Kelly Powell
Palos Heights
Summary
Dynamic billing/credentialing professional with extensive experience in office and billing management. Proven track record in resolving discrepancies and enhancing revenue cycles. Skilled in Eaglesoft and Quickbooks, with strong analytical abilities and effective communication skills and costumer service. Committed to optimizing billing processes and ensuring compliance in fast-paced environments.
Overview
20
20
years of professional experience
Work History
Billing Services and Credentialing Coordinator
ORA Management
08.2020 - Current
- Daily revenue cycle management with accounts payable and receivables. Responsible for all laboratory invoice balancing and payments.
- Auditing accounts and reconciled billing and coding discrepancies and resolved billing and claim denials and customer inquiries professionally and timely.
- Prepares monthly financials related to statement balances and end of month totals for reporting.
- Monitored, communicated and collected on employee/employee family accounts and all in-house discount plans.
- Communicates with all major insurance companies to obtain authorizations for medical/dental crossover claim submission and claim denials and appeals.
- Reconciling accounts and posting daily insurance and patient payments, ensuring timely processing of all financials.
- Auditing, approving and processing all insurance and patient refunds.
- Responsible for daily remote and weekly cash deposits and balancing. Petty cash balancing and replenishment of in-house and staff banks.
- Credentialing of existing and new hire providers. CAQH submissions and updates. Updates to insurance contracts and provider licenses and certifications.
- Analyzed insurance contracts to identify trends and monitor fee schedules for renegotiation, updates and requests.
- Tracked outstanding balances and initiated collection call efforts for delinquent accounts. Generates all collection fees, balances and prepared all documentation for accounts referral and submission to collection company.
- Account monitoring and detailed account status updates, payment posting or payment histories, and aging balance reports. Claim submission and clearinghouse management.
- Communicated with patients to provide account information, resolve issues or billing questions timely.
DOT ADMINISTRATOR
Paramount Pictures
10.2019 - Current
- Served as liaison between departments to facilitate communication and resolve conflicts.
- Coordinated meetings, appointments, and travel arrangements for transportation crew.
- Facilitated driver drug screening and follow up
- Contract negotiations
- PO invoicing
- Driver schedules and hour monitoring and weekly payroll processing
- Managed daily office operations and streamlined administrative procedures.
- Vehicle insurance claims submission
- Monitored Drivers logs for discrepancies and hourly state compliance.
- Maintained personnel records and updated internal databases to support document management.
BILLING MANAGER
Bita, Inc
08.2016 - 08.2019
- Review insurance policy guidelines and distribute to staff
- Durable medical equipment claim processing for Medicare, Medicaid, and private insurance including HMO and referral management.
- Investigate and resolve billing/coding discrepancies.
- Training to all new and existing employees on procedures, compliance requirements and collection processes.
- Reconcile outstanding patient balances and invoices.
- Collect patient payments and maintain billing records.
- Accounts payable and receivable.
- Payroll preparation and submission 25+
- CAQH credentialing and compliance.
OFFICE MANAGER/ HUMAN RESOURCE DIRECTOR
Southwest Gastroenterology
04.2006 - 07.2016
- Manage all aspects of Multi-physician practice
- Physician, Facility, Hospital and Laboratory full revenue cycle management.
- Accounts payable/receivable
- Payroll preparation and submission
- Managed Group health Insurance
- Physician and staff meeting preparation
- Overseen office meetings and implemented changes and updates in effort to increase productivity.
- New employee hiring 40 plus staff scheduling maintenance and conflicts.
- Organized Necessary changes based on evaluation of staffing requirements and assignments.
- Trained new staff on quality control procedures.
- Performed monthly inventory and maintained office and medical supply counts.
- Physician credentialing and license renewals.
Education
High School Diploma -
BREMEN HIGH SCHOOL
Midlothian, IL05.1989
Certification - Certified Nursing assistant
MORAINE VALLEY COLLEGE
Alsip, IL05.1988
Skills
- Ambulatory Surgical Center billing
- Laboratory billing
- Dental and Medical billing to include dental crossover claims
- Durable Medical Equipment billing
- Quickbooks
- Provider and facility credentialing/recredentialing
- CareCredit/Lending Club
- System implementation
Timeline
Billing Services and Credentialing Coordinator
ORA Management
08.2020 - Current
DOT ADMINISTRATOR
Paramount Pictures
10.2019 - Current
BILLING MANAGER
Bita, Inc
08.2016 - 08.2019
OFFICE MANAGER/ HUMAN RESOURCE DIRECTOR
Southwest Gastroenterology
04.2006 - 07.2016
High School Diploma -
BREMEN HIGH SCHOOL
Certification - Certified Nursing assistant
MORAINE VALLEY COLLEGE