Kyra Francois
Urbana,IL
Summary
Healthcare and customer service professional with extensive expertise in medical billing and claims processing. Demonstrated success in conflict resolution and problem-solving, contributing to improved team performance through targeted training initiatives. Proficient in managing accounts receivable and ensuring HIPAA compliance, resulting in favorable appeals outcomes. Acknowledged for exceptional organizational skills and adaptability in fast-paced environments.
Overview
10
10
years of professional experience
Work History
Dietary Aide
Villas of HollyBrook
06.2025 - Current
- Assist residents with dietary needs, including meal service and sanitation.
- Ensure compliance with dietary restrictions and healthcare standards.
- Provide compassionate and attentive service to support resident well-being.
Medical Billing Specialist
Promise Healthcare
05.2023 - 06.2025
- Submitted claims to third-party payers and prepared invoices for patients.
- Managed accounts receivable, resolving billing discrepancies and following up on unpaid claims.
- Investigated and appealed denied claims, achieving resolution and reimbursement.
- Entered patient demographics and insurance details into billing systems, ensuring HIPAA compliance.
Pre-certification Specialist
Johns Hopkins All Children’s Hospital
02.2023 - 07.2023
- Maintained payer files to ensure updated authorization requirements.
- Facilitated financial clearance for multiple specialty departments.
- Analyzed denial trends to recommend improvements in pre-certification processes.
Patient Accounts & Billing Specialist
Lake County Health Department
05.2020 - 06.2023
- Submitted and tracked insurance claims.
- Managed accounts receivable, posting payments, and resolving discrepancies.
- Supported patients with billing inquiries and insurance navigation.
Medical Biller
Carle Hospital
08.2015 - 06.2020
- Handled complex claim issues and coordinated between patients, providers, and insurance companies.
- Drafted professional correspondence, collection letters, and billing communications.
- Secured favorable appeal outcomes through detailed claim analysis and documentation.
- Ensured compliance with regulations while maintaining excellent customer service.
Education
Associate's Degree - undefined
Parkland College
01.2018
Skills
- Medical Billing & Claims Management
- Insurance Verification & Pre-certification
- Conflict & Time Management
- Accounts Receivable & Collections
- HIPAA Compliance & Record Maintenance
- Training & Team Leadership
- Customer Service & Communication
- Scheduling & Organization
Timeline
Dietary Aide
Villas of HollyBrook
06.2025 - Current
Medical Billing Specialist
Promise Healthcare
05.2023 - 06.2025
Pre-certification Specialist
Johns Hopkins All Children’s Hospital
02.2023 - 07.2023
Patient Accounts & Billing Specialist
Lake County Health Department
05.2020 - 06.2023
Medical Biller
Carle Hospital
08.2015 - 06.2020
Associate's Degree - undefined
Parkland College
Similar Profiles
Emily WeilEmily Weil
Dietary Cook at Villas of HollybrookDietary Cook at Villas of Hollybrook
Grace HensonGrace Henson
Baker/Prep Cook at Villas of HollybrookBaker/Prep Cook at Villas of Hollybrook
Bridgett WaltersBridgett Walters
Director of Nursing at Villas of HollybrookDirector of Nursing at Villas of Hollybrook
Marlee WagstaffMarlee Wagstaff
Assistant Volunteer Coach at University of Illinois, Urbana-ChampaignAssistant Volunteer Coach at University of Illinois, Urbana-Champaign
Ethan KearnsEthan Kearns
Kitchen Aid /Dishwasher at Jupiter's At The CrossingKitchen Aid /Dishwasher at Jupiter's At The Crossing