Kelly Holda
Etters,PA
Summary
Results driven Medical Biller with over 25 years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.
Overview
17
17
years of professional experience
Work History
Senior Medical Billing Specialist
Orthopedic Institute of Pennsylvania
Camp Hill, PA
05.2013 - 08.2023
- Took billing calls, questions and concerns from patients and third party carriers.
- Identified discrepancies and carrier issues regarding billing and reimbursements.
- Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
- Checked claims coding for accuracy with ICD-10 standards.
- Submitted appeals using provider portals and phone communication.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Participated in workshops, seminars and training classes to gain stronger education in industry updates and federal regulations.
- Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.
Medical Billing Manager
Advanced Medical Imaging Center
Seminole, FL
04.2006 - 03.2013
- Developed improved standard operating procedures to increase billing accuracy and cash flow.
- Led team of 10 staff handling more than $150K in monthly charges.
- Set up and maintained electronic billing systems.
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
- Created and updated financial reports on frequent basis to present information to leadership teams.
- Resolved billing issues by applying knowledge and completing in-depth research.
- Managed billing calendar and scheduled claims for payments.
Education
Some College (No Degree) - Forensic Science
St. Petersburg College
Clearwater, FLSkills
- Teamwork and Collaboration
- Critical Thinking
- Medical Coding Understanding
- CPT Code Modifiers
- Billing Codes
- Electronic Claims
- Medicaid and Medicare Knowledge
- Work Prioritization
- Medical Terminology
- Multitasking and Organization
- ICD-10
- Data Analysis
Timeline
Senior Medical Billing Specialist
Orthopedic Institute of Pennsylvania
05.2013 - 08.2023
Medical Billing Manager
Advanced Medical Imaging Center
04.2006 - 03.2013
Some College (No Degree) - Forensic Science
St. Petersburg College
Similar Profiles
Leah HovisLeah Hovis
Medical Assistant at Orthopedic Institute of PennsylvaniaMedical Assistant at Orthopedic Institute of Pennsylvania
Ann Marie TrottAnn Marie Trott
Patient Registration Specialist at Orthopedic Institute of PennsylvaniaPatient Registration Specialist at Orthopedic Institute of Pennsylvania
Steven PowellSteven Powell
PHYSICIAN ASSISTANT ORTHOPEDIC SURGERY at ORTHOPEDIC INSTITUTE OF PENNSYLVANIAPHYSICIAN ASSISTANT ORTHOPEDIC SURGERY at ORTHOPEDIC INSTITUTE OF PENNSYLVANIA
Ashley HedstromAshley Hedstrom
Account Coordinator at Keen Transport Inc.Account Coordinator at Keen Transport Inc.
Robert BeckRobert Beck
Manager – Product & Technology at enGenManager – Product & Technology at enGen