KIMBERLY WOODS
Marianna,AR
Summary
Veteran Billing Supervisor bringing 9+ years of experience and familiarity with any organizational needs. Versed in solving both simple and complex problems with resourceful and adaptable approach.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Billing Supervisor
SFADC
Forrest City, AR
12.2021 - Current
- Participates in cross-functional teams by lending support and providing leadership.
- Train and provide development opportunities for staff.
- Maintains safe office-working environment.
- Manage team responsible for customer invoicing functions to meet overall Constellation goals and initiatives.
- Create and review un-billed revenue reports and identify results including any trends to leadership.
- Develop quarterly documentation/training materials and facilitate training on new system functionality and enhancements for billing, data management, and customer care end users.
- Review and provide departmental approval for non-standard proposals to ensure billing team can support requested invoicing needs of customer.
- Lead team of 8-10 Operations administrator staff.
- Developed and implemented improvements to billing system to maximize efficiency, reduce delinquency and increase accuracy.
Billing Clerk
SFADC
Forrest City , AR
11.2018 - 12.2021
- Meticulously ensures all information is correct before submitting claims for payment to different PASSES.
- Submits claims to 3 different PASSES (Provider-led Arkansas Shared Savings Entity) for payment for waiver billing
- Submits claims on Thursday and Friday
- Resubmits rejected claims for potential payment.
- Trained new hire billers.
- Basic clerical duties (i.e., answering phones, data entry for transportation logs, faxing and filing).
- Submits claims for payment through AR Medicaid for transportation provided to clients for Day Program, doctor’s appointments, and other day to day activities.
- Log all claims billed for clients and non-provider services.
- Print RA (remittance advice)
- Total payments for each group home
- Post payments for every client listed on RA.
- Reconciles all billing for fiscal year.
Insurance Billing
SFADC
Forrest City, AR
07.2019 - 06.2020
- For end of year audit
- Well versed with Outlook, Word, Excel, AR Medicaid, AR Total Care, Availity, deTaso, and Empower billing portals.
- Can operate basic office equipment (fax, scanners, copiers, etc.), Collecting bad debt, A/R (accounts receivable)
- Reviewing Claim Denials
- Data Entry/Posting Claim Denials
- Processing Refunds
- Spreadsheets
- Attends work on regular and predictable basis.
- Contacts payers for claims status, follow-up denials, or partial payments
- Obtains payer requirements for timely adjudication of claims.
- Files claims with appropriate documentation attached.
- Pursues, maintains, and communicates payer coverage/guideline changes/updates.
- Processes all incoming and outgoing correspondence as assigned.
- Verifies, adjusts, and updates Accounts Receivable (A/R) according to correspondence received from insurance company.
- Helps facilitate interoffice communication on error and denial trends.
- Initiates review/appeals process on disputed claims.
- Research credit balances and initiates refunds as required.
- Admin Clerical - Support
- Documents all activity in customer's computer account.
- Answers Accounts Receivable phone inquiries.
- Works assigned RBCO reports.
- Available to assist other PACs with questions or collection needs.
- Acts as liaison between staff and management.
- Performs other tasks as assigned.
Patient Account Coordinator
Lincare
Wynne, AR
06.2018 - 11.2018
- Maintained accurate records of customer accounts, payments and payment plans.
- Prevented impending loss and increased profitability by enforcing scheduled collection campaigns, consistently achieving targeted recovery rate.
- Processed debtor payments and updated accounts to reflect new balance.
- Responded to customer inquiries and provided detailed account information.
- Analyzed customer financial records to determine appropriate payment plan
- Entered client details and notes into system for interdepartmental access and review
- Established relationships with customers to encourage payment of delinquent accounts
- Contacted customers to discuss past-due accounts and negotiated payment plans.
Upfront Review Clerk
Lincare
Wynne, AR
04.2018 - 06.2018
- Evaluate all received documents to ensure that appropriate information has been obtained to allow for successful Accounts Receivable
- Maintain Held Sales by assisting customer service representatives weekly in correcting problems so billing may begin or continue.
- Responsible for reviewing various reports for quality assurance.
- Record all activity relating to account in tickler.
- Edited letters and written material for correspondence.
- Gathered records pertinent to specific problems, reviewed for completeness and accuracy and attached records to correspondence as necessary.
- Maintained files and controlled records to show correspondence activities.
- Cultivated interpersonal skills by building positive relationships with others.
- Strengthened communication skills through regular interactions with others.
- Demonstrated high level of initiative and creativity while tackling difficult tasks.
AFMC Clerk
Kids for the Future
Marianna, AR
06.2014 - 03.2018
- Requests and updates prior authorizations from Arkansas Foundation for Medical Care for each patient.
- Contacts primary care physicians to receive 6 month therapy renewals, permit(s) to test, and prescriptions for treatment.
- Contact patient’s parent if child is due for EPSDT (annual check-up)
- Refers patients to outside sources for intervention care.
- Contact patient’s parent to inform them of any discrepancies with patient’s Medicaid.
- Ensure medical record charts are kept secure.
- Provide training to new AFMC clerks hired into company.
- Review medical record charts to ensure all documents needed are in charts.
- Reinstate children returning to KFF Marianna
- Discharge children due to testing out, non-compliant parent, moved or discontinued by caregiver, funding source was discontinued (inactive Medicaid), or if clinic elects to discharge child for any other reason.
- Place children on hold for billing purposes when 6-month renewals and RX(s) to treat expire.
- Patients are also placed on hold when evaluations done by therapists expire and need to be renewed (up for retest).
- Refer children to Great Rivers Educational Co-Op.
- Submit needed documentation for audits from Lee County DHS, AFMC, and CARF (Commission on Accreditation of Rehabilitation Facilities).
- Produced high-quality communications for internal and external use.
- Maintained filing system and organized customer documents for easy retrieval of information.
Site Coordinator
Life Strategies of AR, LLC
Marianna, AR
09.2009 - 05.2014
- Monitored multiple databases to keep track of all site's inventory and performed basic clerical duties and handled petty cash for two of six of LSA sites.
- Worked directly with compliance officer and safety management team to ensure site was in compliance with HIPAA (Health Insurance Portability and Accountability Act) and JACHO (Joint Commission on Accreditation of Healthcare Organizations) regulations and guidelines.
- Researched and updated all needed materials for therapists and case managers.
- Effectively controlled proprietary and confidential information for general client lists.
- Recruited volunteers to assist with fundraising and community outreach.
- Monitored and controlled event expenditures to meet budgets.
- Analyzed event costs to identify areas of improvement and cost savings.
- Developed creative themes for events and created related activities to engage attendees.
- Supervised crew of over 40 employees.
Education
Bachelor of Science - Health Administration
University of Phoenix
Phoenix, AZ05.2026
Skills
- Project Planning
- Critical Thinking
- Attention to Detail
- Multitasking
- Supervision and Leadership
- Organization
- Customer Service
- 9 years billing experience
- Strategic decision-making
- ICD 10 coding systems
Certification
- CPR Certified March 2015
- Trained in the emergency procedure consisting of external cardiac massage and artificial respiration CPI Certified March 2011
- Crisis prevention is a discipline that focuses on intervening when people with cognitive and behavioral disorders become physically violent or verbally combative
Timeline
Billing Supervisor
SFADC
12.2021 - Current
Insurance Billing
SFADC
07.2019 - 06.2020
Billing Clerk
SFADC
11.2018 - 12.2021
Patient Account Coordinator
Lincare
06.2018 - 11.2018
Upfront Review Clerk
Lincare
04.2018 - 06.2018
AFMC Clerk
Kids for the Future
06.2014 - 03.2018
Site Coordinator
Life Strategies of AR, LLC
09.2009 - 05.2014
Bachelor of Science - Health Administration
University of Phoenix
- CPR Certified March 2015
- Trained in the emergency procedure consisting of external cardiac massage and artificial respiration CPI Certified March 2011
- Crisis prevention is a discipline that focuses on intervening when people with cognitive and behavioral disorders become physically violent or verbally combative
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