KINNY JEAN-LOUIS
Duluth,GA
Summary
Revenue cycle professional with strong background in managing billing, and collections processes. Proven ability to enhance team performance and streamline operations to achieve optimal financial results. Known for effective collaboration, adaptability, and reliability. Skilled in revenue cycle management software, regulatory compliance, and customer service.
Overview
10
10
years of professional experience
Work History
Revenue Cycle Specialist
Piedmont Cardiology of Atlanta
09.2023 - Current
- Research billing issues to determine the possible cause of the error and assist with claims resubmission when needed to correct the issues.
- Communicated with insurance companies, patients, and internal departments to clarify payment issues, resolve billing issues and follow up on outstanding claims.
- Analyze data and adjudicate claims in accordance with policy provisions.
- Maintain workload inventory daily.
- Appeal claims denials and/or underpayments as necessary.
- Identified and corrected posting errors, ensuring accuracy in patient accounts and minimizing revenue loss.
Revenue Cycle Specialist
US Orthopedic Partners
01.2020 - 09.2023
- Performed daily data entry for insurance payments and patients balances in the system, maintaining 100% accuracy in posting.
- Accurately posted payments and adjustments to patient accounts, ensuring correct allocation of funds from insurance providers and patients
- Appeal claims denials and/or underpayments as necessary.
- Communicates plan benefit information, including formulary information, copay amounts, pharmacy location services and prior authorization outcomes
- Increased revenue by identifying and resolving billing errors in a timely manner.
Reimbursement Specialist
OptumRx
06.2015 - 01.2020
- Resolve inquiries regarding contracting, payment and billing claims submission requirements, and general benefit information.
- Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and assistance programs.
- Reviewing drug/provider utilization patterns and pharmacy costs management.
- Coordinates with all team members to keep workflow/initiatives on track.
- Developed custom reports to track key metrics, enabling data-driven decision-making for process improvements.
- Verified accuracy of accounts payable payments, resulting in 50% reduction in payment errors and check reissues.
Education
High School Diploma -
Cornerstone Christian Academy
Townsend, GA12.2006
Skills
- Customer service
- HIPAA compliance
- Verifying insurance
- Claims processing proficiency
- Data Entry
- Patient registration
- Claims Reports and Documentation
- Payment posting
- Attention to detail
- Professionalism and ethics
- Denial management
- Accounts receivable management
Accomplishments
- Supervised team of eight staff members.
- Increased collections by 15% within the first six months by streamlined the accounts receivables & billing processes.
- Conflict Resolution - Responsible for handling customer account inquiries, accurately providing information to ensure resolution of product/service complaints and customer satisfaction.
Timeline
Revenue Cycle Specialist
Piedmont Cardiology of Atlanta
09.2023 - Current
Revenue Cycle Specialist
US Orthopedic Partners
01.2020 - 09.2023
Reimbursement Specialist
OptumRx
06.2015 - 01.2020
High School Diploma -
Cornerstone Christian Academy
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