Kim Rogers

Directed comprehensive revenue cycle operations including medical coding, charge entry, claims processing, and payment posting across multiple specialties. Spearheaded provider credentialing processes, ensuring timely enrollment with insurance panels and government programs, and implemented data-driven billing operations, increasing collections by $1.2M annually. Reduced accounts receivable days b

Served as lead appeals specialist for a 42-physician practice, investigating and processing complex Medicare, Medicaid, and commercial insurance appeals. Recovered approximately $850,000 annually through successful appeals processes and developed a standardized appeals protocol that reduced processing time by 40%. Functioned as principal liaison between claims processors, subscribers, providers, a

Managed Medicaid and insurance billing accounts for four large nursing home facilities, conducting weekly follow-up on problem accounts and reducing outstanding claims by 30%. Demonstrated advanced knowledge of Georgia Medicaid and Mass Medicaid billing requirements. Prepared and submitted electronic claims with accurate revenue codes for nursing home facilities.

Managed the complete billing cycle for a large oncology practice, specializing in complex cancer treatment billing. Handled Medicare, HMO, and PPO insurance follow-up and electronic billing, processing appeals that resulted in a 25% increase in successful claim resolutions. Coded claims for anesthesia, surgery, and office procedures with a 97% accuracy rate.

Directed reimbursement, Medicaid, and insurance billing operations for regional healthcare providers. Generated comprehensive financial reports for unpaid and denied insurance claims, recovering over $500,000 in previously denied claims through strategic appeals processes. Performed on-site credit balance reviews in hospital settings to recover overpayments.

Managed accounts receivable for seven large medical facilities, specializing in Medicare, Medicaid, HMO, and PPO insurance processing. Reduced outstanding receivables by 22% through implementation of targeted follow-up procedures. Facilitated system migration to HL7 standards, improving interoperability.

Completed a diploma program focused on medical insurance coding. Gained expertise in various coding systems and their application in healthcare billing.

Obtained a certificate as a Billing and Coding Specialist. This program provided in-depth knowledge of billing processes and coding standards.