Kourtney Wise
Selah,WA
Summary
Efficient billing professional with 21 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
21
21
years of professional experience
Work History
AR Billing Specialist
Ausink Family Medicine
05.2023 - Current
- Managed A/R to ensure proper billing was being completed
- Utilized multiple platforms for follow up of claims and verified eligibility
- Provided support to front office staff which included scheduling patients, following up on outstanding balances
- Maintained orderly filing system and spreadsheets
- Handle approximately45 incoming calls as well as performed outgoing calls daily
- Created invoices, statements, and refunds for patients in a timely manner.
- Audited and corrected billing and payment posting documents for accuracy.
- Posted all payments appropriately received and verified accurate end of day totals.
Insurance Billing Specialist
Family Vision Care
10.2019 - 06.2023
- Maintained accurate and complete billing system and process
- Verified charts were coded correctly with vision vs medical diagnosis codes
- Verified insurance eligibility for 50-60 appointments daily prior to patient check in and documented copays and verified deductible amounts
- Performed patient registration and handled schedule for 3 providers
- Analyzed denied claims data to identify patterns resulting in improper coding or incorrect information being submitted
- Faxed and requested medical records
- Submitted authorization request and appeals.
- Handled all cash, credit and insurance checks.
- Balanced end of day process which included balances ledger.
- Posted all insurance payments/denials
Revenue Cycle Specialist
Yakima Valley Memorial Hospital
10.2008 - 10.2019
- Utilized data to identify trends in denials and underpayments
- Implemented corrective action plans when errors were identified in billing processes or procedures
- Identified opportunities for improvement within the revenue cycle operations process
- Monitored changes in healthcare regulations and policies that impact the revenue cycle process
- Tracked unpaid claims to ensure timely submission of appeals when necessary
- Prepared reports for management regarding AR
- Handled approximately 50 incoming and outgoing calls to providers, insurance and patients
- Developed a comprehensive understanding of medical insurance claims processes, including Medicare and Medicaid.
- Posted insurance payments and denials to accounts and verified payments balanced with daily report
- Ensured accurate billing with thorough audits of patient accounts and insurance claims.
Medicaid Billing Specialist
Yakima Regional Hospital
11.2003 - 10.2008
- Researched and resolved complex billing issues with all Medicaid and managed care plans
- Provided training and guidance to staff members on proper billing procedures for Medicaid services rendered
- Prepared detailed reports of account activity for management review
- Reviewed claim denials from payers in order to determine necessary steps for appeals
- Ensured timely submission of all required documentation associated with each claim filed.
- Audited between 80-100 insurance claims daily prior to submission to clearinghouse.
- Performed quality assurance reviews on submitted claims prior to processing them through Medicaid systems
- Performed general administrative tasks, such as answering telephones, scheduling appointments and ordering supplies.
Skills
- Data Entry
- Billing
- Scheduling Coordination
- Financial Tracking
- Payment Posting
- AR Aging Reports
- Insurance verification
- Accounts receivable management
- Dispute Resolution
References
References available upon request
Timeline
AR Billing Specialist
Ausink Family Medicine
05.2023 - Current
Insurance Billing Specialist
Family Vision Care
10.2019 - 06.2023
Revenue Cycle Specialist
Yakima Valley Memorial Hospital
10.2008 - 10.2019
Medicaid Billing Specialist
Yakima Regional Hospital
11.2003 - 10.2008
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