Kierra Mayes
Mesa,AZ
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Resourceful Specialist offering expertise in problem-solving, data analysis and customer service. Adept at quickly learning new technologies and processes for driving success. Proven track record of successfully managing multiple projects and developing innovative solutions. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Hardworking and passionate job seeker with strong organizational skills eager to lean any rep two position. Ready to help team achieve company goals.
Overview
5
5
years of professional experience
2
2
Certifications
Work History
Medical Bill Review Specialist
Sentry Insurance
Scottsdale, AZ
07.2022 - Current
- Verify insurance eligibility and benefits for treatments, services, and procedures
- Communicate and educate patients and families of their insurance benefits and coverage
- Submittal for treatment authorizations
- Assure all insurance requirements have been accurately obtained for each patient before proceeding to scheduling
- Timely submittal of insurance claims through EMR system
- Timely research and submit appeals and reconsiderations on claim denials and underpayments
- Timely posting of ERAs
- Reconciliation of client accounts
- Communicate identified payer trends such as denials for specific procedure or diagnosis codes, or other issues to direct manager
- Collection of client payment charges
- Post payments in patient accounts
- Problem solving by identifying and resolving patient payment discrepancies with front office staff
- Run and analyze balancing reports to ensure accurate posting
- Provider credentialing as necessary
- Cross-train on other billing duties for back-up when needed
- Other duties as assigned by direct manager.
Server
Applebee's
Moline, IL
06.2023 - 09.2023
- Delivers food and drinks to guests using Applebee’s team delivery system
- Greet guests, answers questions, makes suggestions regarding food, drinks, and service
- Interacts verbally with all guests creating a friendly and upbeat atmosphere
- Relays orders to service bar and kitchen via the point-of-sale computerized register system
- Observes guests and responds to any additional requests
- Presents guest check to each table and accepts a form of payment
- Makes correct change and/or completes the proper charge card procedure
- Participates in the clearing and resetting of dining room tables
- Setup/Maintenance: duties completed prior to the restaurant opening, preferably when no guests are in
- These duties include general housekeeping and duties associated with getting the restaurant ready for the start of business
- These job duties are paid at minimum wage, not as a tipped position
- All other job duties assigned by a manager to ensure the effective and order operations of the restaurant.
Payment Posting Specialist, Radiology Billing and Coding Specialist
Davenport, IA
07.2021 - 07.2022
- Receives payments and posts amount paid to customer account
- Notifies collection clerk of payment on collection accounts
- Posts payments, write-offs, and other adjustments on correct patient accounts as assigned
- Ensures posted amounts balances within the system each day
- Maintains an understanding of which insurers we participate with and how to identify them in order to accurately post contractual adjustments when appropriate
- Does not post inappropriate adjustments without authorization
- Adheres to the company write-off policies
- Responds to inquiries regarding entered data
- Files data accurately and timely as instructed
- Complies with the Company Compliance Plan
Insurance Verification Specialist
Genesis Medical Center
Davenport, IA
07.2020 - 06.2021
- Responsible for interfacing with patients and families to discuss payment options prior to or during hospitalizations
- Responsible for obtaining and documenting patient's insurance coverage and (precertification or authorization requirements
- Assist in reviewing payment alternatives such as Public Aid, SSI, Crime Victims and Charity
- Notifies patients, SBS staff and physicians of uncovered charges
- Update data prior to hospitalization for scheduled and non-scheduled admissions
- Assists with collection of co-pays and deductibles
- Ensures all activities achieve high patient satisfaction levels and support successful billing activities
- Trains new employees on systems, policies and procedures
- Ensures accuracy of coding - saving the hospital and patients money and time / stress
- Skills are typing and computer experience, attention to detail, excellent customer service skills, background in government and patient assistance programs, understanding drug cards and major medical benefits
- And problem-solving skills.
Appointment Scheduler
ORA Orthopedics
Davenport, IA
02.2019 - 10.2019
- Answering inbound calls while verifying patient demographics
- Communicating with patients to schedule, cancel or reschedule appointments
- Transferring patient calls to the correct person or department as needed
- Verifying and updating patient demographic information over the phone
- Reviewing and analyzing physician's schedules on a daily basis to ensure optimal patient care
- Managing and coordinating all patient referrals through communication with other physician's offices and hospitals
- Maintaining patient confidentiality and complying with all HIPAA rules and regulations
Education
Certification in Medical Insurance billing and Coding - undefined
Hamilton Technical College
Davenport, IA 05.2019 - 4 2020
High school diploma - undefined
North High School
Davenport, IA 01.2009 - 1 2012
Skills
Medical CodingMedical BillingCPT CodingMedical TerminologyMedical RecordsEMR SystemsICD-10Insurance VerificationMedical Office ExperienceOffice Administration
Critical Thinking
Critical Thinking
Excellent Communication
Cultural Awareness
Data Entry
Planning and Coordination
Attention to Detail
Customer Relations
Certification
Certified Billing and Coding Specialist
Timeline
Server
Applebee's
06.2023 - 09.2023
Medical Bill Review Specialist
Sentry Insurance
07.2022 - Current
Payment Posting Specialist, Radiology Billing and Coding Specialist
07.2021 - 07.2022
Insurance Verification Specialist
Genesis Medical Center
07.2020 - 06.2021
Certification in Medical Insurance billing and Coding - undefined
Hamilton Technical College
05.2019 - 4 2020
Appointment Scheduler
ORA Orthopedics
02.2019 - 10.2019
High school diploma - undefined
North High School
01.2009 - 1 2012