Kristin Barton
Tigard,OR
Summary
Over10 years' experience in healthcare Experience in EMR systems and Microsoft Office Medical terminology and data-entry skills Healthcare claims and provider services Strong interpersonal and communication skills Authorized to work in the US for any employer
Organized Medical Biller skilled at accurately auditing patient charts and billing corresponding parties.
Efficient billing professional with seventeen 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
12
12
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Portland Diabetes and Endocrinology Center
06.2023 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
Billing Specialist
Therapeutic Associates
04.2021 - Current
- Verify benefits for over90+ clinics in3 different states
- Create and claims for processing
- Call and/or use various websites to determine eligibility and benefits
Billing Specialist
Tuality Physicians
06.2020 - 03.2021
- Review and verify charges entered by providers for Urgent care, Primary Care Services and Chiropractic services
- Enter charges as needed based on provider notes
- Verify insurance eligibility and benefits
- Accounts Receivable work as needed
- Credentialing as needed
Document Control Specialist
Centene-HealthNet of Oregon/Trillium
10.2019 - 05.2020
- Reach out to providers to obtain patient charts for several audits
- Pull charts from various EMR systems for audit purposes
- Research providers through numerous websites
- Maintain high levels of confidentiality while conducting day-to-day duties
- Process and sort large quantities of data through Excel
Accounts Receivable Specialist-Credentialing
Women's Healthcare Associates
05.2013 - 10.2017
- Provider/Credentialing Services
- Maintain credentialing with various health plans for large group of providers
- Performed data entry for provider/payor information into EMR system
- Complete tasks as assigned
- Work closely with providers to ensure all documents were current and accurate
- Maintain high levels of confidentiality for all providers
- Claim appeals/insurance collections
- Submit initial credentialing applications to health plans and hospitals as needed for new providers
Skills
- Document Control
- Medical Records
- Medical Terminology
- Medical Billing
- Insurance Verification
- Accounts Receivable
- ICD-10
- Microsoft Outlook
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Denial management
- Accounts receivable
Certification
- Certified Pharmacy Technician (CPhT) November2018 to June2020 License number CPT-0012440
- Food Handler Certification October2024 to October2027
Timeline
Medical Billing Specialist
Portland Diabetes and Endocrinology Center
06.2023 - Current
Billing Specialist
Therapeutic Associates
04.2021 - Current
Billing Specialist
Tuality Physicians
06.2020 - 03.2021
Document Control Specialist
Centene-HealthNet of Oregon/Trillium
10.2019 - 05.2020
Accounts Receivable Specialist-Credentialing
Women's Healthcare Associates
05.2013 - 10.2017
- Certified Pharmacy Technician (CPhT) November2018 to June2020 License number CPT-0012440
- Food Handler Certification October2024 to October2027
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