Kimberley Robin Maerker
Springfield
Summary
Detail-oriented professional with extensive experience in revenue cycle processes. Known for strong research skills and effective communication, driving timely resolution of claims and enhancing financial accuracy.
Overview
9
9
years of professional experience
Work History
Revenue Cycle Analyst
Solvent Practice Solutions
Bend
09.2025 - 03.2026
- Engaged in revenue cycle processes to maximize profitability and increase revenue.
- Resolved denied claims by investigating reasons for denial and taking appropriate corrective actions.
- Conducted audits of patient accounts in order to identify any potential inaccuracies or inconsistencies that may lead to lost revenue.
- Monitored insurance claims status on a daily basis to ensure timely reimbursement from payers.
- Performed monthly reconciliation of accounts receivable and patient payments to ensure accuracy and completeness.
- Prepared and worked revenue cycle aging report as well as posted payments paid by patient or insurance carrier
Payment Resolution Specialist
Trinity Healthcare
Livonia
01.2020 - 07.2025
- Performed daily revenue cycle activities as part of the billing and follow up team in support of the revenue cycle process for Trinity Healthcare in Lavonia, MI
- Documented claims billed, paid, settled and followed up in appropriate system(s)
- Identified and escalated billing issues to ensure timely resolution and maintain accuracy in follow-up activities
- Adhered to proactive practices which included contacting the payers directly for payments due on accounts. Reviewed and responded to all mail correspondences in a timely and accurate manner.
- Communicated with appropriate hospital departments to clarify billing discrepancies and obtained demographic, clinical, financial and insurance information for patient's
- Researched claim rejections, made corrections, took corrective action and/or referred claims to appropriate departments/coworkers to ensure timely and accurate claim resolution
- Performed all routine follow-up and functions which included the investigation of overpayments, under payments, credit balances and payment delays
- Followed up on delayed payments by contacting patients and third-party payers to resolve issues and expedite payment processing
- Maintained a working knowledge of applicable Federal, State and local laws and regulations
- Prepared appeals and reconsiderations according to carrier guidelines, facilitating timely resolution of claims requiring further review
Billing Analyst
MedComm Billing Consultants
Columbus
11.2016 - 12.2019
- Conducted thorough research and follow-up on accounts with outstanding claims and balances using periodic aging reports to ensure timely resolution
- Determined financial responsibility for outstanding claims and reassigned accounts accordingly
- ldentified and reassigned financial responsibility as appropriate
- Prepared and submitted appeals according to carrier guidelines for claims requiring reconsideration to secure appropriate additional payments
- Evaluated patients' financial status and developed budget payment plans to facilitate manageable repayment schedules
- Prepared and approved statements for services that became the patient's responsibility
- Contacted patients and third-party payers
Education
Associate of Science - Medical Billing
Colorado Technical University
Colorado Springs, CO09-2008
Skills
- Revenue cycle management
- Medical billing
- Claims resolution
- Patient account reconciliation
- Billing regulations
- Medicare regulations
- Payment posting
- Discrepancy resolution
- EPIC
- NextGen
- Simple Practice
- Research skills
- Attention to detail
- Written communication
Timeline
Revenue Cycle Analyst
Solvent Practice Solutions
09.2025 - 03.2026
Payment Resolution Specialist
Trinity Healthcare
01.2020 - 07.2025
Billing Analyst
MedComm Billing Consultants
11.2016 - 12.2019
Associate of Science - Medical Billing
Colorado Technical University