Hi, I’m
Veronica Kruse
Grandview,MO
Summary
Highly efficient Medical Biller with experience in anesthesia, Obestrics and Gynecology and Opthalmology. Excellent multi-tasker and demonstrated team player with positive attitude. Skills in Eclinical Works EMR system.
Overview
10
years of professional experience
Work History
Rockhill Women's CareOverland Park, KS
Medical Billing Specialist
10.2023 - Current
Job overview
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Provided customer service support to patients who had questions about their bills or payments due.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Updated patient accounts with information obtained from internal departments or external sources.
- Processed credit card payments from patients in accordance with office policy.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Reviewed patient records for accuracy and completeness of information in medical billing system.
- Resolved discrepancies between insurance companies and patients regarding payment of bills.
- Conducted research on insurance policies, procedures, and regulations to ensure compliance with all applicable laws.
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Maintained detailed records of all billing activities including denials, adjustments, and payments received.
- Completed appeals and filed and submitted claims.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Prepared billing statements for patients, ensuring correct diagnostic coding.
- Posted charges, payments and adjustments.
- Submitted refund requests for claims paid in error.
Aspirion Health ResourcesLee's Summit, MO
Medical Billing Specialist
02.2021 - 09.2021
Job overview
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Identified errors and re-filed denied or rejected claims quickly to prevent payment delays.
Intellicatch, IncLenexa, KS
Document Scanner
07.2017 - 03.2020
Job overview
- Prepared documents for scanning by ensuring all staples and paperclips were removed.
- Scanned documents into digital format using specialized document scanner.
- Verified accuracy of scanned images to ensure quality control standards were met.
- Monitored the progress of each scan job to ensure timely completion.
- Adjusted scanner settings as necessary depending on type of document being scanned.
- Organized digital files in accordance with established naming conventions and file structure protocols.
- Reviewed scans for content accuracy prior to archiving or transferring data to other systems and locations.
- Prepared, scanned and quality-checked documents and images converted into electronic and digital format in high-volume environment.
Stiles Eye Care and GlaucomaOverland Park, KS
Front Desk Receptionist
04.2014 - 05.2016
Job overview
- Greeted customers warmly and made them feel welcome.
- Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.
- Maintained an organized reception area and ensured that all guests were attended to promptly.
- Assisted with scheduling appointments for clients and visitors.
- Managed incoming and outgoing mail, courier services, faxes and other correspondence.
- Performed data entry into computer systems to maintain accurate records of customer information.
- Processed payments from customers using a variety of payment methods including credit cards, checks and money orders.
- Reviewed medical records to ensure accuracy of billing information and patient data.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Calculated billing charges, prepared and submitted claims to insurance companies.
- Monitored accounts receivable activity to ensure timely payment of invoices.
- Answered customer inquiries regarding billings, payments, account status.
- Investigated incorrect billings and processed refunds as necessary.
- Processed credit card transactions through Point-of-Sale terminals or online systems.
- Generated periodic reports summarizing account balances and collection activities.
- Worked closely with patients to discuss payment arrangements when needed.
Education
Grandview Sr. High SchoolGrandview, MO
05.1992
Missouri Valley CollegeMarshall, MO
Some College (No Degree) from English Literature
Skills
- Files and Records Management
- Bill Payment
- Generally Accepted Accounting Principles (GAAP)
- Quality-Oriented Team Player
- Multitasking and Organization
- EClinical Works Software Applications Proficiency
- Billing and Collection Procedures
- Teamwork and Collaboration
- Claims Review
- Account Reconciliation
- Account Follow-Up
- Insurance Billing
- HIPAA Compliance
References
References available upon request.
Timeline
Medical Billing Specialist
Rockhill Women's Care
10.2023 - Current
Medical Billing Specialist
Aspirion Health Resources
02.2021 - 09.2021
Document Scanner
Intellicatch, Inc
07.2017 - 03.2020
Front Desk Receptionist
Stiles Eye Care and Glaucoma
04.2014 - 05.2016
Grandview Sr. High School
Missouri Valley College
Some College (No Degree) from English Literature
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