Summary
Overview
Work History
Education
Skills
Affiliations
Accomplishments
References
Timeline
Generic

N Duan Knapp

Pinellas Park,FL

Summary

Seasoned Medical Billing Administrator with substantial knowledge in medical billing, coding, and compliance. Equipped with skill set that includes mastery of HIPAA regulations, electronic health records (EHR), and patient confidentiality protocols. Proven ability to streamline processes for improved efficiency while ensuring adherence to healthcare industry standards. Previous work has demonstrated significant impact on reducing errors and improving reimbursement rates. Efficient Medical Billing Administrator known for high productivity and ability to complete tasks swiftly. Specialize in accurate claim processing, adept at navigating complex medical billing software, and skilled in maintaining confidentiality of patient records. Excel by leveraging strong organizational skills, effective communication abilities, and problem-solving aptitude to ensure smooth billing operations.

Overview

31
31
years of professional experience

Work History

Business Consultant

Maturity Medical
Saint Petersburg, FL
09.2024 - 10.2024
  • Analyzed financial records, including income statements and balance sheets, to assess performance of businesses.
  • Reviewed corporate policies for compliance with applicable laws and regulations.

Billing Supervisor

Catalyst Physical Therapy & Diagnostic
Clearwater, FL
04.2024 - 09.2024
  • Developed and implemented billing procedures to ensure accurate invoicing and payment collection.
  • Monitored accounts receivable aging reports to identify overdue payments, researched discrepancies, and took corrective action.
  • Ensured timely processing of customer payments by setting up payment plans and negotiating settlements as needed.
  • Created monthly financial statements for management review and analysis.
  • Assisted in the preparation of annual budgeting process for billing department operations.
  • Conducted weekly meetings with staff to discuss performance metrics, goals, objectives, and other issues related to billing processes.
  • Reviewed customer account information for accuracy prior to submitting invoices for payment approval.
  • Resolved customer inquiries regarding invoice discrepancies or past due balances in a timely manner.
  • Maintained records of all transactions including billings, payments received, and any adjustments made to customer accounts.
  • Prepared monthly reports detailing outstanding debtors' balances along with recommendations for improving collections efforts.
  • Negotiated terms of payments with customers when necessary while ensuring compliance with company policies.
  • Performed periodic audits of customer accounts to verify accuracy of charges billed against actual services rendered.
  • Implemented continuous improvement initiatives designed to streamline existing processes for greater operational efficiency.
  • Maximized efficiency, reduced delinquency and increased accuracy of billing department by developing and implementing system and process improvements.
  • Generated invoices, processed payments and prepared deposits and part of financial operations oversight.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Evaluated accuracy and compliance of all documentation and reports.
  • Kept operations running smoothly and solved diverse problems by coordinating with customers, management and internal departments.
  • Resolved variances in accounts and reconciled with bank statements.
  • Worked with team members to identify and develop process improvements.
  • Delegated work to staff, setting priorities and goals.
  • Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
  • Resolved customer complaints or answered customers' questions.
  • Coordinated with other supervisors, combining group efforts to achieve goals.
  • Trained employees on best practices and protocols while managing teams to maintain optimal productivity.
  • Consulted with managers to resolve problems relating to employee performance, office equipment and work schedules.
  • Interpreted and explained work procedures and policies to brief staff.

Medical Biller / Administrator

Addiction and Psychiatric care
Pinellas Park, FL
01.2019 - 07.2024
  • Reviewed patient accounts for accuracy and completeness, and submitted claims to insurance companies.
  • Maintained records of all billing activities in a timely manner.
  • Resolved discrepancies on patient accounts by contacting the insurance companies or patients.
  • Verified accuracy of account information and processed adjustments as needed.
  • Provided customer service to both internal and external customers regarding billing inquiries.
  • Prepared financial reports related to accounts receivable activity.
  • Reconciled daily deposits with bank statements and posted payments into appropriate accounts.
  • Assisted in month-end closing procedures including preparing journal entries for accruals, adjustments.
  • Performed data entry functions for entering new patient information into the system.
  • Processed credit card payments and other forms of payment received from patients or insurance companies.
  • Generated invoices for services rendered and sent out monthly statements to customers.
  • Monitored delinquent accounts by sending collection letters, making phone calls., to resolve outstanding balances due.
  • Ensured compliance with applicable laws, regulations and company policies regarding billing practices.
  • Analyzed medical coding issues, identified errors, made corrections, and followed up with insurance providers on denied claims as necessary.
  • Developed strategies to improve collections processes such as implementing automated systems or updating policies.
  • Identified areas where cost savings could be achieved through improved efficiency in processing bills.
  • Tracked aging reports of unpaid claims and took corrective action when necessary.
  • Collaborated with other departments such as finance or human resources when needed.
  • Attended training sessions related to billing practices or updates from insurance carriers.
  • Audited patient files for accuracy prior to submitting claims to ensure maximum reimbursement rates were obtained.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Communicated with insurance representatives to complete claims processing or resolve problem claims.
  • Completed and submitted appeals for denied claims.
  • Submitted appeals using provider portals and phone communication.
  • Reviewed claims for coding accuracy.
  • Coordinated communications between patients, billing personnel and insurance carriers.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Input details into accounts and tracked payments.
  • Handled billing, waivers and claims for private and commercial clients.
  • Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
  • Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
  • Organized information for past-due accounts and transferred to collection agency.
  • Maintained billing software by updating rate change, cash spreadsheets and current collection reports.
  • Answered customer questions to maintain high satisfaction levels.
  • Submitted claims to insurance companies.
  • Managed all payments processing, invoicing and collections tasks.
  • Monitored past due accounts and pursued collections on outstanding invoices.
  • Collected, posted and managed patient account payments.
  • Processed invoice payments and recorded information in account database.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
  • Input statement information, reconciled accounts and resolved discrepancies.
  • Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.
  • Executed account updates and noted account information in company data systems.
  • Generated and distributed month-end statements for customers and resolved related concerns.
  • Maintained accounting ledgers by verifying and posting account transactions.
  • Developed strong professional rapport with vendors and clients.
  • Gathered information to produce accounts payable reports for review.
  • Verified accuracy of information and resolved discrepancies with vendors before entering invoices for payment.
  • Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.

Medical Biller

Physicians Choice Medical Billing LLC
Saint Petersburg , FL
08.2023 - 12.2023
  • Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
  • Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
  • Compiled and processed data for billing purposes utilizing billing software programs.
  • Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
  • Generated reports in order to track payments due from insurance companies or other third party payers.
  • Submitted electronic claims to various insurance carriers.
  • Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
  • Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
  • Performed daily reconciliation of accounts receivable with payment postings on the computer system.
  • Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
  • Assisted with collection efforts as needed including contacting patients via phone, mail or email for collection of past due balances due to insurance denials or patient responsibility amounts owed.
  • Created monthly aging reports to identify delinquent accounts for review by management team.
  • Provided training and support to new staff members regarding billing processes.
  • Ensured compliance with HIPAA guidelines when handling confidential patient information.
  • Prepared detailed financial reports as requested by management team.
  • Processed refunds requests timely and accurately according to established protocols.
  • Completed and submitted appeals for denied claims.
  • Communicated with insurance representatives to complete claims processing or resolve problem claims.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Applied HIPAA privacy and security regulations while handling patient information.
  • Submitted appeals using provider portals and phone communication.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Coordinated communications between patients, billing personnel and insurance carriers.
  • Reviewed claims for coding accuracy.
  • Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
  • Handled billing, waivers and claims for private and commercial clients.
  • Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
  • Organized information for past-due accounts and transferred to collection agency.
  • Submitted claims to insurance companies.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Collected, posted and managed patient account payments.
  • Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
  • Managed all payments processing, invoicing and collections tasks.
  • Answered customer questions to maintain high satisfaction levels.
  • Generated and distributed month-end statements for customers and resolved related concerns.
  • Reconciled codes against services rendered.
  • Developed strong professional rapport with vendors and clients.
  • Trained new team members on company policies and accounting systems to keep team operations productive and efficient.

Medical Biller

Williams Healthcare Conculting
Saint Petersburg, FL
01.1994 - 03.2019
  • Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
  • Verified accuracy of patient information and insurance data in billing system.
  • Submitted claims to insurance companies electronically or by mail.
  • Resolved denied claims by researching payer requirements and preparing appeals.
  • Reconciled accounts receivable to ensure accuracy of payments received.
  • Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
  • Performed daily audits on all bills submitted for accuracy and completeness.
  • Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
  • Assisted with the development of departmental policies related to charge capture processes and coding practices.
  • Provided customer service support to patients regarding billing inquiries.
  • Processed corrections and adjustments as needed to ensure accurate payment from third party payers.
  • Interpreted physician orders, notes, lab results, radiology reports. for appropriate code assignment.
  • Developed an understanding of how various insurance plans process claims for reimbursement purposes.
  • Worked closely with physicians to obtain additional clinical information when needed for accurate coding assignments.
  • Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
  • Prepared financial statements that summarize account activity over a period of time.
  • Ensured timely filing of all claims within established guidelines.
  • Responded promptly to requests from insurance companies regarding clarification on claim submissions.
  • Identified trends in denials and worked collaboratively with clinic staff to reduce denials.
  • Monitored aging accounts receivable report weekly to identify unpaid balances due.
  • Tracked details such as authorizations, pre-certifications or referrals required prior to service delivery.
  • Filed and submitted insurance claims.
  • Reviewed received payments for accuracy and applied to intended patient accounts.
  • Reviewed medical records to meet insurance company requirements.
  • Documented and filed patient data and medical records.
  • Assessed medical codes on patient records for accuracy.
  • Expertly assigned charges and payments for medical procedures.
  • Performed routine quality assurance audits to promote data integrity.
  • Compiled and maintained logs, and statistical or research records to locate requested health data.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
  • Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Quickly responded to staff and client inquiries regarding CPT codes.
  • Interpreted medical terminology and pharmacological information to translate information into coding system.
  • Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
  • Maintained high accuracy rate on daily production of completed reviews.
  • Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
  • Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
  • Participated in coding team meetings to discuss challenges and best practices.
  • Analyzed patient charts and records to extract relevant coding information.
  • Collaborated with healthcare providers to verify necessary documentation for coding accuracy.
  • Entered coded data into electronic health record (EHR) systems.
  • Utilized coding software and tools efficiently to expedite the coding process.
  • Coordinated with billing department to clarify billing issues related to coding.
  • Supported external audits by providing coded data and documentation as requested.

Education

High School Diploma -

Will Rogers High School
Oklahoma
05-1979

Skills

  • Generally Accepted Accounting Principles (GAAP)
  • Files and records management
  • Quality-oriented team player
  • [Type] software applications proficiency
  • Payment posting
  • Medicare and Medicaid process
  • Insurance Verification
  • HIPAA Compliance
  • Accounts Payable
  • Collections Management
  • Patient Billing
  • Claim submission
  • Disability claims process
  • Medical Transcription
  • Teamwork and Collaboration
  • Billing and Collection Procedures
  • Account Reconciliation
  • Records Management
  • Claims review
  • Claims Processing
  • Balance reconciliation
  • Commercial and Private Insurance
  • Chart Auditing
  • Clerical Support
  • Information requests
  • Multitasking and Organization
  • HIPAA Compliance Certification
  • Knowledgeable in [Software]
  • ICD-10
  • Insurance collections
  • Electronic Claims
  • Medical Terminology
  • Patient Collections
  • Payer Contracts
  • Accounts Receivable
  • Customer Service
  • Medical record security

Affiliations

Family!

Enjoy Arts and NFL!

Accomplishments

  • NHS
  • Completing 26 years with one Employer
  • Mother and Peer sto my children and community

References

References available upon request.

Timeline

Business Consultant

Maturity Medical
09.2024 - 10.2024

Billing Supervisor

Catalyst Physical Therapy & Diagnostic
04.2024 - 09.2024

Medical Biller

Physicians Choice Medical Billing LLC
08.2023 - 12.2023

Medical Biller / Administrator

Addiction and Psychiatric care
01.2019 - 07.2024

Medical Biller

Williams Healthcare Conculting
01.1994 - 03.2019

High School Diploma -

Will Rogers High School

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