Zephrim Kennedy
Detroit,MI
Summary
Experienced professional with 20 years in Health care industry 20 years Leadership, Training and employee development and Management Dedicated skilled healthcare professional with a versatile administrative support skill set developed through experience as an team leader, certified denial recovery specialist and billing consultant. Authorized to work in the US for any employer.
Overview
2019
2019
years of professional experience
Work History
Claims Specialist
Surgeons Choice Medical Center
Southfield, MI
2024 - 2026
- Reviewed and processed claims to ensure compliance with company policies and regulations.
- Investigated discrepancies in claim submissions, collaborating with clients and internal teams for resolution.
- Analyzed data trends to identify potential areas for claims process improvement.
- Provided training and mentorship to junior staff on best practices in claims management.
- Developed and implemented streamlined procedures for efficient claims processing workflows.
- Coordinated communication between claimants, adjusters, and legal teams to expedite resolutions.
NRSC - Billing Representative
Ascension Medical Group
Troy, MI
01.2019 - 2024
- - PBB
- - Review aged claims for resubmission to various payers
- - Submit Medicaid TPL forms for COB issues
- - Working Escalation Reports/Duties assigned per management
Sr. BPO Associate
UST Global
Aliso Viejo, CA
01.2017 - 01.2019
- - Claims Processing
- - Process claims according to client specifications.
- - Work as an SME (Subject Matter Expert) in creating processing procedures for accuracy.
- - Linked suppliers and providers to tax and npi numbers for processing
Patient Accounting Representative
Detroit Medical Center
Detroit, MI
01.2016 - 01.2017
- - Denied Commercial claims alpha A thru Z
- - Denied Auto and Worker Comp claims.
- - Work lockbox and mail
- - Patient phone calls
Patient Accounting Representative
Karmanos Cancer Institute
Detroit, MI
01.2015 - 01.2016
- - Denied Commercial claims alpha L thru Z
- - Denied Auto and Worker Comp claims.
Team Lead/Certified Denial Recovery Specialist
Health Business Solutions
Dearborn, MI
01.2011 - 01.2015
- - Submit appeals for denied Commercial claims
- - Training new employees
- - Auditing and scheduling
- - High Dollar review
- - Tasks
Auditor
Continuum Management Services
Dearborn, MI
01.2003 - 01.2011
- Training Dept. /Billing Dept/Web Access Administrator
- - Web-Access Administrator
- - Auditor.
- - Training Dept
- - Billing Dept
Management Support Consultant
Med-Quest Medical Mgmt
Detroit, MI
11.1990 - 06.2005
Lead, Patient Accounting Managed Care
Detroit Medical Center, Orchestra Place
Detroit, MI
01.2000 - 01.2003
- - Appeals - 180 days and greater
- - High Dollar review
- - Train new employees
- - Auditing
Patient Accounting Rep
Detroit Medical Center
01.1998 - 07.2000
Patient Accounting Representative
Sinai Hospital
Southfield, MI
07.1996 - 01.1998
Downriver Medical Mgmt
Downriver Medical Management
Detroit, MI
01.1985 - 01.1998
- Associated Medical Development Billing September 1986 to April 1987
Lead, Medical Billing
DMC Health Care Centers
02.1995 - 07.1996
Billing Clerk
DMC Health Care Centers
04.1993 - 01.1995
Consultant
MBL Inc
01.1993 - 04.1993
Medical Biller
QCL LTD
09.1991 - 04.1993
Manager, Billing & Follow-Up
Quality Clinical Labs
08.1980 - 09.1991
Manager
Quality Clinical Labs
Detroit, MI
11.1989 - 06.1990
Manager/Trainer
Eastside Medical Labs
01.1985 - 06.1986
- - Managed day-to-day operations
Education
Associate Degree - General Studies
Highland Park Community College
01.1984
Skills
Collections (10 years)
Medical Terminology (10 years)
Claims (10 years)
Billing (10 years)
Accounts Receivable (10 years)
Leadership Experience (10 years)
Word Processing (10 years)
Project Management (10 years)
Microsoft Word (10 years)
Data Analytics (10 years)
Excel (10 years)
Time Management (10 years)
Microsoft Powerpoint (4 years)
CPT (10 years)
Medical Billing (10 years)
Outlook (10 years)
Accounting (10 years)
Training (10 years)
Microsoft Excel (10 years)
Data Entry (10 years)
Customer Service
Microsoft Office
Microsoft Outlook
Receptionist
Filing
Accounts Payable
Timeline
NRSC - Billing Representative
Ascension Medical Group
01.2019 - 2024
Sr. BPO Associate
UST Global
01.2017 - 01.2019
Patient Accounting Representative
Detroit Medical Center
01.2016 - 01.2017
Patient Accounting Representative
Karmanos Cancer Institute
01.2015 - 01.2016
Team Lead/Certified Denial Recovery Specialist
Health Business Solutions
01.2011 - 01.2015
Auditor
Continuum Management Services
01.2003 - 01.2011
Lead, Patient Accounting Managed Care
Detroit Medical Center, Orchestra Place
01.2000 - 01.2003
Patient Accounting Rep
Detroit Medical Center
01.1998 - 07.2000
Patient Accounting Representative
Sinai Hospital
07.1996 - 01.1998
Lead, Medical Billing
DMC Health Care Centers
02.1995 - 07.1996
Billing Clerk
DMC Health Care Centers
04.1993 - 01.1995
Consultant
MBL Inc
01.1993 - 04.1993
Medical Biller
QCL LTD
09.1991 - 04.1993
Management Support Consultant
Med-Quest Medical Mgmt
11.1990 - 06.2005
Manager
Quality Clinical Labs
11.1989 - 06.1990
Downriver Medical Mgmt
Downriver Medical Management
01.1985 - 01.1998
Manager/Trainer
Eastside Medical Labs
01.1985 - 06.1986
Manager, Billing & Follow-Up
Quality Clinical Labs
08.1980 - 09.1991
Associate Degree - General Studies
Highland Park Community College
Claims Specialist
Surgeons Choice Medical Center
2024 - 2026