Kelli Eastburn
Clayton,DE
Summary
Knowledgeable Insurance Representative promoting more than 20 years' expertise successfully working for organizations in the Health Care Industry. Courteous and cordial with a desire to take on challenges at a new company.
Overview
16
16
years of professional experience
Work History
Senior Insurance Representative
HBCS
01.2018 - Current
- Insurance Representative duties as define below
- Assistance of Insurance representatives to answer questions and to offer guidance
- Coordinate with management staff to identify, define, and resolve trending issues.
Insurance Representative
HBCS
01.2015 - 01.2018
- Account follow up to ensure the accurate submission of claim to third party payor, denial reviewFiling of appeals
- Underpayment review
- Overpayment review
- Account conversion review
- Responding to medical record requests
- Meticulous account notes adhering to client’s standards
- Management of assigned work queues to stay within set guidelines, including identifying trending issues.
Insurance Specialist
Wilmington Otolaryngology Associates
Wilmington, DE
01.2008 - 01.2015
- Responsible for all aspects of accounts receivable, including CPT and ICD9 code verification and assignment for HCFA 1500 claim submission, patient statements, payment posting, daily reconciliation, preparing bank deposits, contacting insurance companies and preparing appeals
- Duties also include Health information administration including release of records and review for compliance
- Medical Assisting as needed, including instrumentation sterilization and assisting in procedures
- Reception duties as needed, including patient check-in, insurance verification and demographic data entry
- Check out duties as needed, including copayment collection, appointment scheduling and testing coordination.
Education
Certified Revenue Cycle Specialist – Institutional -
AAHAM
Medix School -
Towson MD
Skills
- Knowledge of Computer applications
- Epic
- Health logic
- Change HealthCare
- Microsoft suite proficient
- Claims Management
- Customer Needs Assessment
- Account Management
- Team Training and Development
- Rapport Building
- Carrier Relations
- Customer Service
- Appointment Management
Phone
(302) 508-2837, (302) 593-7076
References
Available upon request
References
References available upon request.
Timeline
Senior Insurance Representative
HBCS
01.2018 - Current
Insurance Representative
HBCS
01.2015 - 01.2018
Insurance Specialist
Wilmington Otolaryngology Associates
01.2008 - 01.2015
Certified Revenue Cycle Specialist – Institutional -
AAHAM
Medix School -
Towson MD
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