Kaneaka Guidry
Waxahachie,TX
Summary
Knowledgeable Billing Representative familiar with various agency practices and compliance requirements. Excellent customer service and problem solving abilities. Offering 20 years of experience and the drive to excel in all areas. Skilled Billing Representative well-versed in billing practices, account monitoring and collections. Builds rapport with customers, solving diverse problems and obtain payments. Hardworking Billing Representative eager to contribute to customer and business needs by leveraging top strengths in organization, prioritization and communication. Adept at generating bills, entering data and resolving discrepancies. Ready to take on new professional challenges. Detail-oriented and methodical Financial & Billing offering 15 years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level Prior Authorizarion position. Ready to help team achieve company goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
19
19
years of professional experience
Work History
Billing Representative
Parkland Hospital
04.2022 - Current
- Assessed accounts for payment status and reached out to customers.
- Monitored customer accounts to identify and rectify billing issues.
- Reviewed and reconciled customer accounts to manage accuracy of payments.
- Reviewed and solved account and billing discrepancies.
- Coordinated with intermediate parties to obtain payments and resolve issues.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Submit medical records to insurance carriers to expedite prior authorization/claims for processing
- Knowledgeable of HCFA 1500 and UB-92 billing and various payor billing requirements. Also, understanding of CPT and ICD -9 coding
- Undo billing to correct claims
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Received incoming information and entered into database system.
- Performed quality assurance evaluations of processes and previous bills.
- Researched and resolved billing discrepancies to enable accurate billing.
- Worked with multiple departments to check proper billing information.
Insurance Verification Representative
Parkland Hospital
10.2020 - 03.2022
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Review patient’s medical chart (diagnosis) to identify the correct insurance payor is being processed correctly.
- Trained new staff on current, correct insurance verification procedures.
- Communicated verification and authorization status updates with various department to facilitate decision-making for patient admissions and insurance coverage.
- Achieved insurance pre-authorizations to enable timely patient procedures.
Financial Counselor
Parkland Hospital
04.2009 - 09.2020
- Conducted interviews with patients and family members and answered questions regarding insurance benefits.
- Identified healthcare resources and programs for patients unable to meet financial obligations.
- Liaised between patient, doctor and insurance provider to smooth claims processes.
- Documented details regarding contact with patients, providers and other individuals in system.
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
- Worked directly with clients to provide financial counseling and education using individualized counseling model and personal finance course.
- Assessed client financial situation and explored background through one-on-one interview process.
- Helped clients identify and set short- and long-term financial and life goals and devise plans to reach those goals.
Billing & Collector Specialist
Parkland Hospital
11.2004 - 03.2009
- Executed billing tasks and recorded information in company databases.
- Kept all patient information secure and confidential.
- Followed up with appropriate parties to obtain prompt payments.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
- Determined proper codes for medical records and patient services.
- Provided excellent customer service, developing and maintaining client relationships.
- Worked with multiple departments to check proper billing information.
Education
Bachelor of Science - Health Education
Prairie View A & M University
Prairie View, TX12.2003
Skills
- A/P and A/R Expertise
- Billing Dispute Resolution
- Submitting Insurance Documents
- 10-Key Data Entry
- Stop Payments
- Customer Contact
- Reading Comprehension
- Information Updates
- Meeting Support
- Billing Statement Review
- Proficient in Microsoft Office, Excel, Windows
- Epic Expertise
Accomplishments
- Collaborated with team of 25 in the development of Affordable Care Act.
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Collaborated with team of 5 in the development of Covid 19.
Community Outreach ACA Outreach Enrollment Events State Representative Toni Rose University of N
During the Affordable Care Act roll out, focus on a variety of communities throughout Dallas County area who need support on how to apply for healthcare. I met with individuals and families from different backgrounds educating them on how important it is to have health insurance. I assisted families with how to sign up and enrolled. Informed families the benefits that will help with cost.
Also, with having the support of your community leaders supporting the cause and physically being at the events to help out any way as possible.
Additional Information
Overall, I am a dedicated employee and eager to learn. I am goal orientated and seeking leadership to strive for becoming part of leadership and management team
Timeline
Billing Representative
Parkland Hospital
04.2022 - Current
Insurance Verification Representative
Parkland Hospital
10.2020 - 03.2022
Financial Counselor
Parkland Hospital
04.2009 - 09.2020
Billing & Collector Specialist
Parkland Hospital
11.2004 - 03.2009
Bachelor of Science - Health Education
Prairie View A & M University
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