Kathryn Caldwell
690 Hillcrest Ave. Morrisville,PA
Summary
Motivated professional proudly offers over 10 years' experience in medical billing. Adds value to any organization in need of great collaboration, interpersonal, and multitasking abilities. Adaptable and driven with strong work ethic and motivation to thrive in team-based or individually motivated settings.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Project Manager
Parkway Clinical Laboratories, inc
Bensalem, PA
03.2014 - 08.2020
- Established project budgets and tracked expenditures.
- Managed building and system start-up to achieve project goals, specifications and contract requirements.
- Brought projects in on-time and in accordance with budget and quality standards.
- Led team meetings to convey project requirements, scope, milestones and regulatory compliance.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Generated thorough reports detailing revenue, sales, and collections.
- Utilized forward-thinking approach for uncovering and solving client concerns and project issues.
Medical Billing and Collections Specialist
P.R.N
Cherry Hill, NJ
01.2012 - 01.2014
- Applied HIPAA privacy and security regulations while handling patient information.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Prepared and submitted claims to insurance companies both electronically and manually.
- Posted charges, payments and adjustments.
- Verified proper coding, sequencing of diagnoses and procedures.
- Completed and submitted appeals for denied claims.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Added modifiers, coded narrative diagnosis and verified diagnoses.
- Tracked and recorded status of delinquent accounts and contacted patients for unpaid claims for HMO, PPO and private accounts.
- Remained up-to-date with all insurance requirements, including details of patient financial responsibilities, fee-for-service and managed care plans by participating in training programs and Medicare/Medicaid seminars.
Pharmaceutical Sales Representative
MediMedia Health
Newtown, PA
01.2010 - 01.2012
- Achieved territory, individual and company goals for call metrics, sample distribution, market share and sales.
- Employed effective selling, listening and negotiation skills while communicating with customers.
- Followed up with customer to identify and resolve service, account or technical issues and maintain satisfaction.
- Generated more than 50 leads per week and pursued appointment opportunities to convert prospects into new customers.
- Cultivated long-term relationships with clients.
Education
Associate of Applied Science - Business Administration
Bucks County Community College
Newtown, PA05.2011
Skills
- Strong written and verbal communication skills
- Cost reduction and containment
- Project development and lifecycle
- Workforce training
- Budgeting and forecasting
- Performance improvements
- Work flow planning
- Staff training and mentoring
- Client/payor relations specialist
Certification
- OSHA Certification, Parkway Clinical Laboratories, inc. - 2019
- Project Management Professional (PMP),
Certified through Project Management Institute (PMI), Harrisburg, PA
Timeline
Project Manager
Parkway Clinical Laboratories, inc
03.2014 - 08.2020
Medical Billing and Collections Specialist
P.R.N
01.2012 - 01.2014
Pharmaceutical Sales Representative
MediMedia Health
01.2010 - 01.2012
Associate of Applied Science - Business Administration
Bucks County Community College
- OSHA Certification, Parkway Clinical Laboratories, inc. - 2019
- Project Management Professional (PMP),
Certified through Project Management Institute (PMI), Harrisburg, PA
Similar Profiles
GABRIELLE PETROGABRIELLE PETRO
Sales Executive at Parkway Clinical LaboratoriesSales Executive at Parkway Clinical Laboratories
Milagro AbramsMilagro Abrams
Financial Operations Specialist at Parkway Clinical LaboratoriesFinancial Operations Specialist at Parkway Clinical Laboratories
Yu Cong CaoYu Cong Cao
Data Support/Client Service Officer at Parkway Laboratories Services LtdData Support/Client Service Officer at Parkway Laboratories Services Ltd