KRISTINA KERNS
Winchester,VA
Summary
Motivated and detail oriented Medical office manager with seven years of experience. Experienced healthcare professional with 40+ years of experience in medical billing, coding and revenue cycle management with excellent work ethic and attention to detail. Desire to take on new challenges. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
43
43
years of professional experience
Work History
Book Keeper
Botanical Physician Real Estate
04.2021 - Current
- Record and maintain financial records in quick books, reconcile check book
- Pay invoices and disburse quarterly checks to 32 shareholders
- Coordinate and communicate with Physician shareholders and accounting firm as needed
Billing Office Manager
Winchester Anesthesiologist LLC
02.2017 - Current
- Manages billing department within established policies to ensure maximum cash flow while following billing guidelines and regulations
- Overseas the billing departments day to day operations from registration, coding, charge entry, claims submission, payment posting, insurance follow up, billing and collections to ensure accurate billing and efficient collections
- Fills in where needed due to staff vacation, illness or emergencies
- Accurately and efficiently post patient payments and insurance reimbursements electronically and manually
- Daily run transaction reports, log in ledger and send report to Practice manager
- Reconcile EFT deposits with the bank ACH list
- Oversea end of month processes
- Handles administrative staffing duties including but not limited to coordinating staff vacation and coverage, timesheet approval, evaluations, ordering supplies, working with vendors that support the office workflow, hiring and training new employees
- Address patient complains and questions related to their bill
- Work closely with staff and payor provider representatives to identify, research and resolve system issues and major payor reimbursement issues
- Update the practice management system annually to reflect current fee schedule, payor contracts, ICD 10 and CPT code updates and contractual allowed amounts
Insurance/Coding Specialist
Winchester Orthopaedic Associates Ltd.
01.1988 - 02.2017
- Team Leader – Supervise personnel in Billing Department, work with administration to design, develop and implement changes to department workflow, assist with employee evaluations
- Coder - Assign appropriate ICD-10 and CPT Codes for operative reports, professional services, physical therapy and DME based on provider’s documentation for reimbursement
- Data entry of charges, balancing front desk, post patient and insurance payments
- Facilitate submission of electronic and paper claims on a daily basis
- Daily communication with insurance companies following up on unpaid and denied claims
- Daily interaction with patients to solve claims issues and answer questions
- Educate front desk staff on insurance changes
- Update ensuring accuracy for data entry of information
- Educate Administration, Physicians and Team members in coding practice and clinical documentation based on services provided
- Create and generate reports within the practice management system for quality control and as requested by administration
- Credentialing of Physicians, Physical Therapists and mid-level providers
- PQRS data collection and reporting
- Update information within practice management system as needed to ensure accuracy for submission of claims
- Update fee tickets and fee schedule
- Perform chart audits to ensure appropriate level of service billed
- Precertification of surgeries, test and treatment as required by patients’ insurance
- Workers Compensation Case Manager (5 years)
Out-Patient Insurance Clerk
Winchester Medical Center
01.1982 - 01.1986
- Filed insurance claims for hospital out-patient services, followed up on unpaid and denied claims, assisted patients with claims issues
Cashier/COE Office Clerk
Winchester Medical Center
01.1982 - 01.1986
- Posted payments, assisted patients with discharge from hospital, filing, sort/distribute mail, assisted admission and business office with various duties as requested
Education
Specialty Coding Professional-Certified in Orthopaedics - Expired 2019
BMSC
01-2008
Certified Professional Coder - Maintain Certification
AAPC Independent Study Program
08.1999
Diploma -
James Wood High School
06.1983
Skills
- Notary Public
- Med Suite Practice Management System
- Epic
- QuickBooks Online
- NextGen Practice Management System and Electronic Health Record
- Navicure Clearinghouse
- Microsoft Office Professional – Word
- Microsoft Office Professional – Excel
References
Available Upon Request
Timeline
Book Keeper
Botanical Physician Real Estate
04.2021 - Current
Billing Office Manager
Winchester Anesthesiologist LLC
02.2017 - Current
Insurance/Coding Specialist
Winchester Orthopaedic Associates Ltd.
01.1988 - 02.2017
Out-Patient Insurance Clerk
Winchester Medical Center
01.1982 - 01.1986
Cashier/COE Office Clerk
Winchester Medical Center
01.1982 - 01.1986
Specialty Coding Professional-Certified in Orthopaedics - Expired 2019
BMSC
Certified Professional Coder - Maintain Certification
AAPC Independent Study Program
Diploma -
James Wood High School
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