Kimberly Hunter
Santa Rosa Beach,FL
Summary
Possesses versatile skills in project management, problem-solving, and collaboration. Brings fresh perspective and strong commitment to quality and success. Recognized for adaptability and proactive approach in delivering effective solutions.
Overview
11
11
years of professional experience
Work History
Director of Billing
Recovery Bay, LLC
05.2024 - Current
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Reviewed billing problems, researched issues, and resolved concerns.
- Trained and mentored staff on procedures, compliance requirements, and collections techniques.
- Conducted performance reviews and implemented improvement plans.
- I have worked with customers to develop payment plans and bring accounts current.
- Utilized financial software to prepare consolidated financial statements.
- Improved overall financial reporting by streamlining control processes and reporting structures.
- Established internal audit procedures to validate and improve accuracy of financial reporting.
- Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
- Conducted financial due diligence on potential investments and acquisitions.
- Performed testing for billing modules, enhancing new functionality and process improvements.
Clinical/Referral Specialist
Destin Pulmonary Critical Care
01.2023 - 02.2024
- Highly skilled assessment, health promotion, and pulmonary chronic disease management
- Dedicated and compassionate professional who is committed to providing quality care to patients
- PreCerts, VA Patients, HMO and PPO, PFTs
Medical Billing Manager
Primary Care South
01.2021 - 01.2023
- Supported clinical team members with revenue cycle procedures and addressed issues
- Monitored and guided revenue cycle operations
- Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities
- Reviewed billing problems, researched issues and resolved concerns
- Worked with customers to develop payment plans and bring accounts current
- Performed testing for billing modules, enhancing new functionality and process improvements
- Conducted performance reviews and implemented improvement plans
- Received and evaluated applications to look for missing and inaccurate information
- Conducted primary source verifications such as background checks and board certifications
- Enrolled providers and Medicaid, Medicare and private insurance plans
- Obtained NPI numbers for providers and facilities and updated existing profiles
- Monitored and guided revenue cycle operations
- Prepared records for site visits and file audits.
Senior Medical Coder
Genesis Care – 21st Century Oncology
01.2020 - 01.2021
- Assigned and sequence appropriate diagnostic/procedure billing codes in compliance with Medicare and third-party payors
- Reviewed documentation to establish compliance with teaching physician billing guidelines
- Responded to billing and coding questions from providers, staff and administrators
- Reviewed patient records and recommend appropriate coding/documentation for deficient records
- Collections and followed-up on all account activity with insurance companies and filed appeals as needed
- Had constant communication with providers daily
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement
- Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services
- Correctly coded and billed medical claims for various hospital and nursing facilities.
Practice Manager
Dr. Bawa & Associates
01.2014 - 01.2018
- Check in patients, Check out patients, Insurance Verification, Billing and Coding – ICD 9 and ICD 10, HMOs & PPOs, Prior Authorizations and Referrals, MIPS, Hoyes Billing, Bio-Identical Hormones, EOBs, Employee Scheduling for all 3 offices, Payroll
Skills
- Computer Programs: AdvancedMD, NextGen, CMD, Care360 Quantum, Athena, G4 MS Office (Word, Excel, Outlook, PowerPoint)
- Medical Coding
- Billing cycle expertise
- CAQH
- Revenue performance
- Insurance credentialing processes
- Collections Management
- Staff Training and Development
- Payment posting
- Procedure optimization
- Claims Processing
- Revenue Cycle Management
- Accounts receivable management
- Team direction
- Project Management
Summary
To provide accurate, organized, and professional medical billing and coding services to healthcare practices. Trained in ICD-10 coding, medical terminology, data entry and management, and billing practices. Knowledge of computerized coding programs and EMR.
Timeline
Director of Billing
Recovery Bay, LLC
05.2024 - Current
Clinical/Referral Specialist
Destin Pulmonary Critical Care
01.2023 - 02.2024
Medical Billing Manager
Primary Care South
01.2021 - 01.2023
Senior Medical Coder
Genesis Care – 21st Century Oncology
01.2020 - 01.2021
Practice Manager
Dr. Bawa & Associates
01.2014 - 01.2018
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