Kala Stancil
Cullman,AL
Summary
Detail-oriented professional with a strong background in medical billing and insurance verification, notably at Align Alabama and Cullman Regional Orthopedics and Sports Medicine. Excelled in streamlining insurance processes, enhancing patient understanding of coverage, and training staff, showcasing proficiency in insurance web portals and exceptional customer service.
Overview
20
20
years of professional experience
Work History
Insurance Verification Specialist/Billing Assistant
Align Alabama
09.2022 - Current
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Posted payments to accounts and maintained records.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Trained new staff on current, correct insurance verification procedures.
- Assisted with medical coding and billing tasks.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Processed medical insurance claims and payments.
- Researched and resolved billing discrepancies to enable accurate billing.
Medical Receptionist/Medical Practice Administrator
Cullman Regional Orthopedics and Sports Medicine
07.2016 - 09.2022
- Maintained current and accurate medical records for patients.
- Checked patient insurance, demographic, and health history to keep information current.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Helped patients complete necessary medical forms and documentation.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Prepared and processed patient referrals and transfer requests.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Managed office bookkeeping with insurance billing and patient payments.
- Supervised team of 14 office personnel.
- Consulted with healthcare professionals on business decisions.
- Developed close working relationships with front office and back office staff.
- Scheduled surgeries, managed pre-certifications and verified insurance coverage.
- Processed bi-weekly payroll and payroll taxes.
- Reviewed vendor invoices for appropriate documentation and validity prior to payment.
- Partnered with finance team to complete month-end accruals and account reconciliations.
- Managed accurate and timely processing of over 40 invoices per month.
- Closely monitored accounts to post timely payments and resolve billing discrepancies.
- Input all relevant transactions and supervised properly within accounting system.
- Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
Medical Receptionist
Cullman Regional Medical Center
07.2014 - 07.2016
- Checked patient insurance, demographic, and health history to keep information current.
- Maintained current and accurate medical records for patients.
- Helped patients complete necessary medical forms and documentation.
- Managed multi-line phone system and pleasantly greeted patients.
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Obtained payments from patients and scanned identification and insurance cards.
Surgery Scheduler
Cullman Regional Medical Center
06.2004 - 02.2010
- Coordinated with facilities to set up surgeries for numerous surgeons.
- Expertly managed planning, scheduling, and coordination of outpatient procedures.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Resolved scheduling conflicts to maintain high-quality patient services.
- Updated daily operating room calendars with accurate appointment schedules.
- Answered phone calls and messages for multiple physicians with their medical facility, scheduling appointments, and handling patient inquiries.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
- Performed various administrative tasks by filing, copying and faxing documents.
Education
Associate of Applied Science - Office Systems Technology With Accounting Option
Wallace State Community College - Hanceville
Hanceville, AL05.2002
Skills
- Proficient in Insurance web portals such as BCBS, United Healthcare, Availity, Cohere Health, Carelon, etc
- Data Entry and Review
- Medical Terminology
- Understanding of medical terms
- Coverage and Authorizations
- Statement preparation
- Prior authorization processing
- Customer Service
- Attention to Detail
- Medical Billing
- Insurance Coverage Verification
- Claims Processing
- Insurance Billing
Timeline
Insurance Verification Specialist/Billing Assistant
Align Alabama
09.2022 - Current
Medical Receptionist/Medical Practice Administrator
Cullman Regional Orthopedics and Sports Medicine
07.2016 - 09.2022
Medical Receptionist
Cullman Regional Medical Center
07.2014 - 07.2016
Surgery Scheduler
Cullman Regional Medical Center
06.2004 - 02.2010
Associate of Applied Science - Office Systems Technology With Accounting Option
Wallace State Community College - Hanceville
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