Kiara Age
Tustin,CA
Summary
Detailed-oriented Medical Billing/Coding Professional with over 10 years of processing experience in dermatology, chiropractic, oncology and inpatient and outpatient facility and Hospital Billing. Astute at cultivating internal and external relationships. Problem solving skills essential in researching and resolving billing and coding issues. Proficient in handling simultaneous projects within tight deadlines.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Revenue Cycle Rep II
Piedmont Hospital (REMOTE)
01.2023 - Current
- Submit appeals for denied claims, Correct and resubmit denied claims, Resolve AR follow up issues daily, Run claim run and file box via waystar
MEDICAL BILLING Manager (HYBRID)
Integrated Physical Medicine-Torrance, CA
Torrance, CA
01.2013 - 12.2022
- Ensure the accuracy and proficiency of coding and billing for two Chiropractors and a Pain Management Doctor
- Supervise Front Desk Receptionist and Back Office Medical Assistant staff-members.
- Utilized Chirotouch, Availity and IDX for EMR for billing and collections.Full RC lifecycle from Insurance Verification, payment posting, appeals, follow up/AR and Collections ( from patients, Commercial insurance company’s and Medicare and Medicaid
- Collected large payments from insurance and patient's from 500k-1 million dollar accounts
- Appeals drafted & sent with high recovery of payment in return
- Worked 50-100 accounts per day
Office Manager/ Medical Biller
Trailways Mental Health-Las Vegas, NV
Las Vegas, NV
01.2017 - 12.2018
- Negotiated insurance contracts with insurance companies, tracked payments made by insurance agencies and patients, and hiring and training new employees in the billing department
- FQHC trained.
Medical Biller
Precision Medical Billing-Los Angeles, CA
Los Angeles, CA
01.2010 - 12.2015
- Served as an apprentice Medical Biller under the direct supervision of a Certified Medical Biller
- Gained knowledge of EOBs, collections, and CMS forms and appeals.
- Worked inpatient and outpatient facility claims
- Worked with IPAs and DOFRs
- Coordinated with management to ensure claims were clean from start to finish. Trained thoroughly in Revenue Cycle Management from beginning to end.
Education
H.S. DIPLOMA -
Animo South Los Angeles High School
Los Angeles, CACERTIFICATE - Medical Billing & Coding
Everest College
Gardena, CA08.2013
Skills
- Medical Billing Process
- Payment Posting
- ICD 10, HCPCS, CPT
- Insurance Verification
- Prior Authorization
- HIPPA Compliance
- Follow up/ AR
- Electronic Health Records
- Office Management
- Insurance Claim Processing
- Medical Terminology
- Medical Office Procedures
- Successfully developed and cultivated relationships with doctors, line staff, and partnering agencies
- Capable of in-depth research and data analysis with the purpose of improving and streamlining processes
- Oversee the daily process and resolution of medical billing, insurance processing of rejected claims
- Proficiency in MS (Word, Excel, PowerPoint, and Outlook), Chirotouch, Epic, Quantum Appeals
- Strong interpersonal, written and verbal communication, and organizational skills
- Epic
- Medical collection (collected 1 million dollar accounts)
- Insurance verification
- Revenue cycle management
- Medical billing
- Analytics
- MySQL
- PL/SQL
- Medical Coding
- CPT coding
- ICD-9
- IDX
- Athena
- Epic
- Medical billing office Management and Training
Certification
- Medical Billing Certification
- Medical Coding Certification
Personal Information
Title: BILLER/COLLECTER III
Timeline
Revenue Cycle Rep II
Piedmont Hospital (REMOTE)
01.2023 - Current
Office Manager/ Medical Biller
Trailways Mental Health-Las Vegas, NV
01.2017 - 12.2018
MEDICAL BILLING Manager (HYBRID)
Integrated Physical Medicine-Torrance, CA
01.2013 - 12.2022
Medical Biller
Precision Medical Billing-Los Angeles, CA
01.2010 - 12.2015
H.S. DIPLOMA -
Animo South Los Angeles High School
CERTIFICATE - Medical Billing & Coding
Everest College