Kelly Holda is an experienced and skilled manager of medical billing department with facility management experience seeking a challenging role in a company where my over fifteen years of medical billing, management skills and leadership can be utilized.
Thorough knowledge of medical billing procedures, excellent oral and written communication skills, proficient and precise problem solver with excellent analytical skills and superb attention to detail. Well-developed leadership and organizational skills, ability to work, plan, research and conduct projects, ability to manage multiple and competing priorities. Experienced with Medicare, Medicaid, HMO’s, PPO’s, commercial insurance carriers as well as Worker’s Comp and P.I.P., third party reimbursement methodologies, ICD9 and CPT coding. Proficient in Meditech, Mysis and Medisoft, Availity, Encoder, Ebridge, Accurint, Navinet and Collabration Compass.
Medical Billing Manager
Management duties-Manage and supervise medical billing department and staff.
Manage day to day operations of facility in the absence of General Manager. Manage patient scheduling, registration, charge and receipt entry. Reconciliation of account receivables on a daily basis. Prepare monthly financial reports and data analysis. Manage and supervise special projects. Research reimbursement/pricing for services and update pricing structure. Review coding practices and LMRP and recommend policy changes to ownership. Manage and supervise new medical billing clerks training. Managed transition and implementation of new computer billing system and procedures as well as provided in-house training to employees. Maintain contracts with insurance carriers and credentialing. Patient liaison-handling queries, complaints and resolutions. Attorney Liaison-managing patient accounts associated with Personal Injury cases from first date of treatment, to conclusion, including working with attorney's staff to verify policy coverage limits for treatment received, maintain Letters of Protection to ensure payments and authorize reductions of client bills for purpose of settling outstanding balances.
Medical Billing duties- Data entry of Commercial, Medicaid, Workers compensation and Auto PIP claims. Analyze, research and resolve denied and outstanding claims. Research and resolve denied Explanations of Benefits received from insurance carriers. Post insurance and patients payments. Manage delinquent patient accounts and prepare accounts for collection. Research all refund requests received from insurance carriers. Verify patient insurance coverage and monies owed for co-pay, co-insurance or deductibles. Schedule patient appointments. Verify authorizations for patient appointments.
Premier Medical Consultants
Medical Billing duties- Managed patient accounts, including providing customer care, data entry of claims and filed charges, as well as conducted regular reviews of patient accounts. Use of multiple hospital computer systems to obtain information or missing reports. Printed claims and dispatched with required information. Supervise and conduct the posting of payments, worked fast claim returns and rejection reports as well as balanced charges at the end of the day and close the day. Supervised and trained employees on how to use systems and read patient accounts. Attorney liaison and supervised personal injury patient accounts