Healthcare Billing Specialist/MEDICAL BILLING



KIM M. BEYER



2328 East Glade
Avenue · Mesa, Arizona 85204



602-516-9880 · kmb20211@yahoo.com



 



PATIENT
FINANCIAL REPRESENTATIVE
· MEDICAL BILLING
PROFESSIONAL



 



Highly skilled
professional with excellent track record of resolving complex medical billing
and financial issues for patients and healthcare organizations including
collections with clients, Medicare, Medicaid, and 3rd party
insurance.




  • Minimizes
    outstanding claims with maximum quality, conducting in-depth review, analysis,
    and problem solving.

  • Handles
    high-volume of claims and accounts, strategically managing time, priorities,
    and communication.

  • Safeguards
    company interests and assets, analyzing, identifying, and reporting on status
    and trends.

  • Ensures
    payment on overdue accounts, expertly performing collections focused on win-win
    for all parties involved.

  • Builds
    strong rapports with patients, providers, and people on all levels, delivering
    superior service and solutions.











 





 





Complex Account &
Claims Management · Financial Liaising ·
Financial Analysis · Medical Billing ·
Collections



Information Research
& Verification · Customer Service · Patient Relations ·
Problem Solving · Provider Relations



Medicare &
Medicaid · 3rd Party Commercial Insurance ·
Federal & Military Insurance · HCFA 1500 ·
HIPPA · ICD-9 





 





 



PROFESSIONAL
EXPERIENCE



 



INSIGHT
GLOBAL STAFFING / CONIFER HEALTHCARE SOLUTIONS, Scottsdale, Arizona
· 2013 – Present



Specialist
– Revenue Cycle Client Services (Temporary Position)



Review, analyze, and determine best solution
to obtain payment for unpaid claims. File and appeal claims with Medicare,
Medicaid, and federal, military, and commercial insurance companies. Submit
adjustments on over- and underpayments.



 



Achievements:




  • Eliminated
    substantial backlog of claims not paid for +6 months. 



 



UNITED
HEALTHCARE, Phoenix, Arizona
· 2012 – 2013



Client
Representative Associate



Handled, advised on, and supported wide range
of medical claims including reviewing, researching, investigating, negotiations,
processing, and adjusting claims.



 



Achievements:




  • Honored
    with Quality Award for 100% Financial Quality for 6 consecutive months. 

  • Provided
    clear visibility into key past, current, and future issues, pinpointing, analyzing,
    and identifying trends.  

  • Maximized
    customer services levels and productivity, expertly handling high-volume of
    incoming claims. 







 



LABCORP,
Phoenix, Arizona
· 2010 – 2012



Healthcare
Billing Specialist



Performed frontend billing. Investigated,
resolved, and followed-up on suspended accounts and billing issues. Researched
and followed-up on un-billable accounts. Posted patient information.



 



Achievements:




  • Unhindered
    numerous suspended accounts, diligently following-up, and resolving billing
    issues via variety of system tools, and direct client phone calls. 

  • Prevented
    inappropriate billing exceptions, identifying trends, and recommending
    solutions to management. 

  • Achieved
    and maintained 97% quality rate, expertly posting patient information within
    established production goal. 







 



GOLDEN
HOUR DATA SYSTEMS, Phoenix, Arizona
· 2004 –
2010



PFS,
Financial Liaison, Biller II & Records Custodian – Air Evac Air Ambulance
Billing



Conducted billing and administrative activities
involving MCR, MCD, local and out-of-state insurance, and 3rd party
liabilities; utilized systems, external databases, online resources, and manual
tracking. Verified insurance eligibility including submitting paper and
electronic HCFA 1500. Oversaw and performed collections on MCR secondary HMO
plans, self-pay after MCR, and variety of other insurance. Submitted financial
hardship accounts. Maintained and ensured compliance of all records including
new requests. Administered all archived records and internal database.



KIM M. BEYER



  • · Page 2 ·



kmb20211@yahoo.com





 





 



Achievements:




  • Minimized
    past-due accounts, expertly managing collections including patient calls,
    establishment of payment plans, and research into alternative payment sources. 

  • Obtained
    payment from numerous insurance providers such as Medicare, Medicaid, and in-
    and out-of-state 3rd party commercial companies, researching, negotiating,
    and following-up on denials, appeals, and claim status. 

  • Saved
    company +$200/month on office supplies, reviewing and identifying
    administrative inventory issues. 







 



NOTE: Additional experience includes role as Manager,
WEST PASADENA APARTMENTS, Phoenix, Arizona (2003 – 2005). Oversaw and managed apartment
complex including rent collections, maintenance, and responding to and
resolving any tenant issues. Details on request. 



 



EDUCATION
& PROFESSIONAL DEVELOPMENT



 



Physician-Based
Medical Coding (in progress)



MESA Continuing
Education, Online Program – Expected Graduation 12/14



 



Certificate in HIPPA
Guidelines & Compliance



ICD-9 Training



 



TECHNICAL
SKILLS



 



MS Word



MS Excel



MS PowerPoint



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



 



KIM M. BEYER



2328 East Glade
Avenue · Mesa, Arizona 85204



602-516-9880 · kmb20211@yahoo.com





 





 



 



 



 



 



 



 



Dear Sir or Madam:



 



A diligent billing professional and financial
liaison, I have eliminated substantial backlogs of overdue accounts, resolved
complex claims issues, and ensured payment and customer satisfaction for a wide
variety of healthcare organizations. Highly skilled at managing a high volume
of claims and difficult accounts, I am an expert at pinpointing and resolving
issues that are delaying payment, and developing win-win solutions for
companies, patients, and providers. Experienced working with a wide range of
patients, medical personnel, Medicare, Medicaid, and federal, military, and
commercial insurance, I build strong rapports with people on all levels, and
quickly earn their trust and confidence in my knowledge, abilities, and the
services I provide.  



 



A creative problem solver and astute
negotiator, I am highly skilled at balancing conflicting priorities among all
parties involved. Dedicated to quality, precision, and excellence in each task
I undertake, I have a superior record of accomplishments, some of which
include:



 




  • Eliminating
    a substantial backlog of claims not paid for +6 months for Conifer Healthcare
    Solutions. 

  • Being
    honored with a Quality Award for 100% Financial Quality for 3 consecutive
    months at United Healthcare. 

  • Providing
    United Healthcare with clear visibility into key past, current, and future
    issues, pinpointing, analyzing, and identifying trends.  

  • Unhindering
    numerous suspended accounts for LabCorp, diligently following-up, and resolving
    billing issues via a variety of system tools, and direct client phone calls. 

  • Minimizing
    past-due accounts for Air Evac Air Ambulance Billing, expertly managing
    collections including patient calls, the establishment of payment plans, and
    research into alternative payment sources. 











 



Please review my
enclosed resume, which contains more detailed information on my professional
history, and contact me at your earliest convenience. Thank you for your time. I
look forward to your reply.  



 



Sincerely,



 



 



 



Kim M. Beyer

  • ID#: 77205
  • Location: Mesa, AZ , 85204

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