Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Timeline
Generic

Kayla Coleman

Austin

Summary

Experienced medical claims analyst with a background in reviewing, processing, and analyzing healthcare claims. Skilled in checking claim accuracy, identifying errors, and ensuring claims follow insurance policies and healthcare rules. Familiar with medical billing codes like ICD-10 and CPT. Holds a relevant certificate and combines education with real-world experience in medical claims and billing.

Overview

2
2
years of professional experience
1
1
Certification

Work History

Medical Claims Analyst

Boon Chapman
11.2024 - Current
  • Reviewing and adjudicating medical claims.
  • Checking accuracy of CPT and ICD codes. Detecting bundling, upcoding or incorrect modifiers.
  • Approving and denying claims based on insurance plan guidelines.
  • Verifying insurance coverage and calling to obtain information.
  • Checking for authorizations/precertification's for required services/hospitalization.
  • Handling appeals from providers and members.
  • Maintaining required daily production numbers of claims, appeals and reimbursements.
  • Communicating and working with the team to decrease backlog and finish projects.

Medical Receptionist

Quantum Pain & Orthopedics
03.2024 - 10.2024
  • Schedule, confirm and reschedule appointments.
  • Checked patient insurance, demographic, and health history to keep information current.
  • Obtain authorization if needed.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Prepare and process medical records for providers, external facilities or patients.
  • Daily office duties like faxing, indexing, storage and use of Microsoft applications.
  • Call pharmacies and referrals on behalf of patient or the facility.
  • Reviewing patient records to determine the correct specialist for diagnosed treatment areas.

Front Desk Manager

Embellish Nail Salon
05.2023 - 11.2023
  • Oversaw daily cash reconciliations, maintaining accurate financial records for the front desk department.
  • Scheduling, rescheduling and cancelling appointments.
  • Office duties such as taking inventory, verifying documents and use of Microsoft programs.
  • Creating and altering employees' schedules and client bookings.
  • Receiving packages and taking inventory of products.
  • Key holder: Closing and opening the store and setting the security alarm.
  • Increased guest retention by maintaining a welcoming and organized reception area.

Education

NRCCS - Medical Coding & Billing

College of Healthcare Professions
Austin, Texas
05.2024

Skills

  • Problem solving
  • Time management
  • Experienced in Remote/WFH
  • Reliable and effective team player
  • Verbal and written communication
  • Highly organized and efficient
  • ICD-10, CPT and HCPCS coding
  • Insurance claims processing
  • Computer proficiency
  • Medical terminology
  • CPR certified
  • Medical ethics and knowledge
  • Insurance verification
  • Authorizations and referrals

Certification

  • [NRCCS] Nationally Registered Certified Coding Specialist, 05/01/24, Present

Accomplishments

  • Presidents Honor Roll, 11/01/24, 02/01/24, 100% attendance with 3.9 GPA
  • Recognition of Excellence, 07/01/24 by Chief Operating Officer of Quantum Pain & Orthopedics.
  • Recognition of Excellence, 07/01/24, by Office Manager of Quantum Pain & Orthopedics.

Timeline

Medical Claims Analyst

Boon Chapman
11.2024 - Current

Medical Receptionist

Quantum Pain & Orthopedics
03.2024 - 10.2024

Front Desk Manager

Embellish Nail Salon
05.2023 - 11.2023

NRCCS - Medical Coding & Billing

College of Healthcare Professions

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