Hi, I’m
Kimberly Ferrell
Farmington,UT
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
11
years of professional experience
Work History
R1 RcmFarmington, UT
CAU Appeal Specialist MD & Facility
04.2018 - Current
Job overview
- Identified needs of customers promptly and efficiently.
- Completed day-to-day duties accurately and efficiently.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Maintained updated knowledge through continuing education and advanced training.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Approached customers and engaged in conversation through use of effective interpersonal and people skills.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Planned and completed group projects, working smoothly with others.
- Recognized by management for providing exceptional customer service.
- Reviewed appeal requests to ensure accuracy of information submitted.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Performed quality assurance checks on completed appeal files prior to submission.
- Responded promptly to inquiries from clients or external parties regarding appeal status or process updates.
- Identified opportunities for improving existing workflows related to the appeals process.
- Provided guidance and advice regarding appeal processes and procedures to internal staff members.
- Conducted research on medical records, financial data, and other relevant documents to support appeals.
- Developed training materials for staff members on proper handling of appeals cases.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Corresponded with insured or agent to obtain information or inform of account status or changes.
- Examined automobile policies with third-party liability, accident benefits and collision benefits.
- Resolved escalated customer service issues pertaining to denied claims or unresolved appeals cases.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Prepared written summaries of key findings from completed appeal investigations for senior management review.
IHCRoy, UT
Billing Specialist
04.2013 - 04.2018
Job overview
- Submitted claims to insurance companies.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Performed insurance verification, pre-certification and pre-authorization.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Worked closely with patients to discuss payment arrangements when needed.
- Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.
- Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
- Managed all payments processing, invoicing and collections tasks.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Processed credit card transactions through Point-of-Sale terminals or online systems.
- Answered customer questions to maintain high satisfaction levels.
- Input payment history and other financial data to keep customer accounts up-to-date in system.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Displayed strong telephone etiquette, effectively handling difficult calls.
Education
Bryman'sSLC, UT
Medical Asst from Medicine
05-1985
Roy High SchoolRoy, UT
High School Diploma
06-1983
ATCOgden
Some College (No Degree) from Business Administration And Management
Skills
- New Policies Processing
- Insurance Claim Forms Review
- Small Claims Payouts
- Claim Amount Calculations
- Eligibility Determination
- Billing Software
- Critical Thinking
- Account Management Software
- Attention to Detail
- Understanding of Medical Terms
- 10-Key Touch
- Proficient in [Software]
References
References available upon request.
Timeline
CAU Appeal Specialist MD & Facility
R1 Rcm
04.2018 - Current
Billing Specialist
IHC
04.2013 - 04.2018
Bryman's
Medical Asst from Medicine
Roy High School
High School Diploma
ATC
Some College (No Degree) from Business Administration And Management
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