Kimberly Shepard
Avenel,NJ
Summary
Dynamic Billing Analyst with a proven track record at Medco Financial, excelling in claims review and fostering exceptional customer service. Mastered accounts receivable and billing systems, significantly enhancing cash flow management through meticulous data analysis and dispute resolution. Skilled in training and mentoring, I championed a collaborative environment, driving continuous improvement and compliance.
Overview
30
30
years of professional experience
Work History
Billing Analysts
Medco Financial
09.2009 - Current
- Maintained strict confidentiality with all personal data as per company guidelines.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance in all aspects of the billing process.
- Evaluated aging reports to identify members to be included in monthly outbound collection calls.
- Trained new team members on internal billing procedures, fostering a collaborative work environment for continuous improvement.
- Enhanced customer satisfaction with timely and accurate billing information, resolving disputes promptly and professionally.
- Conducted regular account reconciliations to verify invoice accuracy, resulting in reduced disputes and improved cash flow management.
Billing Specialists
Trinitas Hospital
09.2003 - 08.2009
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check proper billing information.
- Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within the department.
- Reduced errors in financial records by conducting regular audits of billed accounts.
- Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
- Negotiated with insurance companies to resolve disputed claims, securing rightful payments.
- Reduced billing errors, leading to decrease in customer complaints, by conducting regular audits of billing data.
Appeals Coordinator
Horizon BCBSNJ
08.1998 - 08.2003
- Created, composed and maintained appeal response templates.
- Coordinated with senior specialist to compose appeal responses.
- Developed appeals functions, policies and procedures and documentation.
- Developed strong working relationships with internal and external stakeholders, fostering a collaborative environment for efficient resolution of appeals.
- Provided exceptional customer service by promptly responding to inquiries from appellants and other stakeholders.
- Organized and managed appeals caseloads, prioritizing high-priority cases for timely resolution.
Customer Service Representative
Prudential Insurance Company
09.1994 - 10.1998
- Leveraged strong organizational skills to manage high volumes of credential applications effectively, meeting tight deadlines consistently.
- Maximized efficiency in credentialing workflow through regular review and optimization of internal processes.
- Reduced errors in documentation through meticulous attention to detail when reviewing submitted materials.
- Provided exceptional customer service to applicants, offering guidance on necessary documentation for successful submissions.
- Assisted colleagues with complex cases, applying strong problem-solving skills to resolve issues efficiently.
- Continuously improved personal expertise in credential analysis through attending industry conferences, workshops, and professional development courses.
- Facilitated professional development opportunities for colleagues, sharing best practices and industry updates regularly.
- Contributed to the development of department policies and procedures by providing insights from daily operations.
- Kept informed regarding pending industry changes, trends or best practices.
Education
Bachelor Of Science In Finance - Finance
Fairleigh Dickinson University
Teaneck, NJ05.2007
Skills
- Claims review
- Accounts receivable
- Claims submissions
- Training and mentoring
- Microsoft Excel
- Issue resolution
- Data analysis
- Telephone etiquette
- Proficient in software
- Collections management
- Accounts receivables
- Attention to detail
- Customer service
- Billing systems and software
- Verbal and written communication
Timeline
Billing Analysts
Medco Financial
09.2009 - Current
Billing Specialists
Trinitas Hospital
09.2003 - 08.2009
Appeals Coordinator
Horizon BCBSNJ
08.1998 - 08.2003
Customer Service Representative
Prudential Insurance Company
09.1994 - 10.1998
Bachelor Of Science In Finance - Finance
Fairleigh Dickinson University
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