Kristy Bartley
Chiefland
Summary
Highly skilled healthcare professional with strong expertise in medical billing and coding. Adept at accurately processing patient data and insurance claims while ensuring compliance with regulations. Strong focus on team collaboration and achieving results, adaptable to changing needs. Proficient in medical terminology, coding systems, and electronic health records, with reliable and efficient work ethic.
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Possesses versatile skills in project management, problem-solving, and collaboration. Brings fresh perspective and strong commitment to quality and success. Recognized for adaptability and proactive approach in delivering effective solutions.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Experienced leader with strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Known for collaborative approach and commitment to excellence.
Overview
24
24
years of professional experience
Work History
Correctional Officer Lieutenant
Florida Department Of Corrections
Cross City, FL
06.2013 - Current
- Supervised daily operations, ensuring compliance with safety protocols and regulations.
- Mentored junior officers, providing training on corrective procedures and conflict resolution.
- Conducted regular inspections of facilities to identify areas for safety improvements.
- Developed and implemented security strategies to enhance inmate management and rehabilitation efforts.
- Coordinated emergency response drills, improving readiness for critical incidents among staff and inmates.
- Analyzed incident reports, identifying trends to inform policy adjustments and training needs.
- Led staff meetings to communicate updates on policies, enhancing team cohesion and operational effectiveness.
- Reduced inmate altercations through effective communication and conflict resolution strategies.
- Conducted thorough investigations into allegations of misconduct or policy violations within the facility, ensuring accountability at all levels.
- Oversaw the timely completion of administrative tasks such as report writing, incident documentation, and record-keeping processes.
- Cultivated and maintained climate of mutual respect with freedom from harassment and intimidation, to provide safe environment for staff and offenders.
Medical Office Manager
Chiropractic Solutions
Gainesville, FL
05.2012 - 06.2013
- Oversaw daily operations of medical office, ensuring compliance with health regulations and standards.
- Managed patient scheduling system, optimizing appointment flow and reducing wait times.
- Coordinated billing processes, ensuring timely submission of claims and minimizing reimbursement delays.
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Managed daily administrative tasks to ensure smooth operations within the medical office environment.
- Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and safeguarding against potential data breaches.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Increased revenue by optimizing billing processes and ensuring timely collection of payments from both patients and insurance companies.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
Medical Biller and Coder
Gould's Medical
Louisville, KY
10.2010 - 05.2012
- Managed billing processes to ensure timely and accurate submission of claims
- Reviewed and analyzed patient records for coding accuracy and compliance
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
- Collaborated with other billing professionals during team meetings to exchange best practices and strategies for overcoming common challenges in the industry.
Medical Biller and Coder
Hematology Oncology of CNY
East Syracuse, NY
02.2007 - 06.2010
- Collaborated with healthcare providers to resolve billing discrepancies
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Maintained high levels of customer satisfaction through prompt resolution of disputes related to charges on patient accounts or insurance claims.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Input data into computer programs and filing systems.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
Medical Biller and Coder
Staff Works Employment Services
Syracuse, NY
04.2004 - 02.2007
- Implemented process improvements to enhance workflow efficiency in coding tasks
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Worked closely with physicians to accurately assign diagnostic codes for optimal reimbursement rates from insurance companies.
- Contributed to team efficiency by maintaining organized records of patient accounts, billing statements, and payment statuses.
- Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
- Safeguarded practice revenue by diligently following up on outstanding account balances and initiating collection efforts when necessary.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
- Generated reports to identify coding trends and discrepancies.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Scanned and uploaded medical records into electronic medical records system.
- Verified accuracy of patient information in medical records.
- Followed up with medical staff regarding missing information in patient records.
- Maintained accuracy, completeness, and security for medical records and health information.
- Transcribed and entered patient medical information into electronic medical records systems.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Collaborated with healthcare providers to resolve billing discrepancies
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
- Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
- Collaborated with other billing professionals during team meetings to exchange best practices and strategies for overcoming common challenges in the industry.
Medical Biller
Dr. Arlene Weinshelbaum
Gainesville, FL
03.2002 - 03.2004
- Processed and submitted insurance claims using advanced billing software.
- Resolved discrepancies in payments through effective communication with insurers.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Filed and updated patient information and medical records.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Liaised between patients, insurance companies, and billing office.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Delivered timely and accurate charge submissions.
Education
Medical Billing And Coding
College of Central Florida
Chiefland, FLSkills
- Work planning
- Time management
- Teamwork and collaboration
- Problem-solving abilities
- Multitasking Abilities
- Excellent communication
- Reliability
- Insurance verification
- Payment posting
- Claim submission
- Appeals processing
- Revenue cycle management
Timeline
Correctional Officer Lieutenant
Florida Department Of Corrections
06.2013 - Current
Medical Office Manager
Chiropractic Solutions
05.2012 - 06.2013
Medical Biller and Coder
Gould's Medical
10.2010 - 05.2012
Medical Biller and Coder
Hematology Oncology of CNY
02.2007 - 06.2010
Medical Biller and Coder
Staff Works Employment Services
04.2004 - 02.2007
Medical Biller
Dr. Arlene Weinshelbaum
03.2002 - 03.2004
Medical Billing And Coding
College of Central Florida