Summary
Overview
Work History
Skills
Certification
Timeline
Generic

Kelly Ewers

Moncks Corner,SC

Summary

Proven leader and skilled medical biller, adept at insurance verification and claims processing, significantly reduced claim denials at North Brevard Children's Medical Center. Excelled in staff training and development, enhancing team performance and customer satisfaction. Demonstrated exceptional decision-making and conflict resolution abilities, driving operational excellence and financial recovery efforts.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Shift Lead

Planet Fitness
07.2024 - Current
  • Completed store opening and closing procedures and balanced tills.
  • Maintained a clean and organized work environment, ensuring safety standards were met consistently.
  • Evaluated employee performance regularly, providing constructive feedback for growth opportunities within the team structure.
  • Trained and mentored new employees to maximize team performance.
  • Resolved customer complaints and issues and offered thoughtful solutions to maintain customer satisfaction.
  • Trained new employees on company policies, procedures, and best practices for optimal performance.

Medical Biller 2

Practice Resources, LLC
06.2017 - Current
  • Verified insurance of patients to determine eligibility.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
  • Ensured timely payments from insurance providers through submission of accurate and complete claims.
  • Posted payments and collections on regular basis.
  • Delivered timely and accurate charge submissions.
  • Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.

Medical Biller

North Brevard Children's Medical Center
11.2022 - 05.2024
  • Verified insurance of patients to determine eligibility.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
  • Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Maintained compliance with industry regulations by staying updated on changes to medical billing codes and requirements.
  • Delivered timely and accurate charge submissions.

Skills

    Decision-making capabilities

    Conflict Resolution

    Claims Processing

    Team Supervision

    Work Delegation

    Performance Improvement

    Staff Motivation

    Staff Training and Development

    Insurance Claims

    Insurance Verification

    Billing and Collection Procedures

    Account Reconciliation

Certification

  • CPT - Certified Personal Trainer
  • Certified Nutritionist

Timeline

Shift Lead

Planet Fitness
07.2024 - Current

Medical Biller

North Brevard Children's Medical Center
11.2022 - 05.2024

Medical Biller 2

Practice Resources, LLC
06.2017 - Current

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Kelly Ewers