Kelly Viviano
New Bern,NC
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
16
16
years of professional experience
Work History
CEP Insurance Services Supervisor
CarolinaEast Health System
New Bern, NC
02.2020 - Current
- Provided guidance and direction to subordinates regarding job duties and responsibilities.
- Directed and supervised team of 24 employees in daily operations.
- Resolved customer complaints in a timely manner while ensuring customer satisfaction.
- Maintained accurate records of employee performance, attendance, leave requests, and disciplinary actions.
- Work denied claims via Payerpath
- Close and update all charge and payment batches for all CEP offices for end of day/month reporting
- Post payments from remits
- work denials from remits
- Collaborated with other departments to coordinate workflow processes between teams.
Third Party Biller - Medicaid
CEP Insurance and Billing
New Bern, NC
11.2012 - 02.2020
- Verified insurance eligibility for patients by calling appropriate parties.
- Collaborated with other departments such as the clinical staff to obtain necessary documentation for processing claims accurately.
- Participated in training sessions related to new policies and procedures as well as updates on existing ones.
- Performed daily follow-up on outstanding claims to ensure prompt payment from payers.
- Maintained up-to-date records of all billing activities including charges, adjustments, denials, and collections.
- Reviewed and verified accuracy of patient insurance information and billing documents.
Insurance Specialist
Coastal Physical Medicine and Rehabilitation
New Bern, NC
04.2008 - 11.2012
- Managed denials, late payments, extensions and other special circumstances by following up with relevant parties.
- Maintained accurate records of all transactions related to insurance policies.
- Collaborated with carriers to resolve discrepancies in insurance payments.
- Front office duties
Education
Some College (No Degree) - Certificate in Medical Billing
Macomb Community College
Clinton, MISkills
- Strategic Planning
- Staff Management
- Process Improvement
- Complex Problem-Solving
- Goal-Oriented
Timeline
CEP Insurance Services Supervisor
CarolinaEast Health System
02.2020 - Current
Third Party Biller - Medicaid
CEP Insurance and Billing
11.2012 - 02.2020
Insurance Specialist
Coastal Physical Medicine and Rehabilitation
04.2008 - 11.2012
Some College (No Degree) - Certificate in Medical Billing
Macomb Community College
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