Kimberly Wood
Baltimore,MD
Summary
Well-spoken and educated Medical Office Coordinator with outstanding phone and email communication skills. Versed in HIPAA and patient privacy regulations. Communicates well with other practices and offices to coordinate medical records and referrals. Detail-oriented and knowledgeable Reimbursement Specialist skilled at completing patient-facing and office-based tasks by applying strong multitasking and organizational abilities. Independent worker with extensive medical experience and fastidious nature dedicated to optimal patient care. Well-qualified Medical Administrative professional successful at helping patients navigate medical office procedures while maintaining smooth and efficient business operations. Offering 20 years of related experience, diligent nature and expertise in electronic records management. Organized Medical Credential Specialist meticulous in scheduling appointments and handling customer issues. Fluent in medical vernacular and performs exceptionally as liaison between doctor and patient. Professional in dealing with customer complaints and concerns.
Overview
28
28
years of professional experience
Work History
Medical Office Coordinator
Baltimore Medical Services
05.2021 - Current
- Addressed complaints made by patients and staff by escalating issues to supervision for further investigation.
- Supported billing staff by making corrections to invoices and insurance submissions.
- Maintained updated list of employee credentials and notified staff when professional licenses and certifications approached expiration.
- Updated and maintained schedules for patients as well as managed client correspondence.
- Communicated with patients, insurance companies and providers through phone calls, emails and office drives concerning formularies and coverage limits.
- Planned and supported staff office meetings by preparing agendas and setting up audio-visual equipment.
Medical Billing Specialist II
George Washington University MFA
02.1996 - 08.2018
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Precisely evaluated and verified benefits and eligibility.
- Posted and adjusted payments from insurance companies.
- Collected payments and applied to patient accounts.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Adhered to established standards to safeguard patients' health information.
- Delivered timely and accurate charge submissions.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Reconciled accounts receivable to general ledger.
- Kept vendor files accurate and up-to-date to expedite payment processing.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Generated monthly billing and posting reports for management review.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
Revenue Cycle Specialist 11
George Washington MFA
08.2013 - 09.2017
- Identified and resolved payment issues between patients and providers.
- Reached out to insurance companies to verify coverage.
- Contacted responsible parties for past due debts.
- Balanced and reconciled accounts.
- Generated receivables reports and offered improvement recommendations.
- Created and maintained precise and accurate models, charts and reports.
- Generated comprehensive reports on portfolio performance and risk assessment.
- Developed financial projections and forecasts to guide investment decisions.
- Participated in client meetings to discuss financial analysis and investment strategies.
- Assisted in preparation of presentations, data tables and other documents for investor meetings.
Credentialing Coordinator
George Washington University Hospital
04.2003 - 06.2013
- Tracked expiration dates on documents and communicated with appropriate staff to avoid late filing.
- Maintained accurate files, records and credentialing documents in well-maintained databases using Ready Doc & Advanced MD soft ware
- Worked closely with practitioners to help each obtain privileges at assigned healthcare facilities
- Assisted with managed care auditing processes and performed internal file audits.
- Prepared records for site visits and file audits.
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Enrolled providers and Medicaid, Medicare and private insurance plans.
- Conducted primary source verifications such as background checks and board certifications.
Education
High School Diploma -
Anacostia Sr High School
Washington, DC06.1983
Skills
- Reading Comprehension
- Patient Relations
- Vendor Relations
- Medical Software Applications
- Customer Service
- Payment Processing
- Intake Interview
- Critical Thinking
- Patient Data Management Systems
- Follow-Up Skills
- Computerized Maintenance Management Systems
Timeline
Medical Office Coordinator
Baltimore Medical Services
05.2021 - Current
Revenue Cycle Specialist 11
George Washington MFA
08.2013 - 09.2017
Credentialing Coordinator
George Washington University Hospital
04.2003 - 06.2013
Medical Billing Specialist II
George Washington University MFA
02.1996 - 08.2018
High School Diploma -
Anacostia Sr High School
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