Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kelly Clark

Medical Billing and Coding
Fountain Run,KY

Summary

Dynamic Medical Billing Specialist with extensive experience at Graves Gilbert Clinic, adept at resolving denied claims and ensuring compliance with HIPAA regulations. Proficient in ICD 9 and 10 coding, I excel in teamwork and collaboration, consistently enhancing patient satisfaction and streamlining billing processes for timely reimbursements.

Overview

20
20
years of professional experience

Work History

Medical Billing Specialist

Graves Gilbert Clinic
11.2011 - 02.2018
  • Assisted in processing medical claims for timely reimbursement.
  • Learned to utilize billing software for accurate data entry and tracking.
  • Supported team in verifying patient insurance information and eligibility.
  • Conducted research on billing codes to ensure compliance with regulations.
  • Team Leader for State Medicaid and Managed Care programs.
  • Adapted quickly to changes in billing procedures and software updates.
  • Posted and adjusted payments from insurance companies.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.

Medical Billing Specialist

TJ Samson Hospital
05.2004 - 06.2011
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Located errors and promptly refiled rejected claims.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Covered the Main Switchboard PRN.
  • Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.

Medical Office Assistant

Doctors Services Inc.
09.1997 - 06.2003
    • Coordinated patient scheduling and managed appointment calendar for optimal office efficiency.
    • Assisted in processing medical records, ensuring compliance with privacy regulations and accuracy.
    • Implemented electronic health record system enhancements to streamline patient data retrieval processes.
    • Trained new staff on office protocols and software applications to promote operational continuity.
    • Developed patient communication strategies to enhance satisfaction and improve follow-up rates.
    • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
    • Coordinated patient scheduling, check-in, check-out and payments for billing.
    • Scheduled appointments for doctor visits, procedures and depositions.
    • Provided compassionate support to patients during check-in/check-out process, addressing concerns and answering questions as needed.

Education

No Degree - Medical Billing And Coding

ECPI University
Virginia Beach, VA
04-1991

Skills

HIPAA compliance

  • Payment posting
  • Claim submission
  • Insurance verification
  • ICD 9 and 10 and UB 04 proficient
  • CPT knowledge and Diagnosis
  • CMS-1500 billing forms
  • Electronic health record software
  • 20 years of experience
  • Ability to multi-task
  • Hippa Compliant
  • Able to work independently or with a team
  • Great attention to detail
  • Insurance claims
  • Quality-oriented team player
  • Teamwork and collaboration

Timeline

Medical Billing Specialist

Graves Gilbert Clinic
11.2011 - 02.2018

Medical Billing Specialist

TJ Samson Hospital
05.2004 - 06.2011

Medical Office Assistant

Doctors Services Inc.
09.1997 - 06.2003

No Degree - Medical Billing And Coding

ECPI University

Similar Profiles

CREATE PROFILE
Kelly ClarkMedical Billing and Coding