KARI NIKOLAUS
Mansfield,Ohio
Summary
Versatile medical claims resolution specialist with results-driven and focused approach to completing work. Skilled leader, planner and problem-solver with 20+ year career in the medical billing field. Known for excellent attention to detail and great work ethic.
Overview
17
17
years of professional experience
Work History
Medical Claims Resolution Specialist/Medical Biller, Accounts Receivable
Urology Associates of North Central Ohio, Inc.
Mansfield, Ohio
06.2010 - Current
- Participated in ongoing training and compliance activities.
- Submitted electronic claims to various insurance carriers.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
- Applied HIPAA privacy and security regulations while handling patient information.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Submitted appeals using provider portals and phone communication.
- Performed daily reconciliation of accounts receivable with payment postings on the computer system.
- Collaborated with managers to develop strategies for improving revenue cycle processes.
- Collected, posted and managed patient account payments.
- Performed insurance verification, pre-certification and pre-authorization.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Monitored past due accounts and pursued collections on outstanding invoices.
Billing and Financial Assistance Coordinator
Mid-Ohio Heart Clinic
Mansfield, Ohio
05.2007 - 06.2010
- Contacted insurance providers to verify insurance information and obtain billing authorization
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone, web portals, or written correspondence
- Created monthly aging reports to identify delinquent account for review and resolution
Education
Bachelor of Fine Arts - DANCE/ANATOMICAL STUDIES
Kent State University
Kent, OH05-1998
Skills
- Attention to Detail
- Professionalism
- Problem-Solving
- Task Prioritization
- Time Management Abilities
- Reliability
- Documentation Management
- Issue Research
- Organizational Skills
- Multitasking
- Effective Communication
Affiliations
- Ashland Regional Ballet board member
- Crossroads Community Church member
Alternate E-mail Address
- knikolaus32@gmail.com
References
References available upon request.
Timeline
Medical Claims Resolution Specialist/Medical Biller, Accounts Receivable
Urology Associates of North Central Ohio, Inc.
06.2010 - Current
Billing and Financial Assistance Coordinator
Mid-Ohio Heart Clinic
05.2007 - 06.2010
Bachelor of Fine Arts - DANCE/ANATOMICAL STUDIES
Kent State University
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