Kami Whitten
Cleveland
Summary
Seeking a position in Medical Billing
Overview
28
28
years of professional experience
Work History
Medical Billing Manager
Victor Lugo-Miro MD
3036 Northpark Drive
08.2010 - Current
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Entered orders into the EMR Intergy system efficiently and without errors.
- Diligently filed and followed up on third party claims.
- Coordinated luncheons with Pharmaceutical Representatives.
- Researched questions and concerns from providers and provided detailed responses.
- Reviewed, analyzed and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Actively maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third party requirements regarding billing.
- Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations.
- Accurately posted and sent out all medical claims.
- Identified and resolved patient billing and payment issues.
Medicare Billing Specialist
Sadler Clinic
Conroe
02.2008 - 08.2010
- Identified and resolved patient billing and payment issues.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
- Confidently and adeptly handled claim denials and/or appeals.
- Reviewed and resolved claim issues captured in CLAIMS edits and the clearing house.
- Examined patients’ insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Billing Supervisor
Omega Billing Service
Kingwood
08.1998 - 01.2007
- Accurately posted surgeries, hospital visits and payments for assigned carriers.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Updated patient financial information to guarantee accuracy.
- Reviewed and resolved claim issues captured in TES/CLAIMS edits and the clearing house.
- Confidently and adeptly handled claim denials and/or appeals.
- Identified and resolved patient billing and payment issues.
Billing Manager
Cleveland Pediatric /Rick Kelly M.D.
Cleveland/Kingwood TX
02.1997 - 08.1998
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Resourcefully used various coding books, procedure manuals and on-line encoders.
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Accurately posted and sent out all medical claims.
Front Office/ Insurance Biller
John J Murphy M.D.
Cleveland
02.1996 - 02.1997
- Accurately posted and sent out all medical claims.
- Responded to correspondence from insurance companies.
- Precisely evaluated and verified benefits and eligibility.
- Identified and resolved patient billing and payment issues.
- Evaluated patients’ financial status and established appropriate payment plans.
- Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner.
Education
High School Diploma -
Cleveland High School
1992
Skills
- ICD-10 (International Classification of Disease Systems)
- Familiar with commercial and private insurance carriers
- Insurance and collections procedures
- Billing and collection procedures expert
- HCPCS Coding Guidelines
- Patient chart auditing ability
- Experienced on Intergy Greenway Meds America and Health Pac Software Billing programs
Timeline
Medical Billing Manager
Victor Lugo-Miro MD
08.2010 - Current
Medicare Billing Specialist
Sadler Clinic
02.2008 - 08.2010
Billing Supervisor
Omega Billing Service
08.1998 - 01.2007
Billing Manager
Cleveland Pediatric /Rick Kelly M.D.
02.1997 - 08.1998
Front Office/ Insurance Biller
John J Murphy M.D.
02.1996 - 02.1997
High School Diploma -
Cleveland High School
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