Kellyann Young

• Efficiently managed high volume caseloads of 30+ while maintaining meticulous attention to detail in scheduling logistics and documentation.
• Maintained strict adherence to HIPAA regulations, protecting the privacy of patient information at all times.
• Enhanced surgical team communication by maintaining accurate schedules and promptly addressing any changes or concerns.
• Answered telephone calls to offer office information, answer questions, and direct calls to staff.
• Provided comprehensive education materials for patients regarding their upcoming surgery, answering questions and alleviating concerns related to the procedure itself or recovery expectations afterward.
• Collaborated with insurance providers to verify coverage and obtain necessary authorizations for surgical procedures.
• Coordinated with facilities to set up surgeries for.
• Verified insurance coverage and obtained pre-authorizations.
• Arranged pre-operative and post-operative appointments for surgical patients.
• Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.

*Handled day to day operations of a 5 person staff in a very fast paced Medical office setting that saw 75 patients per day.

*Managed the 5 person staff. Including payroll, PTO.

* All billing aspects : submission of claims, payments, and collections.

• Ensured compliance with industry standards by regularly updating policies and procedures related to credentialing.
• Prepared records for site visits and file audits.
• Periodically checked website to attest the doctors information was up to date, new documents uploaded when expired.

• Played an integral role in the successful transition to ICD-10 coding, staying abreast of changes and ensuring the billing department''s compliance with new requirements.
• Developed comprehensive knowledge of various payer requirements for successful claim submission, minimizing delays in reimbursement.
• Reduced instances of delayed payments by regularly monitoring aged accounts receivable reports and taking prompt action to address outstanding balances.
• Enhanced revenue recovery through diligent follow-up on denied or underpaid claims.
• Managed accounts receivable, ensuring timely collection of payments and minimizing outstanding balances.
• Posted payments and collections on regular basis.
• Collected payments and applied to patient accounts.
• Delivered timely and accurate charge submissions.
• Prepared billing statements for patients and verified correct diagnostic coding.
• Generated monthly billing and posting reports for management review.
• Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
• Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
• Processed vendor and supplier payments on weekly basis.
• Assisted in maintaining provider credentialing files to ensure continuous participation with various insurance networks.
• Assisted patients in understanding their financial responsibilities, explaining complex medical bills in an accessible manner.