Kimberly McPeek
Mansfield,Ohio
Summary
Proven Reimbursement Specialist with a track record of enhancing financial performance at Avita Ontario Hospital through expert denial management and appeals handling. Demonstrates exceptional HIPAA compliance and communication skills, significantly improving process efficiency and patient satisfaction. Achieved a notable increase in team productivity by exceeding processing goals and fostering a culture of continuous improvement.
Overview
16
16
years of professional experience
Work History
Reimbursement Specialist
Avita Ontario Hospital
02.2012 - Current
- Provided exceptional customer service when responding to patient inquiries about reimbursement status and procedures.
- Identified trends in reimbursement denials, recommending process improvements to minimize future occurrences.
- Supported company objectives by maintaining compliance with all relevant state and federal regulations governing medical billing practices.
- Advanced internal communication channels by sharing best practices among colleagues, fostering an environment of continuous learning and improvement.
- Contributed to increased team productivity by consistently meeting or exceeding individual processing goals.
- Maintained comprehensive knowledge of healthcare billing practices, staying current on industry updates and changes in regulations.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Maintained patient confidentiality by adhering to strict HIPAA guidelines when handling sensitive information.
- Improved departmental accuracy through meticulous attention to detail while reviewing claims submissions.
- Enhanced the overall financial performance of the organization by diligently monitoring outstanding claims and following up on overdue payments.
- Ensured timely payment of claims by promptly addressing and resolving any discrepancies or issues with insurance providers.
Medical Billing Specialist
Globalnet Solutions
03.2009 - 02.2012
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
Education
Associates - Accounting
North Central State College
Mansfield, OH06.1997
Skills
- Appeals handling
- HIPAA compliance
- Claims processing
- Insurance verification
- Denial management
Timeline
Reimbursement Specialist
Avita Ontario Hospital
02.2012 - Current
Medical Billing Specialist
Globalnet Solutions
03.2009 - 02.2012
Associates - Accounting
North Central State College
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