Katie Gould
Reno
Summary
Medical billing leader with proven expertise in optimizing billing processes and ensuring HIPAA compliance. Demonstrated ability to coordinate credentialing procedures and conduct audits, resulting in enhanced accuracy and efficiency. Achieved significant improvements in revenue cycle management through strategic initiatives.
Overview
5
5
years of professional experience
Work History
CEO
Brain Billers
Reno
05.2023 - Current
- Streamlined processing of medical claims utilizing electronic health record systems.
- Ensured compliance with HIPAA regulations in all billing activities diligently.
- Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
- Processed corrections and adjustments to ensure accurate payment from third party payers.
- Coordinated physician credentialing processes for compliance with regulatory standards.
Medical Billing Manager
Sugi Psychiatry and Wellness
Reno
04.2022 - 04.2023
- Managed billing processes for mental health services at a wellness organization.
- Trained staff on billing software and best practices for accurate coding.
- Collaborated with clinical teams to enhance billing efficiency and accuracy.
- Managed the verification of medical licenses, education, and training documents.
- Conducted regular audits of credentialing files to ensure adherence to policies.
Medical Billing Manager
Saint Mary's Medical Center
Reno
12.2020 - 04.2022
- Managed monthly billing cycles, ensuring timely invoicing for client accounts to enhance cash flow.
- Developed improved standard operating procedures, enhancing billing accuracy and streamlining cash flow.
- Developed and implemented billing procedures to enhance operational efficiency.
- Provided expert advice on billing optimization strategies, leading to a reduction in outstanding accounts receivables.
- Trained and mentored junior staff on billing software and compliance standards, fostering team competence and adherence to regulations.
Education
Bachelor of Arts - English Literature
University of Nevada Reno
Reno, NV05-2005
Associate of Arts - English Literature
Truckee Meadows Community College
Reno, NV05-2003
Skills
- Revenue cycle management
- Claim processing
- Medical claims coding
- Healthcare claim coding
- Medicare and medicaid billing
- Medical coding
- HCPCS coding
- Medicare insurance regulations
- Billing software
- Credentialing procedures
- Account reconciliation
- HIPAA compliance
Timeline
CEO
Brain Billers
05.2023 - Current
Medical Billing Manager
Sugi Psychiatry and Wellness
04.2022 - 04.2023
Medical Billing Manager
Saint Mary's Medical Center
12.2020 - 04.2022
Bachelor of Arts - English Literature
University of Nevada Reno
Associate of Arts - English Literature
Truckee Meadows Community College