Epic, E-clinal, Palmetto, Gammis, MS Visio and Nexgen
Kim Barnes McBride
Senior Biller
Conyers,GA
Summary
A position with a company that will enable me to represent my employers professionally and provide the highest level of communication, organizational, and problem solving skills. Dedicated to providing superior support for patients in need of reliable information regarding insurance coverage, finance options and documentation requirements. Well-versed in scheduling and database management functions for streamlined communication and reduced correspondence backlogs. Excels at identifying client needs and concerns to improve engagement strategies and overall service.
Overview
27
27
years of professional experience
3
3
Certifications
Work History
Patient Access Specialist/Precert/Senior Billing
WellStar
05.2014 - 08.2023
- Interviewed patients to obtain complete and accurate demographic financial and insurance information
- Verified insurance via phone or via web
- Assisted in revenue cycle management by timely collecting co-payments, deductibles, and other financial responsibilities from patients.
- Obtained and scanned photo IDs and insurance cards
- Called insurances and obtain prior authorizations
- Initiated and completed pre-certification
- Scheduled x-rays, mammograms, bone density, cat scans, and ultrasounds
- Called patients to get them pre-registered for upcoming procedures
- Responded to patient and answer questions regarding various services and account.
- Educated patients on available resources, programs, and financial assistance options to optimize their healthcare experience.
Recruitment Specialist
Georgia Southern University
09.2012 - 05.2014
- Identified prospective students through targeted networking in regional markets enhancing visibility and promoting academic programs.
- Collaborated with college leadership, faculty, and cross-functional departments (Career Services, Communications and Marketing) to address enrollment challenges and boost overall enrollment.
- Implemented recruitment initiatives and events to actively promote the university's brand and attract high-quality candidates.
- Contributed to the creation of sourcing strategies, optimizing the identification and attraction of top-tier candidates.
- Executed recruitment strategies, playing a key role in supporting program enrollment
Program Associate
Bulloch Wellness Ctr, Offc of Infectious Disease
05.2008 - 09.2012
- Schedule and cancel appointments, collect and post payments
- Answer and transfer calls, pick-up, distributes mail
- Collect and update demographic information
- Process Medicaid, Medicare, and private insurance claims electronically
- Enter and query procedure and diagnosis codes
- Verify medical coverage and obtain referrals if needed
- Enter services into CAREWARE a Ryan White requirement
- Notify the Epidemiologist in our office of positive STD and new HIV cases
- Schedule appointments for new STD/HIV with the Epidemiologist
- Order office supplies including stationery and educational materials
- Export labs from Doctors Laboratory and alert physician on abnormal labs
- Obtain medical records, once release of information is signed by client.
- Managed records for all programs and kept meticulous notes in system regarding changes and plan alterations.
Medical Receptionist
Kids Med Pediatric
11.2003 - 05.2008
- Enhanced patient satisfaction by efficiently managing the front desk operations and addressing inquiries in a timely manner.
- Verify Medicaid, Medicare and private insurance coverage
- Increased efficiency in prescription refill requests by coordinating with pharmacies and obtaining necessary provider approvals promptly.
- Coordinated specialist referrals for patients requiring additional care, facilitating efficient transfer of medical records as needed.
- Managed high call volumes, directing calls to appropriate departments while maintaining a polite and professional demeanor.
- Reduced no-shows by implementing appointment reminder system through phone calls or text messages.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Handled billing procedures accurately, ensuring prompt payment from both patients and insurance providers.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
Department Manager
Walmart Supercenter
10.1996 - 11.2003
- Spearheaded innovative initiatives that added value to the organization and increased departmental recognition within the company.
- Assisted in talent acquisition efforts, hiring top candidates to strengthen the department''s capabilities.
- Advised upper management on key decisions based on thorough analysis of sales trends, market conditions, and competitor activities.
- Evaluated employee performance fairly and accurately, rewarding hard work while addressing areas needing improvement.
- Worked actively with management team to create daily and weekly sales plans based on weekly sales trends.
Education
Bachelor Of Arts - General Studies
Georgia Southern University
Statesboro, GA12.1996
Patient Care Assistant/emphasis in Medical Coding - undefined
Southeastern Technical College
Skills
Financial and record management, archiving and procurement processesundefined
Software
Certification
Administrative Professional Certificate, 05/2013
Timeline
Patient Access Specialist/Precert/Senior Billing
WellStar
05.2014 - 08.2023
Recruitment Specialist
Georgia Southern University
09.2012 - 05.2014
Program Associate
Bulloch Wellness Ctr, Offc of Infectious Disease
05.2008 - 09.2012
Medical Receptionist
Kids Med Pediatric
11.2003 - 05.2008
Department Manager
Walmart Supercenter
10.1996 - 11.2003
Bachelor Of Arts - General Studies
Georgia Southern University
Patient Care Assistant/emphasis in Medical Coding - undefined
Southeastern Technical College
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