Kim Lawrence
Medical Billing Specialist
Nampa,ID
Summary
Proven expertise in HIPAA compliance and team collaboration, demonstrated through successful revenue cycle improvements. Skilled in insurance verification and patient billing, significantly enhancing billing efficiency and data accuracy. Achieved notable revenue generation by streamlining claims review and submission processes. Competent Medical Billing Specialist with nine years of experience in handling wide variety of medical billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Polished and hardworking performer with background overseeing accounts and handling records management tasks. Team-oriented person with great decision-making skills.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Northwest Allergy and Asthma
11.2023 - 08.2024
- Assisted patients with understanding their medical bills with providing clarification on complex insurance issues. Communicated for unpaid claims for HMO, PPO and private accounts. Delivered friendly follow-up calls addressing outstanding balances on accounts while promoting positive customer experience adhering to established standards to safeguard patients' health information.
- Conducted regular audits of patient accounts for potential underpayments or overpayments due to incorrect coding or billing practices. Printed and reviewed monthly patient aging report.
- Prepared billing correspondence and maintained database to organize billing information by accurate review of patient demographic and billing information in billing system to enable tracking history and maintain accurate records. Created patient invoices for billing purposes by using data entry skills to accurately document and input statements. Managed approximately 20 incoming calls, emails and faxes daily from patients and insurance companies.
- Liaised between patients, insurance companies, and billing office by examining patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies. Communicated with insurance providers to resolve denied claims and resubmitted while also posting and adjusting payments from insurance companies.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
Revenue Cycle Specialist / Document Distribution
Molecular Testing Labs
01.2021 - 10.2023
- Managed bookkeeping of insurance billing and patient payments. Handled sensitive information with discretion while maintaining strict confidentiality standards.
- Checked patient demographics with accurate data entry including insurance coverage while maintaining strict confidentiality of patient information and adhering to HIPAA regulations and medical office policies.
- Collaborated with team members to streamline revenue cycle processes for improved efficiency for faster payment collection to improve overall financial performance.
- Organized and maintained patient chart filing system to promote quick data finding for staff for essential medical documents.
- Provided support to staff members by handling correspondence, filing documents, and managing office supplies inventory.
- Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
Revenue Cycle Specialist / Data Entry
Practice Management Inc
03.2015 - 03.2021
- Completed data entry tasks with accuracy and efficiency. Scanned documents and saved in database to keep records of essential organizational information. Managed documents by organizing forms, making photocopies, filing records, and preparing correspondence.
- Reduced turnaround times for urgent requests by prioritizing tasks based on deadlines and resource availability with enhanced data accuracy.
- Optimized workflow, resulting in faster completion of assignments. Completed data entry tasks with accuracy and efficiency following all protocols, rules and regulations.
- Trained new team members by providing comprehensive training and support to new personnel with the best practices to contribute to a more knowledgeable workforce.
- Departmental flexibility by cross-training in various skill sets.
Skills
- HIPAA Compliance
- Payment posting
- Claim submission
- Insurance Verification and Billing
- Patient Billing and Collections
- Data Entry
- Insurance Claims and Processing
- Claims review
- Billing and Collection Procedure
- Electronic Claims
- Teamwork and Collaboration
- Critical Thinking
- Customer Service
- Electronic Health Record Software; Meditab, Xifin, LIS
- Commercial and Private Insurance
Certification
- Advanced Medical Terminology Training - 2012
- Medical Transcription Training - 2012
References
Kim Elliott
Phone: 208-283-7453
Email: Kimandalix@gmail.com
Jamie Lommel
Phone: 208-697-4491
Email: jamielommel@gmail.com
Alesha Hess
Phone: 360-208-0763
Email: ahess336@moleculartestinglabs.com
Timeline
Medical Billing Specialist
Northwest Allergy and Asthma
11.2023 - 08.2024
Revenue Cycle Specialist / Document Distribution
Molecular Testing Labs
01.2021 - 10.2023
Revenue Cycle Specialist / Data Entry
Practice Management Inc
03.2015 - 03.2021
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Accomplishments
- Conflict Resolution - Responsible for handling customer account inquiries, accurately providing information to ensure resolution of complaints and customer satisfaction.
- Electronic Communication - Professionally processed 15+ calls, emails and faxes per day, providing information and service to ensure satisfaction.
Work Preference
Work Type
Full TimeWork Location
On-SiteRemoteHybridImportant To Me
Paid sick leaveWork from home optionPaid time offHealthcare benefitsPersonal development programsCareer advancementWork-life balanceFlexible work hours401k matchSimilar Profiles
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