Kelly Brown
Alvarado
Summary
Expert medical billing and coding specialist. Ready to offer expertise and 17 years' experience with billing, coding , A/R and team leadership. Excellent collaborator and relationship-builder familiar with compliance and documentation requirements. Enthusiastic about taking billing operations to the next level through proactive leadership and skilled problem solving.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Practice Billing A/R Manager
EyeCare Services Partners
11.2020 - Current
- Increased efficiency in billing processes through close collaboration with operations teams responsible for generating billable items or services rendered to clients.
- Reduced A/R aging by consistently monitoring outstanding invoices and following up with clients.
- Improved A/R collections by implementing effective strategies and streamlined processes.
- Maintained accurate records of all financial transactions and relevant documentation related to accounts receivable activities.
- Conducted regular account reconciliations, ensuring accuracy in financial reporting and data integrity.
- Reduced denied claims through diligent review, correction, and resubmission of errors.
- Streamlined claim appeals process by creating clear documentation guidelines and templates for staff use.
- Enhanced revenue cycle management by overseeing timely and accurate claims submission.
- Trained team members on best practices in medical billing, ensuring consistent high-quality work across the department.
- Developed policies and procedures for the medical billing department, establishing a strong foundation that supported growth and operational success within the organization.
- Served as an expert resource on complex patient account issues or high-dollar claims requiring specialized handling, ultimately resolving outstanding balances in an efficient manner.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
Medical Coding and Billing Specialist
Gottlieb Eye Center
01.2012 - 11.2020
- Managed account receivables report and maintained on a weekly basis.
- Verifying insurance eligibility and benefits prior to patient treatment.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Aggressive pursuit of payment of claim denials with insurance companies.
- Located errors and promptly refiled rejected claims.
- Posting and submitting claims both electronic and paper.
- Assisted in balancing daily charges and banking deposits.
- Identified and resolved patient billing and payment issues.
- Obtain Insurance authorizations for surgeries.
Medical Billing Supervisor
Metro Rehab Service
01.2008 - 01.2012
- Cross trained in all insurance billing for DME, specializing in Medicare.
- Invoicing, editing, submitting and follow up on insurance claims.
- Generated and approved all patient statements on a monthly basis.
- Through review of unpaid claims with immediate follow up.
- Great success in Medicare Adjudicated Law judge hearings.
- Impeccable knowledge of Medicare forms and justification requirements and appeals process.
- Assist in A/R reports and auditing accounts.
- Served as a liaison between the billing department and other departments, fostering effective communication.
- Improved cash flow with diligent follow-up on overdue payments and prompt resolution of disputes.
Medical Billing Specialist
Pyramid Billing/ Medical Biller
01.2006 - 01.2007
- Process billings to patients and third party reimbursement claims.
- Process patient statements, key data, post transactions, and verify accuracy of input to reports generated.
- Monitor unpaid claims, and resubmit unpaid claims a necessary.
- Post and reconcile payments to patient ledgers.
- Maintain patient demographic information and data collection systems.
- Perform a variety of general clerical duties, including telephone reception, mail distribution, and other routine functions.
- Assist in preparing documentation and responses for legal inquiries, litigation, and court appearances for workers compensation or vehicle accident cases.
Education
Associate of Arts -
Morton College
Cicero, ILMedical Billing And Coding
TechSkills
Chicago, IL2006
Skills
- Medical claims coding with proficiency in ICD-10, CPT and HCPC
- Accounts receivable management
- Denial Management Strategies
- Medicare and Medicaid regulations
- Exceptional ability to prioritize work to meet goals and objectives
- Financial counseling for patient balances and surgeries
- Over 17 years of patient billing and collections experience
- Insurance verification of benefits and eligibility
- EHR competency
- Medicare and Illinois Medicaid statutes and regulations
- Healthcare billing and claims follow up
- HIPAA Compliance Knowledge
- Team Leadership Qualities
Certification
CMAA (Certified Medical Administrative Assistant)
CBCS (Certified Billing and Coding Specialist)
Timeline
Practice Billing A/R Manager
EyeCare Services Partners
11.2020 - Current
Medical Coding and Billing Specialist
Gottlieb Eye Center
01.2012 - 11.2020
Medical Billing Supervisor
Metro Rehab Service
01.2008 - 01.2012
Medical Billing Specialist
Pyramid Billing/ Medical Biller
01.2006 - 01.2007
Medical Billing And Coding
TechSkills
Associate of Arts -
Morton College
Similar Profiles
Janna MullaneyJanna Mullaney
Senior Vice President, Operations & Revenue Cylce at EyeCare Services PartnersSenior Vice President, Operations & Revenue Cylce at EyeCare Services Partners
Talyr MatagiTalyr Matagi
Scheduler at Comprehensive Eyecare Partners LLCScheduler at Comprehensive Eyecare Partners LLC
Darenae AlexanderDarenae Alexander
Patient Engagement Center Advocate at EyeCare PartnersPatient Engagement Center Advocate at EyeCare Partners