Kimberly Rousse
Baton Rouge,LA
Summary
Efficient billing and posting clerk with background in managing accurate and timely billing processes, including invoices and account statements. Possess strong organizational skills and adept at data analysis to ensure billing accuracy, leading to improved customer satisfaction. Proven track record in streamlining procedures for more efficient workflow and reducing discrepancies in financial postings.
Overview
2
2
years of professional experience
Work History
Patient Accounting Representative
Bone and Joint Clinic of Baton Rouge
Baton Rouge, Louisiana
05.2024 - Current
- Submitted claims to insurance companies.
- Enforced compliance with organizational policies and federal requirements regarding confidentiality.
- Maintained current knowledge of healthcare billing regulations and guidelines.
- Responded to customer inquiries regarding billing issues over the phone or through email correspondence.
- Reviewed legal claims for accuracy and issues.
- Worked closely with other departments to ensure accurate coding on all medical records prior to submission for reimbursement from payers.
- Processed invoice payments and recorded information in account database.
- Input statement information, reconciled accounts and resolved discrepancies.
- Checked claims coding for accuracy with ICD-10 standards.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Reviewed reports each day to identify and resolve billing issues.
- Maintained accounting ledgers by verifying and posting account transactions.
- Processed insurance payments and refunds, updating account information as needed.
- Performed insurance verification, pre-certification and pre-authorization.
Clinic Clerk
Lady of the Sea Medical Clinic
Galliano, Louisiana
08.2023 - 04.2024
- Scheduled appointments for patients via phone and in person.
- Answered incoming calls from patients and responded to inquiries regarding services provided by the clinic.
- Maintained cleanliness of all areas of the clinic including exam rooms, waiting area, reception desk.
- Assisted with scheduling appointments, updating patient information, and collecting payments.
- Communicated with patients with compassion while keeping medical information private.
- Arranged hospital admissions for patients as required.
- Handled cash transactions accurately and efficiently.
- Prepared reports, invoices, letters, or medical records using word processing, spreadsheet, or other software applications.
- Adhered to HIPAA requirements to safeguard patient confidentiality.
- Scheduled tests, lab work or x-rays for patients based on physician orders.
- Greeted patients and visitors in a professional manner.
Clinic Clerk
Headache and Pain Center
Houma, LA
04.2023 - 07.2023
- Scheduled appointments for patients via phone and in person.
- Answered incoming calls from patients and responded to inquiries regarding services provided by the clinic.
- Maintained cleanliness of all areas of the clinic including exam rooms, waiting area, reception desk.
- Assisted with scheduling appointments, updating patient information, and collecting payments.
- Processed referrals from primary care providers to specialty care providers as requested by the patient or physician.
- Handled cash transactions accurately and efficiently.
- Scheduled and confirmed patient appointments and consultations.
- Transmitted medical records and other correspondence by mail, e-mail, or fax.
- Collected information, verified insurance and collected co-payments for patients as part of check-in process.
Education
Some College (No Degree) - Medical Billing And Coding
Fletcher Technical Community College
Schriever, LASkills
- Claims resolution
- Patient account management
- Software navigation
- Insurance billing procedures
- HIPAA compliance
- Insurance verification
- Payment processing
- Medical billing
- Data entry
- Bookkeeping
- Check processing
- Billing data verification
- Teamwork and collaboration
- Problem-solving abilities
- Insurance authorizations
Timeline
Patient Accounting Representative
Bone and Joint Clinic of Baton Rouge
05.2024 - Current
Clinic Clerk
Lady of the Sea Medical Clinic
08.2023 - 04.2024
Clinic Clerk
Headache and Pain Center
04.2023 - 07.2023
Some College (No Degree) - Medical Billing And Coding
Fletcher Technical Community College
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