KIMALA PONDER
Louisville,KY
Summary
To continue serving the community and use my knowledge of Medical Billing and Coding to its fullest extent.
Overview
18
18
years of professional experience
Work History
Billing Specialist/Cash Poster
Park Duvalle CHC
05.2020 - Current
- Pull EOBs from Payer Websites and other applications
- Post all non-EDI payments, zero pay EOBs, contractual allowances, denial codes, deductibles, and copayments
- Demonstrates ability to work independently with Minimum supervision
- Identify and report all trends that may provide insight into payment challenges
- Initiate refund if necessary
- Phone contact with insurance companies , patient etc. for additional information to process payment
- Troubleshoot out of balances batches and insurance retractions
- Responded to customer concerns and questions on daily basis.
CASHIER/REGISTRATION CLERK
Park DuValle CHC
01.2012 - 05.2020
- Register patients before their appointments
- Verify insurance, proof of income, and collect cash and credit card payments.
- Performed cash, card and check transactions to complete customer visit
- Reconciled cash drawer at start and end of each shift, accounting for errors, and resolving discrepancies.
MEDICAL COLLECTIONS ASSOCIATE
Praxair HealthCare Service
01.2008 - 01.2011
- Verify eligibility, calculate and process claims for reimbursement
- Complete written referrals, in detail, with recommendation for handling
- Drafted written responses to correspondence, perform research as necessary for questionable claims.
- Responded to customer inquiries and provided detailed account information.
- Worked in call center environment handling manual and automatically dialed outbound calls.
- Researched billing errors and discrepancies to initiate corrective action.
- Handled sensitive information responsibly maintaining confidentiality throughout the collection process.
FLEXIBLE SPENDING ACCT. CLAIMS PROCESSOR
SHPS
01.2006 - 01.2007
- Knowledge of Medical Technology, Medical Reimbursements, Medical Coding, ICD Coding, CPT Coding, Medical Insurance Billing Practice
- Billing and Coding regulations and statutes
- Ethical and Legal principles
- Procedures for submitting, and correcting medical claims.
- Checked documentation for accuracy and validity on updated systems.
- Identified and reported potential fraud or abuse related to claims to protect system's integrity.
- Prepared insurance claim forms or related documents and reviewed for completeness.
Education
Medical Billing and Coding -
NATIONAL COLLEGE OF BUSINESS AND TECHNOLOGY
01.2005
Skills
- Knowledge of Medical Technology
- Medical Reimbursements
- Medical Coding
- ICD Coding
- CPT Coding
- Medical Insurance Billing Practice
- Billing and Coding regulations and statutes
- Ethical and Legal principles
- Procedures for submitting, and correcting medical claims
Timeline
Billing Specialist/Cash Poster
Park Duvalle CHC
05.2020 - Current
CASHIER/REGISTRATION CLERK
Park DuValle CHC
01.2012 - 05.2020
MEDICAL COLLECTIONS ASSOCIATE
Praxair HealthCare Service
01.2008 - 01.2011
FLEXIBLE SPENDING ACCT. CLAIMS PROCESSOR
SHPS
01.2006 - 01.2007
Medical Billing and Coding -
NATIONAL COLLEGE OF BUSINESS AND TECHNOLOGY
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