Kiara C. Watson
Odenville,AL
Summary
Medical Billing Specialist and Patient follow up representative with 9 years of experience. Committed to assisting others work well in high pressure environment. Able to work independently. Highly focused Quality driven reliable and competent Professional with exceptional data entry and customer service skills. Administrative and patient support in hospital and medical office settings. Advanced knowledge of private insurance processes and codes. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
9
9
years of professional experience
Work History
Patient Account Billing Representative
Guidehouse
birmingham , al
04.2018 - 10.2022
- Improved cash flow with diligent follow-up on pending claims and appeals processes.
- Ensured accurate billing with thorough audits of patient accounts and insurance claims.
- Streamlined the revenue cycle process for improved efficiency and faster payment collection.
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Managed a portfolio of high-risk accounts, effectively reducing bad debt write-offs through proactive communication and negotiation tactics.
- Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
SR. Claims Analyst
Greenway Health
Birmingham, AL
12.2016 - 04.2018
- Lead special projects, activities, etc
- Resolves outsource vendors escalates claims and claim rework
- Closely monitors client’s charges, adjustments, and payments monthly for profitability
- Works patient issues received from patent support for clients
- Assisting team with unresolved issues with their clients
- Audit paid claims data to identify duplicate payments or contractual, billing, and claim processing errors
- Initiate phone calls to providers, employer groups, and other insurance companies to gather pertinent claim information, such as verification of billed charges, confirmation of services received, and coordination of benefits information
- Provide feedback to co-workers through peer review process
- Performs end of month closings for clients
- Prepares and analyzes reports of claim audits and performance issues
- Conduct regular audits of Medical Billing Specialist claim work for accuracy and quality manages clean claim ratios for assigned clients,
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Customer Service Representative
Cahaba GBA Medicare (blue Cross Blue Shield)
Birmingham, AL
01.2016 - 11.2016
- Discussing claim status, Eligibility, Appeals, and Providing Provider Enrollment status
- Inbound calls for Provider Enrollment and Claims
- Data Entry
- Assisting with HMO and PPO
- Advise the physician, mid-level provider or designated contact person of misusage of modifiers, units misused per procedure code and diagnosis
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Answered constant flow of customer calls with minimal wait times.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Streamlined call center processes for improved efficiency and reduced wait times.
Senior Patient Account Representative
Imagine 360
Dallas, TX
10.2022 - 10.2023
- Enhanced patient satisfaction by efficiently resolving billing discrepancies and addressing account inquiries.
- Streamlined the revenue cycle process for increased efficiency and timely reimbursements.
- Collaborated closely with clinical staff to ensure proper coding of diagnoses and procedures for accurate billing purposes.
- Enhanced client satisfaction by providing timely and accurate eligibility determination for various assistance programs.
- Streamlined application process for clients by implementing efficient case management techniques, improving overall service.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
Medical Biller
Omega Health
Boca Raton, FL
10.2023 - Current
- Streamlined billing processes by implementing efficient procedures to improve accuracy and reduce errors.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Verified insurance of patients to determine eligibility.
Education
Business Management
High School Diploma -
Maranathan Academy
Birmingham, AL 08.2004 - 12.2007
Skills
- SSI
- Mainframe
- Ecube
- Escort
- Relay
- Availity
- Health quest
- Accounts Receivable Management
- Prioritizing and Planning
- Patient Chart Management
- Anathema
- ICD-10 Coding
- Patient Chart Management
Timeline
Medical Biller
Omega Health
10.2023 - Current
Senior Patient Account Representative
Imagine 360
10.2022 - 10.2023
Patient Account Billing Representative
Guidehouse
04.2018 - 10.2022
SR. Claims Analyst
Greenway Health
12.2016 - 04.2018
Customer Service Representative
Cahaba GBA Medicare (blue Cross Blue Shield)
01.2016 - 11.2016
High School Diploma -
Maranathan Academy
08.2004 - 12.2007
Business Management
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