Kimberly Tieuel
Austin
Summary
Detail oriented billing specialist with 9+ years of experience with managing complex billing cycles and account reconciliation. Proven ability to ensure financial accuracy, resolve discrepancies and utilize billing software to enhance efficiency.
Overview
11
11
years of professional experience
Work History
Billing Representative Part Time
Productive Ventures
11.2024 - Current
- Providing part time billing services for a private counseling agency. Handling patient inquiries, submitting claims and working with insurance companies to provide a cohesive process for patients and staff.
Care Management/ Prior Authorization Specialist
Humana
03.2022 - 10.2024
- Provided client screening, administrative tasks, communication with providers and ensuring adherence to privacy policies. Once eligibility was determined, managed the process of obtaining insurance authorization for medical services, ensuring patients can receive necessary treatments. This role involved verifying insurance coverage, submitting and tracking authorization requests, and communicating with healthcare providers as needed.
Claims Representative
Elevance Health
10.2019 - 02.2022
- Processed health insurance claims, determining coverage eligibility, accuracy, and payment amounts according to the policy and regulations. Key duties included answering customer inquiries, maintaining accurate records, using specialized software and problem-solving skills to resolve issues, and ensuring that information was complete and accurate before authorizing payments.
Billing Specialist- A/R Follow Up
Hospice In The Pines
10.2014 - 10.2019
- Ensured accurate and timely billing for services rendered, managed patient accounts, and resolved billing-related issues. Also confirmed accurate and timely billing for services rendered, manage patient accounts, and resolve billing-related issues. Analyzing denied or rejected claims, reasons for delays, correct issues, and resubmit claims to secure payment.
Education
Associate of Science -
Lone Star Community College
Houston, Texas12.2024
Skills
- Staff education and training
- Staff management
- Medical office administration
- Medical billing and coding
Timeline
Billing Representative Part Time
Productive Ventures
11.2024 - Current
Care Management/ Prior Authorization Specialist
Humana
03.2022 - 10.2024
Claims Representative
Elevance Health
10.2019 - 02.2022
Billing Specialist- A/R Follow Up
Hospice In The Pines
10.2014 - 10.2019
Associate of Science -
Lone Star Community College
Software Experience
Epic, Athena Health, Availity, Waystar