Kimberly Rathert
Medical Billing/Coding
Phoenix,AZ
Summary
Hardworking and passionate job seeker with strong organizational skills eager to secure a medical billing and coding position. Ready to help team achieve company goals. Applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. Confident Medical Coder adheres to data confidentiality and privacy rules in all workflows and promotes dynamic interpersonal skills.
Knowledgeable medical office professional with experience at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure optimal payment.
Overview
23
23
years of professional experience
3
3
years of post-secondary education
Work History
Insurance Agent
USAA
Phoenix, AZ
08.2019 - 02.2022
- Determined client needs and financial situations.
- Built relationships with clients using active listening and issue resolution to provide excellent service.
- Maintained high standards of customer service by building relationships with clients.
- Obtained underwriting approval by completing application for coverage.
- Identified potential risks in client's and recommended appropriate insurance coverage.
- Monitored changes in insurance industry to stay compliant with relevant laws and regulations.
- Prepared and reviewed insurance applications to verify compliance with regulations.
- Collected premiums on or before effective date of coverage.
- Analyzed risk factors to recommend appropriate coverage levels.
- Negotiated contracts and terms of sale with potential customers.
- Finalized sales and collected necessary deposits.
- Worked with sales team to collaboratively reach targets, consistently meeting or exceeding personal quotas.
- Educated clients on insurance policies and procedures.
- Calculated premiums and established payment methods for sales.
- Analyzed customer needs to provide customized insurance solutions.
- Determined financial needs by assessing existing coverage and aligning new products and services with long-term goals.
Licensed Realtor
Self-employed - RE/MAX & Remington Properties
Houston, TX
05.2007 - 01.2021
- Communicated with clients to understand property needs and preferences.
- Wrote contracts to outline sales and purchases of properties.
- Liaised between buyers and sellers to establish favorable prices and negotiate contract terms.
- Promoted sales of properties through advertisements, open houses and online advertising platforms.
- Compared properties with similarly sold properties to determine competitive market prices.
- Arranged for inspections and surveys of sold properties.
- Assisted buyers with finding ideal homes by assessing needs, requirements, and budgets.
Licensed Real Estate Assistant
RE/MAX - The Rhodes Team
Houston, TX
02.2012 - 08.2018
- Maintained efficient office operations by handling errands and administrative functions.
- Kept contacts organized with [Software] system to maintain readiness for future mailings.
- Prepared purchase agreements and disclosures, lease agreements.
- Coordinated appointments to show marketed properties.
- Maintained comprehensive database of property listings and market data.
- Prepared and maintained accurate property listings, sales contracts and closing documents.
- Negotiated offers between buyers and sellers to support mutually-beneficial contracts.
- Performed market research and evaluated competitive property analysis to define competitive listing and sale prices.
- Cultivated and maintained professional relationships with clients, real estate agents, lenders and escrow personnel.
- Processed applications and paperwork in accordance with state and federal laws.
- Managed filing system, entered data and completed other clerical tasks.
- Created and maintained detailed administrative processes and procedures to drive efficiency and accuracy.
- Continually sought methods for improving daily operations, communications with clients, recordkeeping and data entry for increased efficiency.
- Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
- Interacted with vendors, contractors and professional services personnel to receive orders, direct activities, and communicate instructions.
- Liaised between clients and vendors and maintained effective lines of communication.
Medical Coding and Billing Specialist
Peak Orthopedics And Sports Medicine
Whitefish, MT
02.2002 - 01.2007
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Verified signatures and checked medical charts for accuracy and completion.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Input data into computer programs and filing systems.
- Followed up with medical staff regarding missing information in patient records.
- Maintained accuracy, completeness, and security for medical records and health information.
- Tracked and monitored requests for medical records release.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
Office Associate
North Valley Hospital
Whitefish, MT
11.1999 - 08.2001
- Completed clerical tasks such as filing, copying, and distributing mail.
- Interacted with customers by phone, email, or in-person to provide information.
- Responded to inquiries from callers seeking information.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Provided clerical support by copying, faxing, and filing documents.
- Maintained spreadsheets to track and chart information such as Emergency Room Physician hours/schedule and payroll.
- Welcomed office visitors and alerted staff to arrivals of scheduled appointments.
- Collaborated with various departments to complete assigned tasks.
- Managed daily data entry and kept clerical information accurate and up-to-date.
Medical Records Technician
North Valley Hospital
Whitefish, MT
10.1998 - 12.1999
- Maintained patient records in compliance with security regulations.
- Reviewed charts and flagged incomplete or inaccurate information.
- Identified new methods to optimize medical records management.
- Kept accurate log of requests for medical information and records.
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Processed medical records requests from outside providers according to facility, state, and federal law.
- Maintained patient confidence by keeping patient records information confidential.
- Developed and maintained organized filing system for medical records to adhere to HIPAA regulations.
- Supported medical staff by providing organized and accurate medical records.
- Printed and photocopied documents to provide patients with copies of medical records.
- Maintained patient records systems by archiving, scanning and indexing important documents and files.
- Input data into computer programs and filing systems.
- Followed exact procedures for handling transfers and other releases of medical records.
- Reviewed medical records for completeness and filed records in alphabetic and numeric order.
- Created and maintained up-to-date patient medical records to enable tracking history and preserve consistent information.
Education
Continuing Education - Business & Education
Lone Star University Park
Houston, TX 08.2010 - 05.2012
Licensed Realtor - Real Estate
Champions School of Real-estate
Houston, TX 02.2007 - 05.2007
Licensed Insurance Property And Casualty Agent - Insurance Property And Casualty
Rio Salado College
Phoenix, AZ 08.2019 - 10.2019
CPC-A, CPB - Medical Coding And Billing
The American Academy of Professional Coders
01.2023 - Current
CPC-A, CPB - Medical Coding And Billing
Auburn University
Auburn, AL 02.2023 - Current
Skills
Policy renewals
Affiliations
The American Academy of Professional Coders
Timeline
CPC-A, CPB - Medical Coding And Billing
Auburn University
02.2023 - Current
CPC-A, CPB - Medical Coding And Billing
The American Academy of Professional Coders
01.2023 - Current
Insurance Agent
USAA
08.2019 - 02.2022
Licensed Insurance Property And Casualty Agent - Insurance Property And Casualty
Rio Salado College
08.2019 - 10.2019
Licensed Real Estate Assistant
RE/MAX - The Rhodes Team
02.2012 - 08.2018
Continuing Education - Business & Education
Lone Star University Park
08.2010 - 05.2012
Licensed Realtor
Self-employed - RE/MAX & Remington Properties
05.2007 - 01.2021
Licensed Realtor - Real Estate
Champions School of Real-estate
02.2007 - 05.2007
Medical Coding and Billing Specialist
Peak Orthopedics And Sports Medicine
02.2002 - 01.2007
Office Associate
North Valley Hospital
11.1999 - 08.2001
Medical Records Technician
North Valley Hospital
10.1998 - 12.1999
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