Kiumel Delgado
Stallings,NC
Summary
Dynamic Revenue Cycle Specialist with a proven track record at EMS Consultants, enhancing revenue through meticulous billing audits and resolving discrepancies. Expert in claims review and adept at fostering customer satisfaction, showcasing exceptional problem-solving and multitasking abilities. Achieved significant improvements in billing accuracy and efficiency.
Charge entry specialist skilled in data entry, coding, and billing processes. Known for precision, adaptability, and strong collaboration within teams to achieve seamless workflow and results. Reliable in meeting deadlines, handling sensitive information, and ensuring compliance with changing regulations. Proficient in using industry-specific software and maintaining accuracy under pressure.
Overview
7
7
years of professional experience
Work History
Revenue Cycle Specialist
EMS Consultants
09.2023 - Current
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
- Ensured accurate billing with thorough audits of patient accounts and insurance claims.
- Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
- Reached out to insurance companies to verify coverage.
Medical Billing Specialist
Consultants in Gastroenterology
11.2022 - Current
- Researched and resolved billing discrepancies to enable accurate billing.
- Facilitated smooth claim processing by regularly updating provider enrollment information with insurance carriers as needed .
- Managed high-volume workload while maintaining exceptional attention to detail for precise data input into the medical billing system.
- Reduced errors in charge capture by maintaining up-to-date knowledge of CPT, ICD-10, and HCPCS codes.
- Streamlined the charge entry process by collaborating closely with clinical staff to obtain necessary documentation.
Charge Entry / Payment Posting Specialist
Carolina Digestive Health Associates
06.2017 - 06.2022
- Maintained strict compliance with HIPAA, CMS, and payer-specific guidelines during payment posting activities.
- Identified trends in payer denials and collaborated with other departments to resolve recurring issues proactively.
- Contributed to improved patient satisfaction by promptly addressing inquiries related to their payments or account balances.
- Reduced manual data entry errors with accurate payment postings and account reconciliations.
- Collaborated closely with coding specialists for accurate charge capture, enabling timely and complete reimbursement from payers.
- Handled account payments and provided information regarding outstanding balances.
- Used data entry skills to accurately document and input statements.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Reconciled accounts receivable to general ledger.
Education
Graduate Certificate - Medical Coding
UNCC
Charlotte, NC12-2023
Graduate Certificate - Health Care Administration
Katherine Gibbs
Piscataway, NJ06-1995
Skills
- Claims review
- Paperwork management
- Verifying insurance
- Accounts receivable management
- Customer Service
- Problem-solving abilities
- Multitasking Abilities
- Collecting payments
- Payment posting
- Debt collection procedures
- Professionalism
- Time management abilities
Languages
Spanish
Native or Bilingual
Timeline
Revenue Cycle Specialist
EMS Consultants
09.2023 - Current
Medical Billing Specialist
Consultants in Gastroenterology
11.2022 - Current
Charge Entry / Payment Posting Specialist
Carolina Digestive Health Associates
06.2017 - 06.2022
Graduate Certificate - Medical Coding
UNCC
Graduate Certificate - Health Care Administration
Katherine Gibbs
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