KAYLA JONES
CONCORD,CA
Summary
Talented billing manager offering an organized and quality-oriented mindset along with several years of experience in administrative, customer service and leadership positions. Eager to leverage abilities and experience in dynamic new position with room for growth and advancement.
Overview
12
12
years of professional experience
Work History
Billing Manager
Muir Pulmonary Critical Care
Walnut Creek, CA
11.2019 - Current
- Responsible for billing, collections, and reimbursement for specific patient accounts.
- Monitor monthly aging reports and conduct follow-up on unpaid claims, taking appropriate action to correct and re-bill for reimbursement.
- Perform overall revenue management including: satisfying timely filing requirements, maximizing billing revenue and collections, and resolution of denied/rejected claims.
- Work closely with EPIC to identify and work to resolve systemic issues.
- Perform regular audits of daily billing reports to identify coding and billing errors.
- Review claims for errors and make corrections as necessary.
- Appeal claims which are incorrectly processed for additional benefits. Review EOBs, prepare and send new appeals for recently denied/down-coded services.
- Prepare and send tracers on unanswered appeals and make phone calls to insurance companies in follow-up.
- Identify, follow, and resolve patient billing complaints and notify the patient or responsible party of the outcome.
- Process incoming insurance payment and correspondence. Handle claims suspended for further information; claims rejected for incorrect subscriber information. Billing patients for deductibles or non-covered items.
- Process incoming correspondence regarding balance due and updated insurance information.
- Review each account on the status aging report. Send collection letters and contact patients with overdue accounts. Process collection and bad debt adjustments.
- Attend billing office meetings as required and engage in educational activities and seminars with the physicians as needed.
- Insurance contracting and negotiations.
- Physician credentialing and CAQH.
- Worker's Compensation contracting, scheduling, and coordination.
Program Coordinator
Cue, Inc.
Walnut Creek, CA
03.2017 - 11.2019
- Organize, manage, and archive all program materials.
- Maintain program inventory and shipping.
- Coordinate program income and expenses.
- Coordinate speaker databases and all related materials including corporate membership.
- Responsible for data entry of conference speakers, preparation of conference information for website publishing and checks regularly to maintain updated information.
- Enforced safety procedures and protocols to keep all personnel and visitors safe across conference time operations.
- Assist with event registrations when needed.
- Assist in the preparation, production, and maintenance of publications, as assigned.
- Coordinate on-site set-up and logistics.
- Research and prepare reports, as assigned.
- Provide training to employees, as assigned.
- Schedule cost effective air/hotel/ground transportation for Executive Director.
Business Intelligence Assistant
Epic Care
Antioch, CA
06.2016 - 02.2017
- Manage IT support ticketing system, ensuring efficient problem tracking and resolution.
- Maintain the Epic Care FAQ knowledge base, enhancing accessibility to information and promoting a culture of knowledge sharing.
- Collaborate with internal teams for on-boarding and off-boarding employees.
- Ensure all external and internal printed materials coincide with the company Brand.
Operations Assistant
Vaco San Francisco, LLC
Walnut Creek, CA
03.2014 - 12.2015
- Provide comprehensive support for employees and clients, addressing issues and facilitating resolutions.
- Coordinate all new hire related activities including new team member communication, on-site preparation, orientation scheduling, and assist leadership with onboarding questions and tasks as it relates to new hires.
- Conduct new employee orientations on-site to ensure employees gain an understanding of benefit plans, policies, and procedures. Responsible for completing new employee I9 forms and audits as needed.
- Played a key role in creating a culture of safety, ensuring compliance with safety regulations and promoting best practices.
- Support H1B and J1 Visa immigration sponsorship processes.
- Coordinate space planning activities, local events, and company-wide lunches.
Education
High School Diploma -
Diablo Valley Community College
Skills
- Project management
- Time management
- Interpersonal skills
- Attention to detail
- Problem-solving
- G-Suite
- Microsoft Office Suite
- Epic
- Billing management
- Claims processing
- Revenue cycle management
- Speaker coordination
- Event logistics
- IT support management
Timeline
Billing Manager
Muir Pulmonary Critical Care
11.2019 - Current
Program Coordinator
Cue, Inc.
03.2017 - 11.2019
Business Intelligence Assistant
Epic Care
06.2016 - 02.2017
Operations Assistant
Vaco San Francisco, LLC
03.2014 - 12.2015
High School Diploma -
Diablo Valley Community College