Kara Wilson
Reno,NV
Summary
Achieved timely reimbursement by effectively managing billing and revenue cycle processes across commercial and government payers.,Delivered accurate EHR data entry and coding through expertise in CMS claim forms, CPT, and ICD-10 standards.,Resolved technical appeals and denial issues, significantly enhancing the overall claim payment process.
Overview
7
7
years of professional experience
Work History
Insurance Biller/Collector
Tahoe Forest Hospital District
12.2023 - 05.2026
- Manage end-to-end hospital claim billing and follow-up for Commercial, Medicare Advantage and Medicaid/Medi-Cal payers, ensuring timely submission and adjudication.
- Analyze and resolve claim rejections and denials using rejection and 72 hour/same day overlap reports to reduce rework and accelerate reimbursement.
- Prepare and submit technical appeals and coordination with payers to correct underpayments and payment discrepancies.
- Perform accurate data entry and verify billing aligns with payer rules and fee schedules, maintaining compliance and billing integrity.
Insurance Biller/Collector Remote
Ovation Healthcare
06.2021 - 12.2023
- Executed hospital claim billing and follow-up for Commercial, Medicare Advantage and Medicaid payers in a remote role, ensuring timely adjudication.
- Analyzed and corrected claim rejections and 72 hour/same day overlap issues to reduce denials and improve cash flow.
- Prepared technical appeals and verified claim payments against contracts and fee schedules to identify and correct underpayments.
- Maintained precise data entry and documentation to support audits and payer inquiries.
Insurance Biller/Collector
Saint Marys Regional Medical Center
02.2019 - 05.2021
- Performed hospital claim billing and follow-up for Commercial, Medicare Advantage and Medicaid payers, ensuring accurate and timely processing.
- Worked denial and rejection reports including 72 hour/same day overlap to resolve issues and reduce claim rework.
- Completed data entry and prepared technical appeals to address payment discrepancies and underpayments.
- Verified claim payments against contracts and Medicaid fee schedules to ensure correct reimbursement.
Education
Associates of Occupational Studies - undefined
Career College of Northern Nevada
Nevada06.2019
undefined
Spanish Springs High School
06.2005
Skills
- CMS Claim Forms
- CPT/DX – ICD-10
- Data Entry
- Acute Hospital Billing
- Medical/Government Insurance Processing
- Office Skills
- Reimbursement
- Technical Appeals
Timeline
Insurance Biller/Collector
Tahoe Forest Hospital District
12.2023 - 05.2026
Insurance Biller/Collector Remote
Ovation Healthcare
06.2021 - 12.2023
Insurance Biller/Collector
Saint Marys Regional Medical Center
02.2019 - 05.2021
Associates of Occupational Studies - undefined
Career College of Northern Nevada
undefined
Spanish Springs High School