Summary
Overview
Work History
Education
Skills
Certification
Timeline
CustomerServiceRepresentative

Katherine Bowers

Kingsley,MI

Summary

Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Reliable and competent Medical Billing professional with exceptional data entry and customer service skills.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Medical Billing Specialist

Bay Area Family Care
05.2016 - Current
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Located errors and promptly refiled rejected claims.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Identified and resolved patient billing and payment issues.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Collected payments and applied to patient accounts.
  • Posted and adjusted payments from insurance companies.
  • Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
  • Precisely evaluated and verified benefits and eligibility.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Filed and updated patient information and medical records.
  • Prepared billing correspondence and maintained database to organize billing information.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Liaised between patients, insurance companies, and billing office.
  • Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
  • Printed and reviewed monthly patient aging report and solicited overdue payments.
  • Managed collections claims for unpaid bills against estates of debtors.
  • Reviewed patient diagnosis codes to verify accuracy and completeness.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Delivered timely and accurate charge submissions.
  • Responded to customer concerns and questions on daily basis.
  • Handled account payments and provided information regarding outstanding balances.
  • Collaborated with customers to resolve disputes.
  • Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
  • Encoded and canceled checks using bank machines.
  • Disbursed petty cash by recording entries and verifying documentation.

Billing Clerk

ABS Billing Solutions
08.2013 - 05.2015
  • Entered and maintained billing information in company internal databases for accessibility.
  • Verified accuracy of billing data and corrected discrepancies.
  • Monitored outstanding invoices and performed collections duties.
  • Managed invoicing and payment processing operations.

Education

Associate of Applied Science - General Studies

Washtenaw Community College
Ann Arbor, MI

Skills

  • Bill Payment
  • Medicare and Medicaid Process
  • Accounts Payable
  • Disability Claims Process
  • Claims Review
  • Account Reconciliation
  • Multitasking and Organization
  • HIPAA Compliance Certification
  • Commercial and Private Insurance
  • Claims Processing
  • Billing and Collection Procedures
  • Clerical Support
  • Medical Record Security
  • HIPAA Compliance

Certification

  • ICD 10 cerification AAPC- 2015

Timeline

Medical Billing Specialist

Bay Area Family Care
05.2016 - Current

Billing Clerk

ABS Billing Solutions
08.2013 - 05.2015

Associate of Applied Science - General Studies

Washtenaw Community College
Katherine Bowers