Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kimberly Lewis

El Dorado,Kansas

Summary

Competent Medical Billing Specialist with 10 years experience handling a wide variety of medical billing tasks. Dedicated and hardworking with excellent analytical and multitasking abilities. Productive and diligent in resolving discrepancies through attention to detail. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet company and team goals.

Overview

18
18
years of professional experience

Work History

Medical Billing Specialist

LHH Recruitment Solutions
2023.06 - Current
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Communicated with insurance providers to resolve denied claims and provided additional information, when needed.
  • Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
  • Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.

Work sabbatical

Personal Project
2022.12 - 2023.06

Rest and relaxation to focus on family and personal development.

Medical Billing Specialist / Claim Analyst

Trajectory RCS
2018.10 - 2022.12
  • Enhanced revenue by streamlining medical billing processes and improving accuracy in claims submissions.
  • Established efficient workflows, organizing tasks to optimize use of time and resources within the team.
  • Collaborated with clinical staff to ensure accurate coding of procedures and diagnoses for proper claim submission.
  • Expedited payment processing with timely follow-ups on outstanding insurance claims.
  • Identified trends in denied claims, addressing root causes to prevent future issues and improve overall success rates.

Medical Billing Specialist

Pulse
2017.03 - 2018.10
  • Communicated with insurance providers to resolve denied claims.
  • Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
  • Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Verified insurance of patients to determine eligibility.

Business Office Manager

C&J Plumbing
2010.09 - 2017.03
  • Provided exceptional customer service when addressing client inquiries or concerns via in-person, phone calls or email correspondence.
  • Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets and accurate invoicing.
  • Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
  • Maintained employee files, payroll and benefits via Quickbooks.
  • Resolved financial discrepancies and customer billing issues with timely attention.

Medical Billing Specialist

Management Services Network
2006.07 - 2010.09
  • Communicated with insurance providers to resolve denied claims by submitting medical records, appeals and/or corrected claims, if necessary.
  • Processed patient payments and adjusted payments from insurance companies.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting positive customer experience.
  • Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
  • Verified insurance of patients to determine eligibility.

Education

Associate of Applied Science - Health Information Technology

Hutchinson Community College
Hutchinson, KS
05.2016

High School Diploma -

Wichita Area Technical College
Wichita, KS
01.2010

Skills

  • Medical Claims Analyst
  • Denial Management
  • CMS-1500 & UB04 Claim Forms
  • ICD-10 Coding Knowledge
  • Microsoft Office - Outlook, Teams, Excel, Word, Power Point, One Note
  • Medicare and Medicaid Billing Knowledge
  • Proficient in Commercial, Private and Worker's Compensation insurances
  • Knowledge in various Medical Billing and Claims processing Software: Cerner, Citrix, Epic - Acumen, TruBridge, CPSI, Pulse Pro, AS400, SSI, Waystar, Change Healthcare, Emdeon, Secure Link, WebPT.
  • Insurance Provider Portals: Availity, UHC, Navinet, Cigna, Medicare.Gov CMS.Gov, WPS, Palmetto GBA, Novitasphere, Noridian, MyVACCN, Tricare, TMHP, Optum Pro, Optum Databank, etc.
  • Medical Billing Claims: IP/OP, ER, Clinical, Professional, Behavioral Health, Ambulance, Pathology, Radiology, PT/OT/ST, Nephrology & ESRD.
  • Microsoft Teams, Webex, Cisco Jabber, Skype.

Timeline

Medical Billing Specialist

LHH Recruitment Solutions
2023.06 - Current

Work sabbatical

Personal Project
2022.12 - 2023.06

Medical Billing Specialist / Claim Analyst

Trajectory RCS
2018.10 - 2022.12

Medical Billing Specialist

Pulse
2017.03 - 2018.10

Business Office Manager

C&J Plumbing
2010.09 - 2017.03

Medical Billing Specialist

Management Services Network
2006.07 - 2010.09

Associate of Applied Science - Health Information Technology

Hutchinson Community College

High School Diploma -

Wichita Area Technical College
Kimberly Lewis