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Kimberly Zmijewski

Expertise In: Pain Management

Name : Kimberly Zmijewski
Experience : 20
Specialty : Pain Management
Location : RoundRock,TX
Description :

Kimberly Zmijewski is an ACCOUNTS RECEIVABLE SPECIALIST with over 20 years of experience in independent or multi-branch medical billing environments. Interface directly with insurance companies and other business partners to ensure timely, accurate and compliant claims submission, reduce DSO, attain maximum reimbursement and achieve superior customer care. Unique understanding of coding and billing procedures from nursing program and internship experience. Initiate and build strategic alliances to generate constructive outcomes. Offer solid foundation in software applications, database management and data entry; proven ability to readily master new technology.

Skills:

  • Project Lifecycle Management . . .
  • Client Communication  . . .
  • Accounts Payable/Receivable     
  • Customer Satisfaction . . .
  • Policy / Procedure Development . . .
  • Data Collection & Analysis Workflow Planning & Prioritization . . .
  • Strategic Business Partnerships . . .
  • Confidential Correspondence     
  • Document Keeping . . .
  • Nursing Intern Experience. . .
  • Regulatory Compliance
  • Technical Proficiency: Excel, PowerPoint, Word, proprietary systems

Experience:

  • Medical Collector/Medical Records
  • Performed chart audits to verify completion of charts and maintained collections of accounts receivables.

Medical Collector

  • Maintained efficiency and accuracy of medical claims; collect over $500Kfrom out-of-state (Nevada, Texas and Utah) branches. Researched accounts receivable and consult with insurance companies to institute settlement of accounts.
  • Reduced DSO up to 44% through effective negotiation, correspondence and follow up with clients and insurance companies.
  • Turned around history of large and outstanding balances by building strategic relationships with branch directors.
  • Coordinated all phases of account management in accordance with mission and philosophy of the organization; met all established benchmarks.
  • Submitted past due claims for the appeals process following extensive due diligence. Checked and updated account status.

Medical Collector

  • Handled all phases of billing for Urgent Care / Family Practice Center .Followed up with payers and other third parties to ensure timely claims submission and resolution of accounts including secondary billing, appeals process and patient liability.
  • Reorganized and restored posting schedules to produce compliant, accurate and timely accounts, resulting in proficient month end reports.
  • Recognized as “go to” employee for computer issues and general support. Trained staff on reporting systems and methods.
  • Software:  Medical Manager

Medical Collector

  • Performed all aspects of office operations for busy oral surgery practice. Worked with doctors to promote proper documentation guidelines. Maintained records for provider enrollment and re-credentialing, verified insurance records. Collected over $1,000,000 in outstanding charges.
  • Reviewed claims forms and edited as necessary to reflect complete, accurate information. Generated any adjustments necessary to complete postings of payments.
  • Kept accurate filing and billing systems; updated fee schedules, and procedure / diagnosis codes. Reduced concerns at auditing.
  • Software: Medical Manager

Education:

  • Pre-requirement classes for Nursing and Nursing classes / internship
  • Healthcare and Business classes

Additional Qualifications:

  • Nurse Intern
  • Assisted patients with daily activities
  • Worked on Pediatrics, Telemetry, Med/Surg, Women’s Unit, Nephrology and Oncology floors
  • Gained better understanding of coding and billing methods
  • PAC-COMP (MEDICAL MANAGER, INC) ? Sterling Heights, Michigan
  • Account Manager/Trainer
  • Developed and implemented training manual from start to finish; trained employees on new computer system
  • Formatted patient statements and insurance forms according to guidelines

Affiliations:

  • Canine Companions for Independence
  • Animal Guardian Network