Kelsi Mclaughlin
Owensboro,KY
Summary
Efficient billing professional with years of 20 experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
16
16
years of professional experience
Work History
Professional Billing Specialist 3
Optum Health
04.2018 - Current
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
- Monthly reports
- Taking and enetering in insurance payments
Billing Specialist
Tinius Chiropractic Center
04.2008 - 04.2018
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
- Entering Insurance Payments
- Verifying benefits through pt insurance for coverage
- Obtaining authorizations for services that needed
Education
High School Diploma -
Mclean County High School
Calhoun, KY05.2005
Skills
- Claims Processing
- Invoice Processing
- Payment Posting
- Customer Engagement
- Month-End Closing Procedures
- Professionalism
- Teamwork Abilities
- Multitasking Capabilities
- Insurance Verification
- Conflict Resolution
- Claim review
Timeline
Professional Billing Specialist 3
Optum Health
04.2018 - Current
Billing Specialist
Tinius Chiropractic Center
04.2008 - 04.2018
High School Diploma -
Mclean County High School