Kimberly Taylor

Perform all Managed Care and Medicaid Replacement follow-up with collection, correspondence with our internal Call Center to give account resolution, account reconciliation and resolving all denials. Work several A/R reports, work all correspondence from insurance and medical liaisons, working billing workques for claims claim submissions, trend problems that affect reimbursement levels, do all wr

Perform follow up and research on open A/R balances as assigned in the Paperless Collection System (PCS) work files or directly by my Manager and in accordance with written policies, contact insurance companies as needed to initiate payment. Responsible for training existing employees with any updated software or departmental changes, provide consistent feedback to assigned LUMC collectors regardi

Perform follow up and research on open A/R balances as assigned in the Paperless Collection System (PCS) work files, contact insurance companies/Third Parties by telephone, letter, fax, e-mail as needed to initiate payment. Trained new and existing employees with any updated software or departmental changes, appeal adjudication by insurances, follow up on all correspondence from insurance, account

Responsible or all incoming patient inquiries regarding Physician billing (all specialties), claim correction (modifiers, CPT codes, Dx. codes, fee schedules, and insurance verification), account reconciliation (credit balances and account adjustments), self pay collections, insurance statusing, insurance appealing, collection of aged accounts, running reports, correspondence follow-up, patient fi

Process Medicare claims for corrections (modifiers, HCPC codes, ICD-9, units of service, DOS, facility charges etc.). Manages all Medicare pending accounts on a routine basis, account statusing, account reconciliation (credit balances and account adjustments), collection of problem aging accounts, running reports, correspondence and follow-up with all written and verbal inquiries (BIS, Medicare Re

Bills the Department of Public Aid for services rendered per billing cycle, processing prior approvals, spendowns, manages all pending accounts on a routine and timely basis. Manages and solves problems related to outstanding A/R, completed all necessary correspondence and follow-up with all written and verbal inquiries, prepared and maintain all patient financial records, running reports, assiste

Auditing/Quality Review of all claims, ICD-9, CPT, HPCS coding, charge entry, billing primary, secondary, and third party insurance’s, account statusing. Worked with medical systems (NEBO, NDAS, Meditech, MD Everywhere, Easy-Cap), running reports, assisting in new hire training, insurance adjustments, verification of clinical information, worked exception reports to reprocess rejected claims, requ

ICD-9, CPT, and HPCS coding, posted charges, facility fee pricing, billing primary, secondary, third party insurance (Medicare, Medicaid, HMO, Workman’s Compensation, Blue Cross, Commercial Payers, and Self pay) operative report interpretation, EOB interpretation, insurance adjustments, medical records management, electronic billing (SIS, Medisoft). Insurance verification (PreCert), account status

Billed primary, secondary, and third party Insurance (Medicare, Medicaid, HMO, Workmen’s Compensation, Blue Cross, Commercial and Self Pay) verified insurance benefits, follow-up on account status, made account adjustments for captivated services, claims coding (CPT, ICD-9, HCFA, and UB92). Worked with medical systems (IDX, NEIC, NEBO, MS-4) mad a weekly report of return mail, Pre-certification, b

Examination room preparations, veinipuncture, giving injection, sterilization of surgical instrument, preparation of surgical trays, assisting in minor surgery, taking of vital signs, ear and eyes irrigation, patient histories, vision test, urinalysis, CPR certified, and abiding with OSHEA rules and regulations. Patient charting, scheduling patients, physician billing (Medicare, Public Aid, Commer

Pursued a Bachelor's degree focusing on Health Care Management. Developed skills relevant to the administration and management of healthcare services.

Activities and societies: CPR certified

Completed coursework in Medical Assisting and Allied Health. Obtained CPR certification during the program.