Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kathy Narcisse

Houston,TX

Summary

Skilled professional with experience in collections, customer service and data entry. Exceptional interpersonal and problem-solving skills. Effectively mediates customer disputes and collects payment in timely manner. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

9
9
years of professional experience

Work History

Patient Financial Services Representative

Team1Medical
07.2023 - Current
  • Researched billing errors and discrepancies to initiate corrective action.
  • Responded to customer inquiries and provided detailed account information.
  • Verify patient demographic and insurance information for accuracy.
  • Processing medical claims and ensuring timely and accurate payments from insurance companies, patients, and other payers.
  • Contacting insurance companies to determine the status of submitted claims and investigating reasons for claim denial.
  • Adhere to all practice policies related to OSHA, HIPAA and Medicare Compliance.
  • Prepare and review clean claims for submission.
  • Conduct routine tasks as directed.
  • Contribute to the specific objectives and outcomes as directed.
  • Researched billing errors and discrepancies to initiate corrective action

Account Representative Specialist

Enhanced Revenue Solutions
04.2023 - 07.2023
  • Collaborated with other departments to address customer needs and service requests.
  • Processed client payments and updated accounts.
  • Supported customer satisfaction through regular follow-up and communication.
  • Increased customer satisfaction ratings through proactive and actionable resolutions to questions, concerns, or challenges.
  • Implemented customized account plans to meet individual client needs.
  • Analyzed accounts for delinquencies and other ongoing issues.
  • Contacted customers to assess satisfaction and current needs.
  • Interpreted financial data to identify trends and opportunities.
  • Trained new employees on customer service, claim follow up process.
  • Initiate billing of New Day and corrected claim daily.
  • Achieved or exceeded set quotas daily which was 50-70 accounts.
  • Printed and mail claims and medical records to Payers for processing.
  • Maintain A/R daily over Orthopedic, Pain Management, and Cardiology clinics.
  • Performed adjustment and refund to patient daily.
  • Attended scheduled meeting with clients and staff to discuss new and old issues.

Medical Insurance Collector

Legacy Health Insurance Services
04.2022 - 08.2022
  • Conducted primary source verifications such as background checks and board certifications.
  • Obtained NPI numbers for providers and facilities and updated existing profiles.
  • Received and evaluated applications to look for missing and inaccurate information.
  • Enrolled providers and Medicaid, Medicare and private insurance plans.
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
  • Verified patient insurance coverage and benefits for medical claims.
  • Managed large volume of medical claims on daily basis.
  • Evaluated medical claims for accuracy and completeness and researched missing data.
  • Followed up on denied claims to verify timely patient payment and resolution.
  • Responded to correspondence from insurance companies.
  • Processed insurance payments and maintained accurate documentation of payments.

AR Representative and Registration Clerk

West Gray Properties, Inc
02.2020 - 04.2022
  • Completed registration paperwork, verifying accurate patient information.
  • Updated patient contact information to support accurate electronic medical records.
  • Answered patient questions and inquiries regarding registration process and documentation.
  • Scheduled patient appointments, collected copays and verified insurance coverage to complete check-ins.
  • Assisted in processing patient payments via cash, checks and credit cards.
  • Confirmed patient demographics and updated practice management software for accuracy.
  • Entered patient information into payment system accurately for billing purposes.
  • Processed medical records requests, assuring release only to appropriate authorization patient/family member.
  • Upheld HIPAA regulations and standards for protecting patient information.
  • Performed regular quality and validation assessments on patient data to verify accuracy.
  • Coded and abstracted medical records according to ICD-10-CM and CPT coding guidelines.
  • Studied and researched various medical terms as well as software and coding systems.
  • Performed negotiation with vendors to get the most out of reimbursement.
  • Open NSA and IDR request via portal.
  • Assist in reducing A/R from 50-million dollars deficit to 20-million-dollar deficit in less than one year.

Medical Bill Review Auditor and Clerk Assistant

Abercrombie, Simmons And Gillette Claims
07.2018 - 02.2020
  • Provided quality clerical support through data entry, document management, email correspondence, and overseeing operation of office equipment.
  • Interacted with customers by phone, email, or in-person to provide information.
  • Maintained daily quota 45-70 accounts
  • Enter charges and coding medical bills.
  • Performed audits on insurance claims by re-calculating the physician and the hospital medical bills and using the Usual, Customary Rates and the total cost of the medical bill and make a offer based on median of the two.
  • Monitored office supplies and made arrangements for restocking of low-stock items.
  • Routed business correspondence, documents, and messages to correct departments and staff members.
  • Issued invoices and followed up on outstanding payments to remind clients to pay on time.
  • Promptly received and forwarded incoming communications, such as phone calls, emails and letters, to appropriate staff.
  • Processed incoming and outgoing mail and packages according to established procedures.
  • Utilized office management software to record and track customer information.
  • Scanned medical records and medical bills to physician and the Department of Insurance as directed by the adjuster.

Patient Account Specialist

Acclara Solutions, LLC
08.2017 - 07.2018
  • Worked with outside entities to resolve issues with billing, claims and payments.
  • Electronically submitted bills according to compliance guidelines.
  • Researched billing errors and discrepancies to initiate corrective action.
  • Maintained daily quota of 50 accounts
  • Contacted customers to discuss past-due accounts and negotiated payment plans.
  • Contacted patients after insurance was calculated to obtain payments.
  • Sent correspondences to patients regarding updating Coordination of Benefits
  • Responded to patient, family and external payer inquiries.
  • Posted payments and processed refunds.

AR Billing Specialist

C3 Healthcare
05.2014 - 08.2017
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Communicated with insurance companies to research and resolved coding discrepancies.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Correctly coded and billed medical claims for various hospital and clinics.
  • Input data into computer programs and filing systems.
  • Followed up with medical staff regarding missing information in patient records.
  • Tracked and monitored requests for medical records release.
  • Maintains all supporting documentation for claims and claims follow up.
  • Obtained NPI numbers for providers and facilities and updated existing profiles.
  • Received and evaluated applications to look for missing and inaccurate information.
  • Enrolled providers and Medicaid, Medicare and private insurance plans.

Education

Associate of Applied Science - Medical Insurance Billing And Coding

Grantham University
Lenexa, KS
08.2020

No Degree - Medical Billing And Coding

Texas Schol of Business
Houston, TX
02.2014

GED -

Houston Community College
Houston, TX
03.2013

Skills

  • Filing and Data Archiving
  • Conflict Resolution
  • Medical Terminology
  • Verbal and Written Communication
  • Billing and Collections
  • Customer Service
  • Negotiation and Resolution
  • Accurate Payment Posting
  • Training and Teaching
  • Microsoft Office
  • Credit and Collections
  • Organizational Skills
  • Decision-Making
  • Correspondence Sorting and Filing

Timeline

Patient Financial Services Representative

Team1Medical
07.2023 - Current

Account Representative Specialist

Enhanced Revenue Solutions
04.2023 - 07.2023

Medical Insurance Collector

Legacy Health Insurance Services
04.2022 - 08.2022

AR Representative and Registration Clerk

West Gray Properties, Inc
02.2020 - 04.2022

Medical Bill Review Auditor and Clerk Assistant

Abercrombie, Simmons And Gillette Claims
07.2018 - 02.2020

Patient Account Specialist

Acclara Solutions, LLC
08.2017 - 07.2018

AR Billing Specialist

C3 Healthcare
05.2014 - 08.2017

Associate of Applied Science - Medical Insurance Billing And Coding

Grantham University

No Degree - Medical Billing And Coding

Texas Schol of Business

GED -

Houston Community College

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Kathy Narcisse