Keli Ellsworth
Saint Francis,SD
Summary
Detail-oriented Accounts Receivable Specialist with over 25 years of experience in medical billing, claims processing, denials and appeals, and patient relationship management. Specializes in resolving discrepancies and enhancing billing accuracy and compliance. Contributed to improved claims processing efficiency and accuracy through strong problem-solving skills.
Overview
18
18
years of professional experience
Work History
Accounts Receivable Specialist
Cumberland Family Medical
Russell Springs, Kentucky
01.2022 - Current
- Work remotely and independently with a strong emphasis on creating and following up on appeals.
- Coordinated with insurance companies, resolving payment discrepancies to ensure timely revenue collection.
- Corrected coding errors and addressed eligibility denials to ensure accurate billing.
- Processed and verified patient billing information for accuracy.
- Managed accounts receivable reports and tracked outstanding balances.
- Managed billing charges across multi-clinic practice, enhancing revenue collection efficiency.
- Collaborated with team members to streamline billing processes, improving overall workflow.
- Working rejections/edits via billing software and third-party vendors such as Availity.
Billing Specialist
Allergy, Asthma & Immunology
Lexington, KY
07.2017 - 01.2022
- Maintained accurate billing records in specialized medical billing software, supporting streamlined claim processing.
- Worked effectively with all medical payers including Medicare, Medical, commercial and private insurances to process claims
- Collaborated with healthcare providers to verify proper documentation for billing purposes.
- Managed patient accounts with timely follow-up on outstanding balances, improving cash flow and minimizing delinquencies.
- Created appeals to facilitate proper processing and payment of claims
- Ensured compliance with healthcare regulations related to billing practices.
- Assisted training new staff on billing procedures and software usage.
- Worked with team members to identify and develop process improvements.
- Investigated incorrect billings and processed refunds to ensure accurate financial records and enhance patient satisfaction.
- Worked closely with patients to discuss payment arrangements when needed.
- Processed credit card transactions through Point-of-Sale terminals or online systems.
- Supported other departments within the organization.
- Maintained accurate records of collections, adjustments and denials in the system.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Verified insurance coverage and identified third-party payers for billing purposes.
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Implemented new policies related to billing processes when required.
- Reconciled daily cash receipts with total deposits on the bank statement.
- Assisted in developing strategies for improving collections processes.
- Managed multi-line phone, scheduled patients, registered new patients, and triaged inquiries.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Corrected dictation errors in patient records for accuracy. and transcribing new patient referrals
Assistant Specialty Manager/Medical Transcription
Spine and Brain Neurosurgical Center
Lexington, KY
11.2008 - 08.2012
- Coordinated with third-party transcription company for accurate MRI and chart note documentation.
- Managed patient scheduling and coordinated with medical staff for seamless operations.
- Assisted physicians and nurses with in office procedures, patient care, preop triage, prepping patients for procedures, post op care.
- Invoiced and processed medical records for attorneys, insurance companies, and patients.
- Enhanced communication between patients and healthcare providers to clarify care instructions.
- Billing/entering charges for surgeries, procedures and psychiatric services for 4 physicians at 2 clinics.
- Created and utilized all office documentation/forms.
- Assisted with employee training on new software, office policy and procedures.
- Created and executed marketing strategies to increase patient engagement and clinic visibility.
- Problem solving for precert department.
Education
Medical Transcription
National College of Business And Technology
Danville, Kentucky05-2000
Skills
- Medical billing
- Claims processing
- Insurance verification
- Appeals management
- Coding accuracy
- Billing oversight
- Billing dispute management
- Payment processing
- Payment management
- Account reconciliation
- Accounts receivable
- Accounts receivable expertise
- Data entry and management
- Data verification
- Revenue tracking
- Aging reports analysis
- Statement preparation
- Statement issuing
- Dispute resolution
- Customer service support
- Customer relationship management
- Account follow-up
- Claim investigation
- Compliance adherence
- Process improvement
- Time management
- Attention to detail
- Problem solving
- Team collaboration
- Effective communication
- Strong client relations skills
- Collections
- Codes reviewing
- Bill processing
- Collections
- Payment accuracy
- Data verification
Timeline
Accounts Receivable Specialist
Cumberland Family Medical
01.2022 - Current
Billing Specialist
Allergy, Asthma & Immunology
07.2017 - 01.2022
Assistant Specialty Manager/Medical Transcription
Spine and Brain Neurosurgical Center
11.2008 - 08.2012
Medical Transcription
National College of Business And Technology