Kayla Abreo
Gonzales,LA
Summary
Detail-oriented Billing and Collections Specialist excelling in claim management and insurance verification. Known for strong communication skills and dependability, consistently ensuring timely resolution of claims and exceptional customer service.
Overview
14
14
years of professional experience
Work History
Billing and Collections Specialist
St. James Parish Hospital
Lutcher, Louisiana
02.2022 - Current
- Review and correct claim edits and claim rejections that are flagged in clearinghouse billing scrubber.
- Submit electronic and paper claims to insurance companies.
- Denial management by researching, appealing and correcting denied or rejected claims.
- Ensure overpayment/refund request by insurance third-party payers are worked in a timely manner.
- Contact insurance companies to follow up on status of unpaid claims.
- Accurately post patient payments/refunds to their accounts. As well as posting insurance tech denials and adjustments to claims.
- Answer patient calls regarding account balances, questions for insurance and claim processing.
- Verifying and understanding insurance policies.
- Comply with HIPAA, federal and state regulations.
Patient Intake/Sales Representative
Medcare of Ascension
Gonzales, LA
02.2017 - 02.2022
- Enter patient demographics and insurance information into our EMR software(Brightree).
- Verify patients' health insurance coverage and benefits.
- Follow Medicare and Medicaid guidelines.
- Obtain authorizations from various medical insurance companies for Durable medical equipment/medical supplies if necessary.
- Communicate with referring providers to request clinic notes or medical records if needed.
- Collect co-pays.
- HIPAA
- Contact patients to schedule delivery or pick-up of medical equipment.
- Educate patient on use of medical equipment
- Maintain supply management each day by calling patients and verifying any changes to address in order to have supplies shipped out. Keep prescriptions and authorizations up to date.
- Assist any customer that comes into the store with a referral or wanting to make a cash purchase.
- Make sure all orders/referrals are processed in a timely manner.
- Answer incoming calls.
- Scan and sort patient medical records into their charts in Brightree.
Sales Lead Keyholder
Reebok
Gonzales, LA
06.2015 - 02.2017
- Drive sales.
- Money Handling.
- Perform store operations.
- Ensure customers are receiving a high level of customer service.
- Create and maintain a team environment within the store.
- Work and utilize freight.
Team Lead
Winn Dixie
Gramercy, LA
11.2011 - 08.2015
- Managing the front end, service desk and office.
- Cash Handling.
- Check cashing, Money orders, Western Union.
- Cashier
- Stocking front end supplies.
- Customer service.
Education
Associate of Applied Science - Medical Coding
River Parishes Community College
Gonzales, LA05-2016
High School Diploma -
Lutcher High School
Lutcher, LA05-2013
Skills
- Medical Terminology
- Insurance Verification
- Authorizations
- Medical coding and billing
- Claim management
- Customer service
- HIPAA
- Electronic Medical Records
- Electronic claim submission
- Attention to detail
- Organization skills
- Ability to prioritize
- Communication Skills
- Dependable
Timeline
Billing and Collections Specialist
St. James Parish Hospital
02.2022 - Current
Patient Intake/Sales Representative
Medcare of Ascension
02.2017 - 02.2022
Sales Lead Keyholder
Reebok
06.2015 - 02.2017
Team Lead
Winn Dixie
11.2011 - 08.2015
Associate of Applied Science - Medical Coding
River Parishes Community College
High School Diploma -
Lutcher High School