Kimberly Purcell
Smiths Grove
Summary
Dynamic Medical Billing Specialist with extensive experience at Graves Gilbert Clinic, adept at resolving denied claims and ensuring timely submissions. Proficient in ICD-10 and denial management, I excel in delivering exceptional customer service while reducing billing errors, enhancing patient satisfaction, and effectively managing collections.
Overview
12
12
years of professional experience
Work History
Medical Billing Specialist
Graves Gilbert Clinic
06.2013 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified and resolved patient billing and payment issues.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Collected payments and applied to patient accounts.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Evaluated patients' financial status and established appropriate payment plans.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Precisely evaluated and verified benefits and eligibility.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Filed and updated patient information and medical records.
- Prepared billing correspondence and maintained database to organize billing information.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Education
Medical Billing
Southcentral Kentucky Community And Technical College
Bowling Green, KYSkills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Patient billing
- Denial management
- ICD-10 proficiency
- Medicare and medicaid process
- Disability claims process
- Collections management
- Availity and Payerpath software applications proficiency
- Insurance billing
- Data entry
- Medical billing
Timeline
Medical Billing Specialist
Graves Gilbert Clinic
06.2013 - Current
Medical Billing
Southcentral Kentucky Community And Technical College
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