Medical Biller or Medical Coder

Kimberly L Field

3065 W. Treeline Dr.

Tucson, Az 85741

(520) 271-7678

Objective:  Medical Professional seeking employment as a Medical Billing Specialist.

 

Experience:

February 2013-April 2013 Oro Valley Hospital: Financial Counselor

Financial Counselor responsible for tracking and collections for all inpatient admissions including both insured and uninsured patients.

Verification of inpatient admissions insurance, deductibles due, coinsurance max amounts.

Notify insurances of patient admissions.

Responsibilities to include having uninsured patients apply for AHCCCs assistance/charity applications, reviewing DRGs for amount self pay patients owe for admission.

Completion of quality measure Medicare forms.

Contacting UR dept. to issue clinicals to insurance companies requesting additional patient information, resolve walk-in patient billing issues.

 

May 2008-February 2013 Eye Associates of Tucson LTD: Medical Biller

Medical Biller for 8 provider practice. Proficient use of Nextgen Software.

Follow up and appeals with Governmental insurances, commercial insurance, and TPAS.

Use of ERA/EFTs from Gateway EDI. Correct claims on scrub report prior to claims filing to insurance electronically.

Work aging reports for appeals and denials. Submit required documentation necessary to acquire payment from insurance. (notes, authorizations, modifiers, correct ICD9, etc.)

Payment posting, reviewing EOB for allowables, contractual adjustments, patient balances due.

Verify insurance benefits/eligibility to ensure payment.

 

August 2007-April 2008 Arizona Gastroenterology: Medical Biller

Medical Biller for 8 providers and their Ambulatory Surgical Center claims.

Use of Nextgen Billing Software program.

Follow up on unpaid claims for commercial insurances and TPAS.

Work aging reports. Review EOBS for allowables, contractual adjustments and patient balance due.

Submit required documentation on appeals (authorizations, notes, modifiers, ICD9, etc.)

Verify insurance benefits/eligibility.

 

May1995-August 2007 Doctors Carter, Rothe, Lowry, Hee, and Dean: Medical Biller/Charge Entry

Hired into billing department in 2001 for 8 provider office.

Follow up and appeal unpaid claims for commercial insurances.

Work aging reports.

Clean up of A/R with Arizona Community Physicians during merge of practice to their company.

 

Software Programs:

NEXTGEN, GATEWAY EDI, HMS, IDX, ALLSCRIPTS, TOUCHWORKS, HMS, ALPHA 4 POMS, MARS, LYTEC & ADP Payroll systems.

 

Education:

June 1991 - Pima Medical Institute - Certified Medical Assistant (Front Office/Billing/Back Office)

June 1987 - Catalina High School – Diploma

  • ID#: 70175
  • Location: Tucson, AZ , 85741

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