KIM ESTES
Tulare,Ca
Summary
Results-driven medical billing professional with expertise in health insurance and certified billing and coding. At Elite Medical Billing, successfully led a team to enhance billing accuracy and improve collections. Proficient in Excel data analysis and committed to HIPAA compliance, fostering strong relationships with patients and providers alike.
Overview
23
23
years of professional experience
Work History
Medical Biller
Family Healthcare Network
Visalia, Ca
10.2022 - Current
- Creating and submitting medical bills to insurance companies and patients.
- Reviewing and appealing denied claims and following up on unpaid claims.
- Collecting patient data, verifying insurance eligibility, and handling patient inquiries
- Proficient in various medical billing software and well versed in ICD-10, CPT, and HCPS coding.
Medical Risk Coder
Foundation for Medical Care
Visalia, Ca
09.2020 - 12.2021
- Audit medical records and identify documentation deficiencies.
- Accounts for coding and abstracting of medical records.
- Research and analyze data needs for reimbursement.
Customer Service Representative
Foundation for Medical Care
Visalia, Ca
02.2009 - 09.2020
- Answering phone calls, emails and faxes on a daily basis, addressing customer inquiries.
- Providing information and recommending claim actions and updating insurance records.
- Review and prepare grievance and appeal files for internal and external review by analysts.
Medical Billing Supervisor
Elite Medical Billing
Visalia, Ca
11.2002 - 02.2009
- Managed medical billing team by setting goals and assigning tasks effectively.
- Collaborated with physicians, coders, and staff to ensure patient record accuracy.
- Reviewed monthly patient aging reports and systematically pursued overdue payments.
- Ensured accurate billing for patients and proper compensation for providers.
Education
CPC - Certified Professional Coder
AAPC
Online05.2019
CBCS - Certified Billing And Coding Specialist
Healthcare Business Solutions
Online10-2000
High School Diploma -
Visalia Adult School
Visalia, Ca01.1986
Skills
- Health insurance expertise
- Microsoft Office proficiency
- Excel data analysis
- Certified billing and coding
- Team collaboration
- Customer relationship management
- HIPAA compliance
- Medical terminology
References
References upon request
Timeline
Medical Biller
Family Healthcare Network
10.2022 - Current
Medical Risk Coder
Foundation for Medical Care
09.2020 - 12.2021
Customer Service Representative
Foundation for Medical Care
02.2009 - 09.2020
Medical Billing Supervisor
Elite Medical Billing
11.2002 - 02.2009
CPC - Certified Professional Coder
AAPC
CBCS - Certified Billing And Coding Specialist
Healthcare Business Solutions
High School Diploma -
Visalia Adult School
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