Kimberly Mitchell
Swartz Creek,MI
Overview
30
30
years of professional experience
Work History
Insurance Specialist Verification Auditor
Insight Revenue Cycle Management
Flint, MI
04.2021 - 02.2025
- Processed insurance claims and ensured accurate documentation for timely reimbursement
- Provided exceptional customer service by promptly addressing inquiries, resolving issues, and explaining coverage details
- Verified insurance coverage for patients by contacting insurance companies and obtaining necessary information
- Reviewed patient records and insurance policies to ensure accuracy of information
- Identified discrepancies in insurance coverage and resolved issues with appropriate parties
- Processed insurance claims accurately and efficiently within specified timeframes
- Investigated and resolved billing errors or denials related to insurance verification
- Communicated effectively with patients regarding their insurance coverage and any potential out-of-pocket expenses
- Assisted in training new employees on insurance verification processes and procedures
- Performed regular audits of patient accounts to identify any discrepancies or inaccuracies in the billing process
- Implemented strategies to improve efficiency in the insurance verification process
- Resolved complex issues related to pre-authorization requirements for medical procedures or treatments
Medical Biller and Coder
ModuleMD
Grand Blanc, MI
10.2018 - 02.2021
- Accurately assigned medical codes to patient records using ICD-10 and CPT coding systems
- Reviewed and verified documentation for completeness, accuracy, and compliance with coding guidelines
- Identified and resolved coding errors, ensuring accurate billing and reimbursement
- Utilized electronic health record (EHR) systems to access patient information for coding purposes
- Worked closely with insurance companies to resolve claim denials or discrepancies in coding information
- Ensured timely submission of claims by meeting established deadlines consistently
Office and Billing Manager
Regional Cardiology Associates
Grand Blanc, MI
10.2016 - 05.2018
- Managed the daily operations of the billing office, overseeing a team of XX employees
- Implemented new billing software system, resulting in a XX% increase in efficiency and accuracy
- Reduced accounts receivable aging by XX days through proactive follow-up on outstanding invoices
- Created monthly financial reports analyzing key metrics such as revenue, collections, and denials for management review
- Conducted regular audits of patient accounts to identify potential coding or documentation errors, minimizing claim rejections
- Provided training and mentorship to new hires, facilitating their integration into the billing team
- Developed performance metrics and conducted regular performance evaluations for direct reports
Billing Specialist
Hamilton Health Care System
Flint, MI
03.2015 - 10.2016
- Processed and submitted accurate and timely invoices for billing, ensuring compliance with company policies and procedures
- Reviewed billing data to identify discrepancies or errors, resolving issues promptly to minimize delays in payment processing
- Managed accounts receivable by tracking payments, following up on outstanding balances, and initiating collection efforts when necessary
- Assisted with month-end closing activities related to revenue recognition and account reconciliation
- Maintained confidentiality of sensitive financial information while handling invoicing tasks
- Provided training and guidance to new team members on billing processes and systems
- Monitored aging accounts receivable balances regularly, taking proactive measures to address overdue payments or delinquent accounts
Medical Billing Specialist
Hurley Medical Center
Flint, MI
03.1995 - 02.2010
- Processed and submitted medical claims to insurance companies, ensuring accuracy and adherence to billing guidelines
- Verified patient information, including demographics and insurance coverage, to ensure proper billing procedures
- Reviewed medical documentation and coding to identify any discrepancies or errors that could impact reimbursement
- Followed up on unpaid or denied claims, working with insurance companies to resolve issues and secure payment
- Responded promptly to inquiries from patients, insurance companies, and other stakeholders regarding billing matters
- Managed accounts receivable by tracking outstanding balances, following up on overdue payments, and resolving discrepancies
- Participated in training programs or workshops related to medical billing updates or changes in regulations
Timeline
Insurance Specialist Verification Auditor
Insight Revenue Cycle Management
04.2021 - 02.2025
Medical Biller and Coder
ModuleMD
10.2018 - 02.2021
Office and Billing Manager
Regional Cardiology Associates
10.2016 - 05.2018
Billing Specialist
Hamilton Health Care System
03.2015 - 10.2016
Medical Billing Specialist
Hurley Medical Center
03.1995 - 02.2010
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