Kimone Rampersad
Hackensack,NJ
Summary
Certified Professional Coder (CPC-A) with 14 years of experience as a Medical Biller, bringing a strong foundation in revenue cycle management, insurance verification, and claims processing. Recently obtained CPC certification to expand expertise into medical coding, with a focus on accuracy, compliance, and maximizing reimbursement. Experienced in working with electronic health records (EHRs) and various billing software platforms for accurately processing insurance claims and applying CPT, ICD-10 CM and HCPCS codes.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Patient Accounts Representative
Englewood Health
Englewood, NJ
05.2019 - Current
- Analyze and resolve denied claims for Commercial plans, Worker's compensation and Auto claim
- Identify and correct billing errors; collaborate with coders to ensure claim accuracy
- Assign ICD-10 CM, CPT, and HCPCS codes under coding supervision for outpatient procedures.
- Investigated rejected claims and submitted corrected claims and appeals.
- Ensure accurate and timely submission of claims
- Maintained a detailed knowledge of insurance regulations, billing procedure and coding guidelines.
- Identifies trends and collaborated with practice manager to improve billing workflows.
- Worked Aging accounts
Billing Specialist
Medical Laboratory Diagnostics
Cedar Knolls, NJ
12.2014 - 05.2019
- Identified and correct billing errors
- Posting insurance and patient's payments
- Corrected and resubmitted clean claims to various insurance companies
- Answers questions from patients, clerical staff and insurance companies
- Identifies and resolves patient billing complaints
- Prepares, reviews and sends patients statements
- Worked Aging to clean up outstanding accounts
Medical Biller
Cardiology Associates
Woodland Park, NJ
11.2010 - 10.2013
- Entering daily charges for hospital and office visits and submitted claims.
- Processing electronic claims for both inpatient and outpatient facilities
- Ensure that claims are entered and submitted within 48 hours of receipt.
- Posted patient co-payments and sent out billing statements to patients
- Follow up on Insurance and patient aging. Re-submit claims when necessary
- Obtaining authorizations and referrals
- Answer and resolve patient billing inquiries
Education
Associate in Applied Science -
Bergen Community College
Paramus, NJ08.2009
Skills
- EHR & Billing Systems: EPIC
- EHR & Billing Systems: EClinical Works
- EHR & Billing Systems: AthenaNet
- EHR & Billing Systems: Inovalon
- Microsoft Office Suite (Excel)
- Microsoft Office Suite (Word)
- Microsoft Office Suite (Outlook)
- Availity
- Office Ally
- Navinet
Certification
Certified Professional Coder (CPC), AAPC
References
Available upon request
Timeline
Patient Accounts Representative
Englewood Health
05.2019 - Current
Billing Specialist
Medical Laboratory Diagnostics
12.2014 - 05.2019
Medical Biller
Cardiology Associates
11.2010 - 10.2013
Associate in Applied Science -
Bergen Community College