Kelli Holloway
Mansfield,WA
Summary
Efficient billing professional with 33 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Looking to do some remote part time billing at night and on weekends.
Overview
32
32
years of professional experience
Work History
Certified Medical Insurance Biller
Lake Chelan Hospital
07.2021 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Liaised between patients, insurance companies, and billing office.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Verified insurance of patients to determine eligibility.
- Collected payments and applied to patient accounts.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Delivered timely and accurate charge submissions.
- Responded to customer concerns and questions on daily basis.
- Audited and corrected billing and posting documents for accuracy.
- Handled account payments and provided information regarding outstanding balances.
- Monitored outstanding invoices and performed collections duties.
- Collaborated with customers to resolve disputes.
- Utilized various software programs to process customer payments.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
Patient Account Representative
Brewster Hospital
06.1991 - 07.2021
- Worked with outside entities to resolve issues with billing, claims and payments.
- Contacted patients after insurance was calculated to obtain payments.
- Electronically submitted bills according to compliance guidelines.
- Posted payments and processed refunds.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Responded to patient, family and external payer inquiries.
- Maintained office inventory and organized supplies for efficiency and expected needs.
- Prepared reports detailing billing actions, flags and other key information.
- Researched billing errors and discrepancies to initiate corrective action.
- Responded to customer inquiries and provided detailed account information.
- Processed debtor payments and updated accounts to reflect new balance.
- Maintained accurate records of customer accounts, payments and payment plans.
- Worked with customer to create debt repayment plan based on current financial condition.
- Entered client details and notes into system for interdepartmental access and review.
- Listened to customers and negotiated solutions that met creditor and debtor needs.
- Monitored customer accounts for payment delinquency and initiated collection efforts.
- Developed and documented collection procedures and policies to comply with government regulations.
Education
Certified Medical Biller -
07.2022
High School Diploma -
06.1988
Skills
- Medicare and Medicaid Processes
- Database Systems
- Medical Billing and Coding
- Critical Thinking
- CPT Code Modifiers
- Data Entry
- Account Management
- Reviewing Patient Information
- Billing Codes
- Customer Service
- Medical Claims Submission
- Healthcare Terminology
- Revenue Operations
- Microsoft Office
- HIPAA Compliance
- CMS-1500 Billing Forms
- Insurance Collections
- Verbal and Written Communication
- Medical Billing
- Information Updates
- Insurance Claims
- Claims Review
- Workers' Compensation Knowledge
- Accounts Receivable Management
- Obtaining Authorizations
- 10-Key Data Entry
- Patient Admission
- Adding, Calculating and Billing Machines
- Billing Document Creation
- Adjustment Posting
- Claim Verifications
- ICD-10
- Reimbursements
- Knowledge of medical insurance terminology
- Bio-medical equipment operation
Timeline
Certified Medical Insurance Biller - Lake Chelan Hospital
07.2021 - Current
Patient Account Representative - Brewster Hospital
06.1991 - 07.2021
US Career Institue - Certified Medical Biller,
Bridgeport High School - High School Diploma,
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