Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kimberly Alvarez

Canton,MI

Summary

Dynamic medical professional with extensive experience at Trinity IHA Cherry Hill Pediatrics, excelling in front desk operations and patient relations. Proven track record in insurance verification and payment collection, ensuring compliance with HIPAA regulations. Adept at appointment scheduling and fostering positive patient experiences, contributing to efficient healthcare delivery. Experience with Epic EMR and

MIcrosoft software

Overview

37
37
years of professional experience

Work History

Medical Receptionist

Trinity IHA Cherry Hill Pediatrics
07.2016 - 05.2023
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Checked patient insurance, demographic, and health history to keep information current.
  • Helped patients complete necessary medical forms and documentation.
  • Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
  • Adhered to strict HIPAA guidelines to protect patient privacy.

Senior Billing Analyst

General Medicine P.C
06.2004 - 12.2016
  • Nursing home billing for Michigan, Customer service, direct contact with physicians and various nursing home facilities .
  • Collaborated with cross-functional teams to resolve complex billing issues, resulting in improved client satisfaction.
  • Maintained up-to-date knowledge of industry standards and best practices for effective application in daily tasks.

Senior Policy Analyst

American Community Mutual Insurance
06.1997 - 10.2001
  • Individual, Short term, Medicare and Long term policy issue, accounts receivable, processing credit card payments on line . Customer service and direct contact with insurance agents.

Medical Biller

Randolph General Medical
11.1995 - 01.1997

DME and third party billing, accounts receivable, direct communication with various nursing home facilities.

  • Delivered timely and accurate charge submissions.
  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Verified insurance of patients to determine eligibility.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Filed and updated patient information and medical records.

Medical Biller

Ivonyx Inc
11.1992 - 07.1995

DME and home IV therapy, accounts receivable, patient relations, DMERC region C billings for New Orleans, Puerto Rico, Florida.

  • Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
  • Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
  • Conducted regular audits of billing records to ensure accuracy and completeness, enhancing overall financial performance for the practice.

Medical Biller

DMC Healthcare Center
07.1986 - 10.1992
  • Verified insurance of patients to determine eligibility.
  • Communicated with insurance providers to resolve denied claims and resubmitted.
  • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
  • Filed and updated patient information and medical records.
  • Collected payments and applied to patient accounts.
  • Ensured timely payments from insurance providers through submission of accurate and complete claims.
  • Posted payments and collections on regular basis.

Education

No Degree - Business Administration

Oakland Community College
Farmington, MI

No Degree - Business Administration

Schoolcraft College
Livonia, MI

Skills

  • Front desk operations
  • Telephone etiquette
  • Appointment scheduling
  • Medical terminology
  • Patient scheduling
  • Patient registration
  • Microsoft office
  • HIPAA compliance
  • Appointment setting
  • Insurance verification
  • Payment collection
  • Reminder calls
  • Patient relations

Timeline

Medical Receptionist

Trinity IHA Cherry Hill Pediatrics
07.2016 - 05.2023

Senior Billing Analyst

General Medicine P.C
06.2004 - 12.2016

Senior Policy Analyst

American Community Mutual Insurance
06.1997 - 10.2001

Medical Biller

Randolph General Medical
11.1995 - 01.1997

Medical Biller

Ivonyx Inc
11.1992 - 07.1995

Medical Biller

DMC Healthcare Center
07.1986 - 10.1992

No Degree - Business Administration

Oakland Community College

No Degree - Business Administration

Schoolcraft College