Keith Kellam
Kannapolis,NC
Summary
Experienced Billing Manager of 15+ years; adept at increasing workflow efficiency and technical analysis.Proficient in overseeing team operations, implementing improvements, and collection management to reduce delinquency. Strong innovative leader and project manager who thrives in fast-paced environments. Skilledcollaborator and relationship- builder familiar with compliance and documentation requirements.
Currently working on obtaining my Bachelor’s degree in Business Administration. Deeply committed to theindustry and eager to contribute my skills and knowledge to an organization that shares my passion to
maximize revenue while supporting the medical community.
Overview
31
31
years of professional experience
Work History
Billing Manager
Resolvion
Charlotte, NC
12.2022 - Current
- Implemented first time pass rate report
- Implemented Productivity and Quality Review Metrics
- Manage 10 Team Members and Two Leads
- Oversee Team in Charlotte, NC Carlsbad, CA and India
- Perform Monthly One on Ones with coaching if needed
- Manage billing throughput of 120 million a year
- Run KPI Reports for upper management for monthly review.
Revenue Cycle Consultant
Physician Practices
08.2022 - 12.2022
- Work with Primary Care Practices with Revenue Cycle issues
- Identify barriers to billing cycle and implement refine accounts receivable follow-up process
- Review write-off procedure and adjustment process to increase controls and transparency.
CBO ADMINISTRATOR
Charlotte Gastroenterology and Hepatology
Mooresville, NC
02.2020 - 08.2022
- Decreased A/R days from 28- 20 days in 8 months
- Manage 20 team members and two assistant managers
- Implemented productivity and quality review metrics
- Streamlined workflows and process to accelerate cashflow
- Oversee and manage revenue cycle processes including, billing, registration, authorization, and coding
- Work Closely with Director of Operations and Regional managers on front end denials
- Track and trend monthly payments
- Identify, analyze, and reconcile billing errors or omissions
- Provide coaching and guidance to all staff
- Managed and oversee inhouse and third-party collections
- Responsibility for all AR reports and KPI’s.
RCS Supervisor
Novant Health
Whitehall, NC
07.2017 - 02.2020
- Decreased AR Days from 22 days to 17 days in 6 months
- Implemented new Credentialing Work Queue to measure and manage accounts
- Review daily and weekly A/R reports
- Track insurance Follow-up team daily productivity and lag times
- Manage A/R Work Queues on a daily basis
- Manage claim edits and rejection Work Queues
- Supervise 18 billers and bill for 90 clinics.
Billing Manager
Ensemble Health Partners
Huntersville, NC
08.2015 - 07.2016
- Decreased DNFS from $68M to an average of $2.5M in 6 months
- Manage billing team and oversee daily billing throughput in EDI scrubbing system for 7 hospitals
- Review daily billing edits and submit service request to increase claim validation rate
- Hold daily calls with Revenue Cycle Directors, HIM, Patient Access to review DNFB and DNFS
- Responsible to develop and implement new workflows through and streamline processes
- Track and trend daily DNFS and KPI's
- Hold daily DIBBS meeting with Billing Team
- Monitor daily deleted claims to ensure all claims are being billed
- Manage 276/277 rejection report
- Manage paper claim process to ensure source of payer cannot go electronic
- Work with IT on Medicaid 121 claim form in host system
- Created billing manual for new employees for training Department
- Responsible to visit clients and assist with training and educating business users at client sites
- Responsible for process and improvement and streamlining processes.
Financial Analyst
Cooper University Hospital
Cherry Hilly, NJ
07.2005 - 06.2015
- Assist with Epic pre-install - Billing workflows, Charge Capture and system interface
- State reporting (NJDDCS) for specific hospital encounters
- Prebill edits – Charging and interface issues
- Run system macros to append bulk charges, notes, rebills, etc
- Assist Billing Manager with any EDI issues and workflows
- Charge ancillary report – misapplied charges.
Claims Specialist
Sterling Medical Services
Moorestown, NJ
12.2003 - 07.2005
- Follow up on outstanding accounts
- Verify member eligibility.
Claims Representative
Virtua Home Care
Mt. Laurel, New Jersey
09.2002 - 11.2003
- Bill insurance company for services rendered
- Knowledge of physician’s orders and oasis.
Follow up Representative
Liberty HealthCare Management, LLC
Secaucus, New Jersey
02.2002 - 09.2002
- Review and maintain patient accounts for correct and complete information
- Contact patients and insurers to facilitate payments on accounts
- Verify authorization with insurance certification venders.
Claims Representative
Memorial Hospital of Burlington County
Mt. Holly, New Jersey
09.2000 - 01.2002
- Review and maintain patient accounts for correct and complete information
- Contact patients and insurers to facilitate payments on accounts
- Verify authorization with insurance certification venders.
Orderly
Memorial Hospital of Burlington County
Mt. Holly, New Jersey
02.1995 - 09.2000
- Served as liaison between patients and hospital staff
- Delivered research materials to hospital laboratories
- Prepared operating and recovery rooms for physician use.
Service Partner
Memorial Hospital of Burlington County
Mt. Holly, New Jersey
05.1993 - 01.1995
- Advocated the concerns and ideas of consumer care.
Billing Manager
- Managed high cost Aetna drug project for 340B program that generated $1.2 million dollars in revenue
- Implemented ABB (Aged Balanced Billing) report to trend current unbilled A/R
- Researched and assisted with GE development team with eligibility result screen
- Setup front registration process/workflow for eligibility rejections for Q/A capture
- Managed 2 Supervisors, 12 billers directly and many indirect throughout the Revenue Cycle
- Oversee Government, Commercial, Managed Care, Charity Care and Exclusion billing
- Managed billing team XClaim inventory and throughput in EDI billing system
- Managed DNFB and other bill hold reports that are funneled through the billing team
- Work with upstream departments with charging/coding and billing issues
- Hold weekly meetings with EDI vendor on billing/system issues
- Responsible for pulling weekly XClaim inventory KPI report for upper management review
- Managed Revenue Cycle charge capture deviation that is greater 30% of average posted charges
- Managed Revenue Cycle late charge monitoring process
- Implement Billing processes and policies
- Train upstream users on EDI billing System for workflow purposes
- Track Billing Team productivity and quality on a daily basis
- Research and investigate front-end rejections
- Review account receivable reports monthly
- Attend education seminars to stay current and meet compliance requirements
- Knowledge of Epic clinical and charge capture.
Financial Analyst
- Managed billing team inventory and throughput in EDI billing system
- Managed DNFB and address bill holds with department
- Managed billing reports
- Worked with upstream departments with outstanding issues.
EDI System Administrator
- Decreased DNFB from 90 million claim inventory to 12 million in electronic billing system
- Trained and setup inter-departments with Electronic Billing System
- Track and trend billing issues
- Monitor claim inventory in Electronic Billing System
- Assist staff daily with claim problems
- Designed and Revamped user provisioning for users XClaim inventory.
Claim Specialist
- Follow-up on outstanding accounts
- Communicate issues with physician’s office on Gastroenterology billing issues.
Education
Bachelor’s Degree Prepared -
Strayer University
Certificate in Network Engineering -
Burlington County Institute of Technology
Skills
- Windows 95
- Windows 98
- Windows NT
- Windows Me
- Windows 7/8
- WordPerfect (50 and 61)
- Microsoft Office Suite (SME in Excel; Power Pivot, Get Pivot, V-lookup, etc)
- Lotus notes
- Print Shop Deluxe/Companion
- Billing Systems-HealthQuest
- IDX
- Epic
- MedAssets suite (XClaim)
- Meditech
- Relay Assurance
- Paragon
- HMS
- SSI
- ClaimSource
- PC assembly
- Troubleshooting
- Configuration
- Server issues
- Printer problems
- Network card installation
References
Available upon request
Timeline
Billing Manager
Resolvion
12.2022 - Current
Revenue Cycle Consultant
Physician Practices
08.2022 - 12.2022
CBO ADMINISTRATOR
Charlotte Gastroenterology and Hepatology
02.2020 - 08.2022
RCS Supervisor
Novant Health
07.2017 - 02.2020
Billing Manager
Ensemble Health Partners
08.2015 - 07.2016
Financial Analyst
Cooper University Hospital
07.2005 - 06.2015
Claims Specialist
Sterling Medical Services
12.2003 - 07.2005
Claims Representative
Virtua Home Care
09.2002 - 11.2003
Follow up Representative
Liberty HealthCare Management, LLC
02.2002 - 09.2002
Claims Representative
Memorial Hospital of Burlington County
09.2000 - 01.2002
Orderly
Memorial Hospital of Burlington County
02.1995 - 09.2000
Service Partner
Memorial Hospital of Burlington County
05.1993 - 01.1995
Billing Manager
Financial Analyst
EDI System Administrator
Claim Specialist
Bachelor’s Degree Prepared -
Strayer University
Certificate in Network Engineering -
Burlington County Institute of Technology
Similar Profiles
SHRONNA HARRISSHRONNA HARRIS
Recovery Agent Skip Tracer at RESOLVIONRecovery Agent Skip Tracer at RESOLVION
Sabana JacqueSabana Jacque
Operations Manager at ResolvionOperations Manager at Resolvion
Brian GarzaBrian Garza
Sales and Training Manager at Sam's ClubSales and Training Manager at Sam's Club
Kelvin SimsKelvin Sims
MyChart Virtual Support Supervisor at Atrium HealthMyChart Virtual Support Supervisor at Atrium Health
JOSEPH WILLIAMSJOSEPH WILLIAMS
Cost Accountant at Ingersoll Rand Corporation DLCCost Accountant at Ingersoll Rand Corporation DLC