Kandice Powell
Calvert City,KY
Summary
Results driven Medical Biller with over 12 years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes and actualizing procedures to enhance revenue generation.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Office Manager
FastBass Marine
Grand Rivers, KY
08.2019 - Current
- Maintained filing system for records, correspondence and other documents.
- Created spreadsheets in Excel to track data such as vacation requests, sick days .
- Answered phone calls, responded to emails, routed mail and coordinated courier services.
- Processed payroll accurately ensuring all employees were paid on time.
- Performed general bookkeeping duties such as reconciling bank statements and creating journal entries.
Medical Biller
Medical Accounts Receivable Systems
Paducah, KY
02.2012 - 06.2020
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Submitted electronic claims to various insurance carriers.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Created monthly aging reports to identify delinquent accounts for review by management team.
- Provided training and support to new staff members regarding billing processes.
- Completed and submitted appeals for denied claims.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Applied HIPAA privacy and security regulations while handling patient information.
- Reviewed claims for coding accuracy.
- Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
System Administrator
Medical Accounts Receivable Systems
Paducah, KY
09.2017 - 05.2019
- Created user accounts and managed access rights for users.
- Troubleshoot application errors and provided technical support to end-users.
- Set up user accounts, permissions and passwords and defined network policies and procedures.
- Researched, recommended, configured and supported hardware and software for multiple departments.
- Administrator of electronic filing clearinghouse including electronic Enrollment
- Administrator of several medical billing/AR software for our clients and team. Proficient in EClinical Works and Practice Express. Including but not limited to - claim form setups for HCFA and UB filings (professional, Rural Health & FQHC)
- Set up new provider and group profiles in billing software
- Set up new and troubleshoot exisiting CPT, HCPCS and ICD profiles to ensure accurate filing information
- Set up new and troubleshoot exisiting Insurance profiles ensure the accurate address and Payer ID information.
Reporting Analyst
Medical Accounts Receivable Systems
Paducah, KY
09.2017 - 05.2019
- compiled all internal and external financial reporting for company and our clients on a monthly or request basis.
- Performed trend analysis on historical data to identify areas for improvement.
- Gathered, analyzed and formatted large amounts of data into meaningful information.
- Generated statistical models to forecast future trends based on past performance.
- Provided technical assistance in troubleshooting issues related to reporting tools.
- Prepared graphs, spreadsheets and reports for presentations.
- Managed data collection and sampling procedures to accurately collect data, including through an ODBC server.
Education
CPC, Certified Professional Coder - Medical Billing And Coding
American Academy of Professional Coders AAPC
03-2018
Skills
- Claims Processing
- Commercial and Private Insurance
- Claims Review
- Electronic Claims
- Medical Coding Understanding
- ICD-10 Coding
- HIPAA Compliance
- Medical Terminology
- Accounts Receivable
- Reimbursements
Accomplishments
Medical Accounts Receivable Systems Employee of the year 2012
Certification
- CPC Certified Professional Coder
References
References available upon request.
Timeline
Office Manager
FastBass Marine
08.2019 - Current
System Administrator
Medical Accounts Receivable Systems
09.2017 - 05.2019
Reporting Analyst
Medical Accounts Receivable Systems
09.2017 - 05.2019
Medical Biller
Medical Accounts Receivable Systems
02.2012 - 06.2020
CPC, Certified Professional Coder - Medical Billing And Coding
American Academy of Professional Coders AAPC
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