Kimberly Umstead, CPC
Baltimore,MD
Summary
Adept Transformation Specialist with a proven track record at Saint Agnes Healthcare, enhancing billing accuracy and collections efficiency through expert ICD-10 application and denial management strategies. Demonstrated leadership in staff training, significantly improving team performance and patient account resolution. Excels in effective communication, ensuring high levels of customer satisfaction and compliance with HIPAA.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Transformation Specialist
Saint Agnes Healthcare
Baltimore, MD
05.2019 - Current
- Reviewed engine assigned codes and modifiers to update and verify accuracy.
- Answered customer questions to maintain high satisfaction levels.
- Performed data entry to enter patient demographics, insurance information and billing codes into practice management software.
- Developed strategies to increase collections on unpaid or denied claims.
- Collaborated with clinical staff members on any issues concerning patient accounts.
- Maintained detailed records of claim statuses including denials, appeals status, resubmissions and adjustments made on accounts receivable transactions.
- Reviewed claims for coding accuracy.
- Completed and submitted appeals for denied claims.
- Resolved discrepancies between insurance companies, patients and providers with regards to billing errors.
- Submitted appeals when necessary on denied or underpaid claims due to incorrect coding issues or missing documentation.
- Assisted in training new employees on various aspects of the billing process.
Office Manager
Saint Agnes Healthcare
Baltimore, MD
08.2014 - 05.2019
- Supervised staff members, organized schedules and delegated tasks.
- Maintained confidential records relating to personnel matters.
- Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel.
- Reviewed completed work to verify consistency, quality, and conformance.
- Developed and implemented office policies and procedures.
- Elevated customer satisfaction ratings by promptly resolving client and case issues.
- Developed effective communication strategies between departments within the organization.
Education
High School Diploma -
Seton Keough High School
Caton Avenue05-1990
Skills
- Denial management strategies
- ICD-10
- Time management techniques
- Collections process handling
- Accounts receivable management
- Effective communication
- HIPAA compliance
- Electronic health records experience
- Payment posting
- CPT coding
- Claims processing proficiency
- Medical coding expertise
- Staff training and development
- Team leadership qualities
- Medicare and medicaid regulations
Certification
- AAPC - Certified Professional Coder March 2011
Timeline
Transformation Specialist
Saint Agnes Healthcare
05.2019 - Current
Office Manager
Saint Agnes Healthcare
08.2014 - 05.2019
High School Diploma -
Seton Keough High School
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