Tina Kindred

Dedicated, compassionate, professional with excellent people skills and work ethic reinforced by 15 years of supervisor experience working with community social service agencies, 11 years of billing, providing authorizations and holding free clinics working alongside providers of Sangamon County. Experience involves keen understanding of diverse medical needs for low income and homeless population; wraparound services for children in foster care and training Skills for individuals with developmental disabilities. Positive and encouraging attitude combined with excellent interpersonal and communication skills.

• 11 years’ experienced with health care billing
• Strong Communication Skills
• 2 years’ experience with State of Illinois Medicaid ABE
• Experienced patient advocate
• 16 years’ experience with medical records
• 15 years’ experience with Social Service Agencies
• Medical Terminology
• Strong Management Skills
• Computer and Data Entry
• Problem Resolution Ability
• Strong clinical judgment

• SOUTHERN ILLINOIS UNIVERSITY, Medical Insurance Specialist, The function of this position examines and analyzes explanation of benefits to determine if correct payment has been made or to determine how to receive maximum benefits from third party payer. The incumbent routinely reviews outstanding invoices to determine action steps needed to resolve the balance. The incumbent assist with training of new staff and assist lower level Medical Insurance Staff with questions. This position is responsible for interacting with third party payers to ensure that explanation of benefits (EOB) are processed according to policies and procedures within the team and that claims are processed accurately. Denials must be resolved in a timely manner. Failure to perform these duties results in increased accounts receivable and inaccurate statements to patients. Invoice Follow-up, Assist Medical Insurance Assistant Manager when needed, Works independently and closely with Team Manager, Completes all complex task as assigned by Team Manager, Reviews explanation of benefits (eob) for denials, Access patient account in the Indigo Billing System, Determine action needed and proceed appropriately, Responds to a variety of questions of lower level Medical Insurance staff concerning proper action needed to complete insurance claim forms. Assist in training and evaluations of new Medical Insurance Staff, High Level of Knowledge and experience in reviewing complex accounts in addition to new insurance plans, Bill secondary insurance when appropriate., Transfer denied charge to patient or another responsible party as needed., Order medical records as needed., Submit denial information to the medical coding staff in the clinical departments for review and coding decisions. Track requests for coding and review. Resubmit claims based on the coding reviewer response or take write off directive., Review charges that are paid to determine if further review is necessary. Process appropriate adjustments/write off for denied charges that do not need medical coding review (non covered service, untimely filing etc.), Update patient insurance claim forms and resubmit charges. Retrieves eobs from records/documents and websites as needed., Makes appropriate entry of actions taken in the billing system modules. Open, print and close batch proof and balance after daily use. Contact insurance companies or patients for information needed to submit claims such as billing addresses or plan effective/termination dates. Able to make complex decisions when resolving accounts, take appropriate action steps including resubmission, adjustments, request for review, etc. Forward to immediate supervisor or manager if necessary. Request telephone reviews of claims if appropriate. Make appropriate entry of actions taken in the billing system modules, Ability to effectively communicate with faculty, staff and patients in either person or by phone., Ability to keyboard on computer terminals. Ability to meet established guidelines and follow policies and procedures established by the SIU Healthcare, HCFA and other federal/state agencies. Tolerance for tedious and repetitious work. Ability to work accurately with details., Ability and desire to greet patients/visitors in a pleasant and professional manner. Ability to work within specific deadlines., Demonstrates, by actions, commitment to the mission and the behavioral standards of SIU School of Medicine. Provides excellent service to both internal and external customers through collaboration and partnership; compassion and respect; integrity and accountability; diversity and inclusion; as well as continuous learning and improvement. Sensitive to the needs of underrepresented minority populations. Ability to multitask and complete job duties amid various distractions.
• SOUTHERN ILLINOIS UNIVERSITY, Medical Insurance Associate, The function of this position examines and analyzes explanation of benefits to determine if correct payment has been made or to determine how to receive maximum benefits from the third party payer. The incumbent routinely reviews outstanding invoices to determine action steps needed to resolve the balance. Invoice Follow-up:, Reviews explanation of benefits (eob) for denials, Access patient account in the Centricity Business billing system., Determine action needed and proceed appropriately., Bill secondary insurance when appropriate., Transfer denied charge to patient or another responsible party as needed., Order medical notes when needed., Submit denial information to the medical coding staff in the clinical departments for review and coding decisions. Track requests for coding review. Resubmit claims based on the coding reviewer response or take write-offs as directed., Review charges that are paid to determine if further review is necessary., Process appropriate adjustment/write off for denied charges that do not need medical coding review (non-covered service, untimely filings, etc.), Retrieves eobs from CD rom, microfilm or other hard copy records and files as needed., Make appropriate entry of actions taken in the billing system modules. Open, print and close batch proof; balance after daily use. Contact Insurance company representatives to discuss denials and zero pays., Able to make complex decisions when resolving accounts, take appropriate action steps including resubmission, adjustments, request for review, etc., Forward to immediate supervisor or manager if necessary. Request telephone reviews of claims if appropriate., Make appropriate entry of actions taken in the billing system modules.
• SOUTHERN ILLINOIS UNIVERSITY, Medical Insurance Representative, The function of this position examines and analyzes explanation of benefits to determine if correct payment has been made or to determine how to receive maximum benefits from the third-party payer. The incumbent routinely reviews outstanding invoices to determine action steps needed to resolve the balance. The incumbent assists with electronic claims processing and receipt posting as needed on the team. This is an entry-level position which functions in a training capacity under direct supervision processing routine, non-covered- medical /health claims. Invoice Follow-up: Reviews explanation of benefits (eob) for denials, Access patient account in the Centricity Business billing system., Determine action needed and proceed appropriately., Bill secondary insurance when appropriate. Transfer denied charge to patient or another responsible party as needed. Order medical notes when needed., Submit denial information to the medical coding staff in the clinical departments for review and coding decisions. Track requests for coding review. Resubmit claims based on the coding reviewer response or take write-offs as directed., Review charges that are paid to determine if further review is necessary. Process appropriate adjustment/write off for denied charges that do not need medical coding review (non-covered service, untimely filings, etc.), Retrieves eobs from websites as needed., Make appropriate entry of actions taken in the billing system modules. Open, print and close batch proof balance after daily use.
• SANGAMON COUNTY MEDICAL SOCIETY CATCH PROGRAM, Coordinated Access to Community Health Enrollment Coordinator, Coordinated Access to Community Health is a group of physicians collaborating with St. John's Hospital, Memorial Health System and local service agencies to provide a medical home for to low-income residents in Sangamon County through access to comprehensive health Services. Physician recruiting, Enroll eligible patients into Coordinated Access to Community Health (CATCH Program) by completing enrollment application and gathering all necessary documents, Schedule and staff all retired volunteer physician clinics including taking vitals and documentation for physician, Process patient related medical bills for 100% write off, Establish patient with a Primary Care Physician and Specialty Care Physician, Enter enrollment and physician data within specified time frames to assure quality measures are met, Assemble and maintain membership mailing database, Assemble and mail member enrollment material, Knowledgeable in the Sangamon County Health and Community Resources and provide direction to members, providers, etc. needing services outside the program guidelines, Produce reports regarding enrollment demographics, physician assignment, and hospitals, Assure day to day office operations are maintained, e.g. answering telephone, opening mail, and assisting Development Director, Attend Board Meetings, Plan fund raising events, Sign patients up for Medicaid and or the Affordable Care Act Marketplace., Our program will be closing due to the Affordable Care Act. We super succeeded our goal with our Pilot Program for Sangamon County.
• SANGAMON COUNTY MEDICAL SOCIETY, Administrative Assistant, Maintain scheduled events for the physicians located in Sangamon County, Answer phones. Worked closely with director planning events. Attended board meeting and maintained the minutes, Recruit physicians for membership. Maintain Access Database for all Sangamon County Physicians members.
• CATHOLIC CHARITIES, Med Assist Supervisor, Med Assist is a program that was designed to help individuals determine their eligibility and assist with their applications for the programs that the pharmaceutical companies have for the uninsured. Enrolled Eligible uninsured patients, Enter enrollment and data into Access Database, Research medication with the pharmaceutical companies, Liaison between physician, nursing staff and patient along with pharmaceutical companies, Produce reports regarding enrollment, physicians and medication cost to Program Director, Produce annual reports for United Way Grant, Collaboration with all Community Resources in Sangamon County, Attended Board Meetings.
• CATHOLIC CHARITIES, Foster Care Lead Case Aide, The Foster Care Program was contracted through Department of Children and Family Services. I managed a caseload of about 10 to 20 cases. This included transporting for visitation, home visits, monitoring all visits and weekend drop in on extended home visit. I then was promoted to Med Assist Supervisor. Participated in office visits for the foster care child and biological parent. Documented in great detail pertaining to visitation, Transported children to and from visitation, Maintained a schedule for staff,. Worked closely with Caseworker, Attended weekly meetings with directors, caseworkers, therapist and case aides for goal setting and updates. Participated in home visits to ensure a safe environment for the child during the visitation.
• SPARC, Program Supervisor, The Success Center- SPARC enriches the lives of individuals with intellectual and developmental disabilities by enabling them to successfully live, learn, work and socialize in the community. Sparc is a non-profit organization dedicated to enriching the lives of people with intellectual and developmental disabilities in the Springfield area. Supervised developmentally disabled adults, Attend IEP meetings to provide services and goals for individuals graduating high school, Daily planning schedule for job coaches and staff. Maintained Medicaid billing hours. Taught job training skills that would include a Hotel Room, Daycare Room, Receptionist Room, Computer Skills, Grocery Store, Café Success Diner, Interview skills and dressing for success, Completed documentation for goals that are set for every individual to be approved by Illinois Department of Human Service Caseworkers. Provided reports to director.

• Outstanding Employee of the Year - Triangle Center 1995
• Outstanding Employee of the Month - SPARC 1998

• Kyle Cook 217-494-4893
• Michelle Tucker 217-971-1872
• Marlon Garrett 217-341-9736
• Jaqueline Morris Warren 217-741-7195