Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Kelle Miller

Summerfield,FL

Summary

Highly-motivated, hard working employee with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

29
29
years of professional experience

Work History

Accoun Representative/Team Lead

HCA FL Ocala Health
Ocala, Florida
11.2004 - Current
  • Reviewed medical records to ensure accuracy of billing information and patient data.
  • Calculated billing charges, prepared and submitted claims to insurance companies.
  • Verified insurance coverage and identified third-party payers for billing purposes.
  • Monitored accounts receivable activity to ensure timely payment of invoices.
  • Resolved discrepancies between customers' remittances and invoices received.
  • Answered customer inquiries regarding billings, payments, account status.
  • Investigated incorrect billings and processed refunds as necessary.
  • Maintained accurate records of collections, adjustments and denials in the system.
  • Reconciled daily cash receipts with total deposits on bank statement.
  • Processed credit card transactions through Point-of-Sale terminals or online systems.
  • Generated periodic reports summarizing account balances and collection activities.
  • Assisted in developing strategies for improving collections processes.
  • Provided support to other departments within the organization as needed.
  • Analyzed financial data to identify trends in revenue cycles.
  • Developed financial reports detailing accounts receivable aging status.
  • Assisted with year-end closing tasks including preparing journal entries.
  • Tracked changes in legislation that could affect billing procedures.
  • Implemented new policies related to billing processes when required.
  • Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
  • Investigated and resolved issues to maintain billing accuracy.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Worked with team members and leadership to identify and develop process improvements.
  • Completed billing audits in identified timeframes to report and investigate findings.
  • Performed data import, scanning or manual keying processes to verify invoice accuracy.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.
  • Collected, posted and managed patient account payments.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
  • Reconciled codes against services rendered.
  • Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.
  • Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
  • Reviewed engine assigned codes and modifiers to update and verify accuracy.
  • Provided leadership and guidance to team members, ensuring that tasks were completed on time and to a high standard.
  • Trained new staff in relevant processes and procedures.
  • Supported the manager in developing plans for future projects, initiatives and objectives.
  • Delegated daily tasks to team members to optimize group productivity.
  • Collaborated with management team to implement new work procedures or policies.
  • Greeted customers warmly and made them feel welcome.
  • Assisted with scheduling appointments for clients and visitors.
  • Managed incoming and outgoing mail, courier services, faxes and other correspondence.
  • Assisted with preparing reports, presentations and other documents as requested by management staff.
  • Handled cash transactions accurately, balancing the register at the end of each shift.
  • Processed payments from customers using a variety of payment methods including credit cards, checks and money orders.
  • Updated customer information in databases regularly to ensure accuracy of records.
  • Welcomed patrons to front desk and engaged in friendly conversations while conducting check-in process.
  • Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
  • Maintained accurate documentation on all pre-authorization requests, denials and appeals.
  • Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
  • Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.
  • Interpreted Explanation of Benefits statements from various insurers and communicated relevant information with other departments as needed.
  • Responded promptly to customer inquiries regarding their benefits and eligibility status.
  • Collaborated with internal staff members such as Billing Specialists, Medical Coders., to resolve any discrepancies in patient's insurance information.
  • Participated in training sessions on new software programs used for verification purposes.
  • Contacted patients to confirm demographic information and communicate financial responsibilities.
  • Navigated through multiple online systems to obtain documentation.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
  • Liaised between physician, site of service and billing department to obtain appropriate documentation.
  • Provided patient education and answered questions regarding the surgery process.
  • Assisted with pre-operative preparation such as obtaining insurance authorizations, lab work, radiology tests.
  • Ensured that all required documents were obtained prior to scheduled procedures.
  • Communicated with ancillary departments on patient's behalf during the entire pre-operative process.
  • Managed appointment reminders for upcoming surgeries via phone or mailers.
  • Provided patients with surgical estimates and provided Good Faith Estimates to self-pay patients

Practice Manager

Dr. Yves-Lande Pierre
Ocala , Florida
08.2000 - 10.2004
  • Developed and implemented new patient registration processes to streamline workflow.
  • Maintained financial records, including billing and accounts receivable and payable.
  • Coordinated staff recruitment, training, and scheduling activities.
  • Monitored compliance with HIPAA regulations concerning patient privacy rights.
  • Oversaw all aspects of day-to-day practice operations including front desk reception, appointment scheduling, billing and coding, insurance verification.
  • Ordered supplies needed and kept tabs on inventory levels.
  • Complied with OSHA and HIPAA regulations.
  • Communicated with patients with compassion while keeping medical information private.
  • Checked entire office and waiting areas regularly to provide clean and organized surroundings.

Billing Specialist

Marion Medical Associates
Ocala, Florida
08.1997 - 08.2020
  • Reviewed medical records to ensure accuracy of billing information and patient data.
  • Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
  • Calculated billing charges, prepared and submitted claims to insurance companies.
  • Verified insurance coverage and identified third-party payers for billing purposes.
  • Monitored accounts receivable activity to ensure timely payment of invoices.
  • Resolved discrepancies between customers' remittances and invoices received.
  • Answered customer inquiries regarding billings, payments, account status.
  • Reconciled daily cash receipts with total deposits on bank statement.
  • Processed credit card transactions through Point-of-Sale terminals or online systems.
  • Generated periodic reports summarizing account balances and collection activities.
  • Assisted with year-end closing tasks including preparing journal entries.
  • Investigated and resolved issues to maintain billing accuracy.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Collected, posted and managed patient account payments.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Generated and distributed month-end statements for customers and resolved related concerns.
  • Performed accurate and fully compliant monthly closing processes, accruals and journal entries.
  • Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.
  • Maintained accounting ledgers by verifying and posting account transactions.

Billing Specialist

Dr. Robert Corbett
Crystal River, Florida
11.1994 - 08.1997
  • Calculated billing charges, prepared and submitted claims to insurance companies.
  • Verified insurance coverage and identified third-party payers for billing purposes.
  • Monitored accounts receivable activity to ensure timely payment of invoices.
  • Answered customer inquiries regarding billings, payments, account status.
  • Investigated incorrect billings and processed refunds as necessary.
  • Maintained accurate records of collections, adjustments and denials in the system.
  • Reconciled daily cash receipts with total deposits on bank statement.
  • Processed credit card transactions through Point-of-Sale terminals or online systems.
  • Generated periodic reports summarizing account balances and collection activities.
  • Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
  • Answered customer invoice questions and resolved issues discovered during invoicing and collection process.

Education

Some College (No Degree) - Medical Terminology

Central Florida Community College
Lecanto, FL

Skills

  • Records Management
  • Customer Support
  • Staff Training
  • CPT/ICD10
  • Charge Entry
  • Insurance Knowledge, Commerical and Government Payer
  • Computer Skills
  • Knowledge of EMR Medical Manager, Expanse, eCW, Patient Keeper Programs
  • Claims Processing
  • Patient Scheduling
  • Medical Documentation
  • Appointment Setting
  • Healthcare regulations
  • Insurance billing procedures
  • Insurance Verification
  • Workload Management
  • Phone and Email Etiquette
  • Patient Flow
  • EMR Software
  • Multitasking and Organization
  • Patient Relations
  • Physician assistance
  • Problem-Solving
  • Attention to Detail
  • Team Leadership
  • Billing and coding
  • Patient Registration
  • Insurance Billing
  • Knowledge of medical terminology
  • Flexible Schedule

References

References available upon request.

Timeline

Accoun Representative/Team Lead

HCA FL Ocala Health
11.2004 - Current

Practice Manager

Dr. Yves-Lande Pierre
08.2000 - 10.2004

Billing Specialist

Marion Medical Associates
08.1997 - 08.2020

Billing Specialist

Dr. Robert Corbett
11.1994 - 08.1997

Some College (No Degree) - Medical Terminology

Central Florida Community College

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Kelle Miller