Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

KHALILAH Davis

New York,NY

Summary

Competent RCM ; Biller with 10 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.

Overview

11
11
years of professional experience
1
1
Certification

Work History

MRCM /Senior Medical Biller

C.S.M Psychiatry
04.2019 - Current
  • Manage day-to-day operations of medical billing ,billing projects, reconciling claims, and following up, appeals, prepare reports and present KPI's
  • Credentialing of medical providers with insurance companies, resolve discrepancies and identify key billing issues
  • Payment posting, denial management, and coding corrections,Medicaid and Medicare billing portals
  • Process in and out-of-network claims organize and ongoing train staff on current internal billing process conduct monthly team meeting
  • Verify the ICD-10 codes and CPT codes, and identify payment and denial trends and non-payment issues
  • Establish payment plans, receive incoming calls, resolve patient billing issues
  • Manage high-volume workloads while maintaining attention to detail, resulting in increased accuracy and reduced errors in submitted claims.

Medical Biller

Lutheran Social Services of New York
06.2019 - 05.2021
  • Processed 30-45 medical claims daily and handled accounts receivable for patients
  • Reconciled Medicaid claims billed with inhouse claims with Millin Pro
  • Coordinated with insurance payers and accounts receivable to ensure accurate billing and timely payments
  • Prepared client reimbursements as needed
  • Tracked and reported visits of therapist and providers

Office Manager / Medical Biller

Leslie Ackerman PSYD
07.2018 - 03.2020
  • Managed the front office and billing staff, overseeing day-to-day operations and workflow processes
  • Established and monitored productivity metrics for staff and implemented modifications to improve the overall effectiveness of office reimbursements and revenue.

Office Manager

Midtown Health & Wellness
01.2017 - 07.2018
  • Managed daily office operations, billing and coding, claims submission to outsourced billers, payroll with ADP, participated in operational meeting. Improved POS collections
  • Supervised patient intake and discharge procedures for Suboxone program, handled patient complaints and inquiries
  • Conducted new hire training; managed employee performance reviews

Dental Clinic Manager (Temp)

NYU School of Dentistry
10.2016 - 01.2017
  • Oversaw the daily operations of a dental clinic, ensuring compliance with all state and federal regulations
  • Managed billing and insurance claims for patients and coordinated with insurance companies to ensure accurate billing and timely payments.

Supervisor

Tribeca Pediatrics
12.2013 - 08.2016
  • Managed a team of 3-20 clinical office staff, overseeing daily operations, scheduling, and patient intake procedures
  • Conducted staff training and managed employee performance reviews.

Education

Bachelor of Science in Biology -

Morris Brown College
Atlanta, GA

Skills

  • ICD-10 Proficiency
  • HIPAA Compliance Knowledge
  • Multitasking proficiency
  • Claims Processing Proficiency
  • Patient Confidentiality Practices
  • Electronic Health Records Experience
  • Accounts receivable management
  • Healthcare Revenue Cycle Management
  • Denial Resolution Strategies
  • Insurance Billing
  • Medicare and Medicaid process
  • Problem-Solving
  • Time Management

Certification

HFMA Certification, 11/2022

Timeline

Medical Biller

Lutheran Social Services of New York
06.2019 - 05.2021

MRCM /Senior Medical Biller

C.S.M Psychiatry
04.2019 - Current

Office Manager / Medical Biller

Leslie Ackerman PSYD
07.2018 - 03.2020

Office Manager

Midtown Health & Wellness
01.2017 - 07.2018

Dental Clinic Manager (Temp)

NYU School of Dentistry
10.2016 - 01.2017

Supervisor

Tribeca Pediatrics
12.2013 - 08.2016

Bachelor of Science in Biology -

Morris Brown College

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KHALILAH Davis