Kami whitten
Cleveland,TX
Summary
Experienced with medical billing systems and healthcare regulations to ensure accurate and timely billing. Utilizes leadership skills to manage teams effectively and improve workflow processes. Knowledge of revenue cycle management and problem-solving to enhance operational efficiency.
Overview
27
27
years of professional experience
Work History
Billing /Medical Office Manager
Victor Lugo -Miro MD
08.2010 - Current
- Received, recorded and filed medical payments by check, cash, and credit card.
- Addressed patient inquiries promptly, providing clear explanations about treatment plans, insurance coverage, billing processes, or other concerns as needed.
- Optimized patient flow within the clinic by coordinating with clinical staff for smooth transition between appointments and procedures.
- Reviewed and sent medical records to other physicians upon request.
- Reduced errors in billing and insurance claims processing by maintaining accurate patient records and staying updated on industry regulations.
- Entered procedure codes and diagnosis codes into medical billing software.
- Assisted in budget planning for the medical office by analyzing financial data, identifying cost-saving opportunities, and making recommendations to administrators.
- Trained all new employees on records management system.
- Streamlined medical office operations by implementing efficient scheduling and appointment management systems.
- Developed comprehensive policies and procedures for various aspects of medical office management, ensuring consistency across departments and teams.
Government Insurance Rep
Sadler Clinic
02.2008 - 08.2010
- Reviewed billing problems, researched issues, and resolved concerns.
- Worked with customers to develop payment plans and bring accounts current.
- Increased patient satisfaction by addressing billing inquiries promptly and professionally.
- Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.
- Managed a team of dedicated medical billers, focusing on professional development opportunities and maintaining a positive work environment conducive to high levels of productivity.
- Enhanced revenue cycle management by overseeing timely and accurate claims submission.
- Maintained up-to-date knowledge of regulatory changes impacting medical billing practices to ensure ongoing compliance within the organization.
Medical Billing Supervisor
Omega Billing Service
08.1998 - 01.2007
- Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
- Analyzed medical records to satisfy insurance company mandates.
- Managed a team of medical billers, providing guidance and support for their professional development.
- Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
- Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
- Reviewed outgoing bills for eligibility and accurateness.
- Improved efficiency in the medical billing process by streamlining workflows and implementing best practices.
- Conducted regular audits to ensure compliance with federal, state, and industry guidelines.
- Optimized workflow processes within the department, leading to a reduction in errors and delays in claim submissions.
- Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
- Maintained current accounts through aged revenue reporting.
Education
High School Diploma -
Cleveland High School
Cleveland, TxKingwood Community College
Kingwood, TX01-1995
Skills
- HIPAA compliance
- Insurance verification
- Claims processing
- Data entry proficiency
- Medical billing
- Critical thinking
- Computer skills
- Problem resolution
Timeline
Billing /Medical Office Manager
Victor Lugo -Miro MD
08.2010 - Current
Government Insurance Rep
Sadler Clinic
02.2008 - 08.2010
Medical Billing Supervisor
Omega Billing Service
08.1998 - 01.2007
High School Diploma -
Cleveland High School
Kingwood Community College
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