KIM FORBES
San Antonio,TX
Summary
A Certified Medical Billing and Coding Specialist with several years of experience, specialize collections,electronic health records (EHR), and medical terminology. Highly organized and detail-oriented professional with extensive experience in medical billing.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Billing & Collections Specialist
American Medical & Rehab Company
05.2023 - 09.2023
- Managed various aspects of billing and collections with a strong emphasis on accuracy and efficiency
- This included processing clean claims and meticulously reviewing orders for submission to insurance companies
- Handled the processing of claims and collections for Medicare, Tricare Care, and multiple other insurance providers, ensuring precise coding compliance with CPT, DX CODES, ICD10, CPT CODES, HCPCS CODES, and durable medical equipment
- Conducted Medicare reviews and actively engaged in medical billing and collections
- Provided valuable assistance in Medicare accreditation, Medicaid -Title 19, and other insurance-related matters
- In cases of uncollectible accounts, coordinated efforts with collection agencies and bankruptcy filings while maintaining prompt follow-up and effective communication regarding payment discrepancies.
Disaster Recovery Specialist-Remote
Emergency Management Directors – Small Business of Administration
08.2020 - 04.2022
- Responded to diverse customer inquiries, effectively meeting their demands
- Provided comprehensive information to the public regarding federally declared disasters and SBA’s disaster loan program, supporting businesses and homeowners independently
- Prepared written responses through SBA’s disaster customer service mailbox, showcasing independent problem-solving
- Navigated multiple phone systems, managing both inbound and outbound calls, exceeding metrics at 97% while ensuring excellent customer service independently
- Assisted borrowers independently with loan closing and disbursement processes, accepting payments using online tools
- Utilized various computer systems independently to research inquiries, record activities, and prepare documentation
- Independently processed and researched actionable alerts/fraud notifications, validating identity fraud claims.
Medical Coder, Medical Collection and M.A.
Dr. Vicki J. Sparks MD
08.2012 - 05.2020
- Responsibilities included patient account setup and maintenance, billing, collections, medical coding, and communication with various insurances
- Ensured compliance with insurance plan contracts, malpractice insurance, and other critical forms
- Managed physician schedules and clinic inventory
- Identified and resolved interoffice problems, including compliance issues and patient complaints
- Handled scheduling for clinical and administrative support, as well as externship participants
- Trained in clinical support functions and conducted chart reviews
- Maintained professional relationships with physicians and staff, adhered to internal processes, and stayed updated with industry guidelines
- Set priorities, assisted in training new team members, and contributed to special projects as directed by physicians.
Medical & Billing Coding Instructor, Training and Development Specialist
Concorde Career Colleges
01.2013 - 08.2017
- Developed the coding and billing curriculum and syllabus, selecting appropriate instructional material under the guidance of the Program Director
- Organized, presented, and delivered instruction in both classroom and virtual settings
- Assisting students with problem resolution alongside the Career Pathways Manager
- Trained students in various HER software and CMS-1500
- Actively participated in the interview and selection of prospective students and conducted extern site visits as required
- Maintaining detailed records of student attendance, progress, and grade distributions was a key responsibility
- Remained updated on industry trends, maintained professional memberships and licenses, and monitored and evaluated student progress
- Adhered to institutional policies, attended advisory committee meetings, and ensured fair treatment for all students
- Assisted with graduation ceremony planning and performed additional duties as assigned by the Director.
Contract Specialist
Columbia HCA Healthcare Corp
08.2011 - 08.2013
- Played a vital role in responding to critical medical situations as part of the “Code Blue” team
- Ensured compliance with regulations by meticulously reviewing physician and ancillary services documentation
- Managed essential administrative tasks, including medical record requests, transfers, and scanning
- Provided clerical support through tasks like order entry and verification for Emergency Medical Services and Cardiac and Oncology services.
Education
Associate of Arts - Medical Insurance Billing & Coding
UTSA
San Antonio, TX04.2024
11.2022
Kennesaw
06.2011
Skills
- Outbound Calling
- Account Reconciliation
- Business Correspondence Writing
- Issue Investigation
Accomplishments
- Diverse Industry Expertise: Accumulated over a decade of invaluable experience across diverse industries including medical, government, marketing, and broadcast media, showcasing adaptability and versatility.
- Billing and Collections Mastery: Achieved over two decades of consistent success in billing and collections, demonstrating unwavering commitment and expertise in financial management.
- Process Innovation Leadership: Spearheaded the development and implementation of innovative procedures and processes for national accounts within the collections team, resulting in enhanced efficiency and profitability.
Certification
NHA,NHAP and pending AAPC certifications.
Timeline
Billing & Collections Specialist
American Medical & Rehab Company
05.2023 - 09.2023
Disaster Recovery Specialist-Remote
Emergency Management Directors – Small Business of Administration
08.2020 - 04.2022
Medical & Billing Coding Instructor, Training and Development Specialist
Concorde Career Colleges
01.2013 - 08.2017
Medical Coder, Medical Collection and M.A.
Dr. Vicki J. Sparks MD
08.2012 - 05.2020
Contract Specialist
Columbia HCA Healthcare Corp
08.2011 - 08.2013
Associate of Arts - Medical Insurance Billing & Coding
UTSA
Kennesaw
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