Katrina Hilliard
Fort Worth,TX
Summary
11-year billing and claims professional with expertise in accounts receivable, claim reconciliation, and customer support. Proven in enhancing processing efficiency and reducing outstanding balances while maintaining accurate records. Adept at using CRM systems and delivering clear, friendly service to resolve inquiries. Committed to ensuring smooth client interactions and effective issue resolution.
Reliable business professional with experience in project management, process improvement and financial analysis. Proven track record of successfully streamlining business operations and reducing costs. Adept at analyzing data to identify trends and developing strategies to improve efficiency.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Arbitration Specialist
MPower Health
01.2025 - Current
- Coordinated with healthcare providers and insurance representatives to manage dispute resolutions and provide clear, friendly explanations of policy details, ensuring compliance with industry standards.
- Analyzed and interpreted complex contractual agreements and medical records to prepare comprehensive case files for arbitration proceedings.
- Collaborated with legal teams, healthcare professionals, and insurance representatives to gather necessary documentation for case presentations, emulating a client-focused approach.
- Developed detailed reports and summaries of arbitration outcomes, offering insights and recommendations to enhance customer support processes and future dispute resolution strategies.
- Maintained accurate and organized records of arbitration cases, ensuring data confidentiality and adherence to internal record-keeping protocols similar to CRM systems.
- Contributed to process improvement initiatives aimed at streamlining workflows and enhancing the overall efficiency and responsiveness of the arbitration department.
Revenue Cycle Specialist
Ero Health
09.2022 - 01.2025
- Performed targeted collections on past due accounts aged over 60 days.
- Identified and resolved payment issues between patients and providers.
- Balanced and reconciled accounts.
- Contacted responsible parties for past due debts.
- Reached out to insurance companies to verify coverage.
- Tracked financial progress by creating quarterly and yearly balance sheets.
Billing Analyst, Customer Financial Services
Simitree Healthcare Solutions
05.2020 - 09.2022
- Analyzed high-volume accounts to identify discrepancies and trends in claim denials.
- Initiated billing improvements that increased processing efficiency by 15%.
- Resolved payment issues through root cause analysis and payer communication.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Billing Specialist
Professional Medical Services
03.2017 - 04.2019
- Filed and updated patient information and medical records.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Liaised between patients, insurance companies, and billing office.
- Collected payments and applied to patient accounts.
- Verified accuracy of accounts payable payments, resulting in 55% reduction in payment errors and check reissues.
Claims Representative
Esha Medical Billing
04.2013 - 03.2017
- Worked productively in fast-moving work environment to process large volumes of claims.
- Developed in-depth understanding of insurance policies and procedures.
- Collaborated with internal departments and external vendors to resolve claims.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Coordinated with contracting department to resolve payer issues.
Education
Associate of Science - Medical Coding
Ultimate Medical Academy
Clearwater, FL10.2015
Skills
- EHR/EMR and practice management expertise
- Payment posting and reconciliation
- Denial resolution proficiency
- Fair debt practices
- Repayment negotiations
- Collections process improvement
- Billing and collections best practices
- Account updating
- Refund management
- Spreadsheets
- Project management
Certification
- Certified Medical Administrative Assistant:2015
- Life, Health, and Accident Insurance License:Texas Department of Insurance, 2024
Timeline
Arbitration Specialist
MPower Health
01.2025 - Current
Revenue Cycle Specialist
Ero Health
09.2022 - 01.2025
Billing Analyst, Customer Financial Services
Simitree Healthcare Solutions
05.2020 - 09.2022
Billing Specialist
Professional Medical Services
03.2017 - 04.2019
Claims Representative
Esha Medical Billing
04.2013 - 03.2017
Associate of Science - Medical Coding
Ultimate Medical Academy