Natalie Kane
Pittsburgh
Summary
Dynamic Senior Medical Billing Specialist with extensive experience at Physicians Immediate Care/WellNow Urgent Care, showcasing expertise in medical coding and analytical problem-solving that optimizes billing processes and boosts revenue cycle performance.
Overview
32
32
years of professional experience
Work History
Senior Medical Billing Specialist
Physicians Immediate Care/WellNow Urgent Care
Pittsburgh
09.2015 - Current
- Oversee the entire medical billing process, including charge entry, claims submission, payment posting, and accounts receivable management
- Analyze medical records and assign appropriate diagnostic and procedural codes for accurate billing and reimbursement
- Communicate with healthcare providers, insurance companies, and patients to resolve billing issues and ensure timely payments
- Train and mentor junior billing staff on coding guidelines, billing procedures, and compliance regulations
- Stay updated on changes in healthcare regulations, coding guidelines, and insurance policies to ensure compliance and maximize reimbursement
Ophthalmology Billing Specialist, Supervisor
Chang Eye Group
Pittsburgh
05.1993 - 12.2014
- Conducted regular audits of billing processes to identify discrepancies and implement corrective actions
- Collaborated with healthcare providers and insurance companies to negotiate contracts and resolve billing disputes
- Prepared and analyzed financial reports to monitor revenue cycle performance
- Streamlined billing workflows and implemented electronic billing systems to increase efficiency and reduce errors
- Reviewed medical records and assigned appropriate diagnosis and procedure codes according to ICD and CPT guidelines
- Submitted claims to insurance companies and government payers using electronic billing software
- Followed up on unpaid claims and denials, identifying and resolving billing errors to ensure timely reimbursement
- Verified insurance coverage and eligibility, obtained pre-authorizations, and processed patient payments
- Maintained accurate and up-to-date patient billing records and insurance information.
- Assisted patients with billing inquiries, explaining charges, insurance coverage, and payment options
Education
Some College (No Degree) - Medical Transcriptionist
CCAC
Pittsburgh, PASkills
- Medical billing software proficiency
- Medical coding expertise
- Communication and interpersonal skills
- Attention to detail
- Analytical problem-solving
- Healthcare regulations knowledge
- Leadership and team management
Timeline
Senior Medical Billing Specialist
Physicians Immediate Care/WellNow Urgent Care
09.2015 - Current
Ophthalmology Billing Specialist, Supervisor
Chang Eye Group
05.1993 - 12.2014
Some College (No Degree) - Medical Transcriptionist
CCAC
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