kelly white
@kellywhite1
Experienced Healthcare Billing and Data Specialist with a strong analytical focus.
United StatesWhat I'm looking for
I am an experienced Healthcare Billing and Data Specialist with over 11 years in the industry, specializing in Medicare and Commercial billing. My expertise lies in claims auditing, provider data validation, and revenue cycle operations. I have a proven track record of improving billing accuracy, reducing denials, and streamlining healthcare operations. My analytical thinking and commitment to process improvement have enabled me to collaborate effectively across teams, ensuring compliance with CMS and commercial payer guidelines.
Throughout my career, I have supported internal audits of claims and provider records, delivering insightful reporting on billing trends and compliance. My role at Elevance Health has allowed me to enhance documentation workflows and operational SOPs, resulting in significant performance improvements. I am proud to have received multiple Values in Action awards for my teamwork and attention to detail, reflecting my dedication to excellence in healthcare billing and data management.
Experience
Work history, roles, and key accomplishments
Financial Data Specialist
Elevance Health
Oct 2016 - Present (8 years 10 months)
Supported internal audits of claims and provider records to assist with billing accuracy and rebilling efforts. Delivered Excel and Access-based reporting on billing trends, audit findings, and provider compliance.
Billing Commercial Auditor
Anthem, Inc.
Sep 2015 - Present (9 years 11 months)
Led data mapping and validation for Medicare provider directories and contract alignment across systems. Conducted audits to reconcile provider data with CMS billing requirements and internal systems.
Medical Claims Specialist
Anthem, Inc.
Sep 2014 - Present (10 years 11 months)
Reviewed Medicare claims impacted by incorrect provider directory setup and initiated corrections. Collaborated with credentialing and technical teams to resolve data mismatches in provider records.
Claims Auditor
DOMA Technologies
Apr 2013 - Present (12 years 4 months)
Participated in large-scale provider directory validation projects to ensure CMS compliance. Audited provider records and claims data to flag errors in directory listings.
Education
Degrees, certifications, and relevant coursework
Tidewater Community College
Associate of Applied Science, Human Services
Completed an Associate of Applied Science in Human Services through a virtual program. This foundational education provided a strong understanding of human services principles and practices.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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