Kim Fouts
Tucson,Arizona
Summary
Experienced professional seeking a stable role that fosters a sense of pride in the work accomplished.
Overview
27
27
years of professional experience
Work History
Revenue Analyst
Ovation Healthcare
03.2022 - Current
- Filed and updated patient information and medical records.
- Verified insurance of patients to determine eligibility.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Verified accuracy of accounts payable payments, resulting in [Number]% reduction in payment errors and check reissues.
- Delivered timely and accurate charge submissions.
- Adhered to established standards to safeguard patients' health information.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Medical Biller/Collector
St Mary's Regional Medical Center
07.2019 - 03.2022
- Responsible for submitting claims to the appropriate intermediaries and ensure they are coded correctly
- Responsible for obtaining required authorizations necessary for the processing and payment of claims
- Update patient demographics and insurance information
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Verified insurance of patients to determine eligibility.
- Reconciled accounts receivable to general ledger.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Adhered to established standards to safeguard patients' health information.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Collected payments and applied to patient accounts.
Customer Service Representative
Water Tec of Tucson
07.2018 - 06.2019
- Great customers warmly and ascertain problem or reason for calling
- Transfer paper billing documents to electronic form
- Process payments and update pertinent account information
Accounts Receivable Agent
Bennett Medical Services
09.2014 - 11.2017
- Verified insurance eligibility for patients with Private, Medicare, and Medicaid insurance
- Became familiar with medical billing requirements including common CPT and ICD-10 codes
- Performed manual and electronic processing of reimbursement claims
Disability Specialist
Marshfield Clinic
09.2003 - 01.2012
- Provided claim-processing support to the insurance division
- Performed telephone claim review, claim status checks, and on-line data entry
- Completion of necessary medical forms such as disability and workers' compensation
Medical Billing Clerk
Aurora Health Clinic
06.1997 - 01.2003
- Processed and resolved Medicare claims and denials for maximum reimbursement
- Maintained appropriate billing records and verified insurance coverage and benefits
Education
Diploma -
Waterford Union High School
Waterford, WI01.1985
Skills
- Competitor Analysis
- Pricing Strategies
- Data Interpretation
- Sales Analysis
References
References are available on request.
Timeline
Revenue Analyst
Ovation Healthcare
03.2022 - Current
Medical Biller/Collector
St Mary's Regional Medical Center
07.2019 - 03.2022
Customer Service Representative
Water Tec of Tucson
07.2018 - 06.2019
Accounts Receivable Agent
Bennett Medical Services
09.2014 - 11.2017
Disability Specialist
Marshfield Clinic
09.2003 - 01.2012
Medical Billing Clerk
Aurora Health Clinic
06.1997 - 01.2003
Diploma -
Waterford Union High School
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