and currency of vendor information.
- Managed all payments processing, invoicing and collections tasks.
- Submitted claims to insurance companies.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
- Performed insurance verification, pre-certification and pre-authorization.
- Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.
- Investigated incorrect billings and processed refunds as necessary.
- Answered customer questions to maintain high satisfaction levels.
- Worked with team members to identify and develop process improvements.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Answered customer inquiries regarding billings, payments, account status.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Maintained updated knowledge through continuing education and advanced training.
- Worked effectively in team environments to make the workplace more productive.
Medical Billing Manager
Care and Comfort Ambulance Services
Bohemia, NY
09.2017 - 10.2021
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
- Developed or analyzed information to assess current or future financial status of firms.
- Collaborated with IT department on software upgrades or system enhancements that would improve overall efficiency.
- Negotiated contracts with payers to maximize reimbursement rates for services rendered.
- Established clear billing policies and procedures, ensuring consistent application across all client accounts.
- Conducted regular audits of billing activities to ensure compliance with company policies and regulatory standards.
- Oversaw daily activities related to the processing of electronic claims submissions.
- Resolved billing issues by applying knowledge and completing in-depth research.
- Monitored accounts receivable aging reports and worked proactively to reduce outstanding balances due from patients or insurers.
- Oversaw the preparation of monthly billing reports and analysis to track billing efficiency and accuracy.
- Developed performance improvement plans based on deep reviews of current work.
- Analyzed competitors and market trends to facilitate business growth.
- Developed and implemented financial strategies to maximize profits and reduce costs.
- Checked payroll, vendor payments and other accounting disbursements for accuracy and compliance.
- Provided technical assistance regarding coding questions or other inquiries from internal teams.
- Resolved issues related to denied or rejected payments from insurance companies.
- Prepared monthly financial statements detailing revenue generated by practice locations.
- Conducted audits on claims submitted by medical billing staff, ensuring compliance with all applicable laws and regulations.
- Managed the setup and billing of complex client accounts, ensuring compliance with contractual agreements.
- Recommended new financial and accounting software packages. replacing various non-integrated offerings.
- Led the transition to electronic billing systems, significantly reducing paper use and contributing to sustainability goals.
- Conducted insurance verification and pre-authorization, coded medical procedures and managed patient charts.
- Managed billing calendar and scheduled claims for payments.
- Managed and reviewed medical billing staff to ensure accuracy of patient accounts.
- Maintained detailed records of all payments received from patients or third-party payers.
- Assisted in developing policies and procedures related to medical billing operations.
- Managed inventory and supplies to ensure materials were available when needed.
- Completed day-to-day duties accurately and efficiently.
- Prioritized and organized tasks to efficiently accomplish service goals.
Education
Bachelor of Science - Sports Medicine
Iowa State University
Ames, IA05-1980
Skills
- Billing cycle management
- Statement processing
- Invoice processing
- Month-end closing procedures
- Collection practices
- Account reconciliation
- Invoice generation
- Insurance verification
- Insurance claim processing
- Billing dispute resolution
- Medical billing expertise
- Billing software proficiency
- Medical transport billing
- HIPAA compliance
- Accounts receivable management
- Coding proficiency
- Denial management
- Claim submission
- Medical coding
- Revenue cycle management
- Medical billing and collections
- Insurance confirmation
Timeline
Billing Specialist
Central Mobility & Rehab Equipment
11.2021 - 12.2024
Medical Billing Manager
Care and Comfort Ambulance Services
09.2017 - 10.2021
Bachelor of Science - Sports Medicine
Iowa State University
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