Kelli Vidrine
Lead Revenue Cycle Biller at Acadian Medical Center- Claim this Profile
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English -
Topline Score
Bio
Credentials
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Certified Coding Associate (CCA)
AHIMAAug, 2020- Sep, 2024
Experience
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Acadian Medical Center
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Lead Revenue Cycle Biller
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Jan 2019 - Present
•Serve as the lead revenue cycle biller for Acadian Medical Center servicing 6 physicians. •Review and process all insurance claims, ensuring accurate CPT coding and that all appropriate diagnosis are attached. •Set up electronic funds transfer and file health insurance claims electronically for Medicare, Medicaid, and all private insurance companies. •Process clearinghouse rejections and Medicare, Medicaid and private insurance denials, making all needed corrections and re-filing claims. •Post all patient payments as well as Medicare, Medicaid and all private insurance payments to patient accounts. •Review accounts receivable reports monthly to ensure claims are filed within timely filing limits. •Generate financial reports for providers each month. •Process renewals of medical licenses, DEA licenses and CDS licenses for physicians, nurse practitioner and physician assistant. •Code hospital surgeries and consultations for Dr. Charles Bowie (Urologist), and Dr. Kian Ehsan (Cardiology). •Process requests for medical records, ensuring that HIPPA laws are properly followed. •Maintain physician, nurse practitioner and physician assistant credentialing for hospitals, Medicare, Medicaid and all private insurance companies, as well as maintaining credentialing through CAQH. Show less
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DUPRE MEDICAL CLINIC
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Billing Specialist
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Oct 2013 - Present
•Review and process all insurance claims, ensuring accurate CPT coding and that all appropriate diagnosis are attached. •Set up electronic funds transfer and file health insurance claims electronically for Medicare, Medicaid, and all private insurance companies. •Process clearinghouse rejections and Medicare, Medicaid and private insurance denials, making all needed corrections and re-filing the claims. •Post all patient payments as well as Medicare, Medicaid and all private insurance payments to patient accounts. •Review accounts receivable reports monthly to ensure claims are filed within timely filing limits. •Generate financial reports for providers each month. •Maintain physician and nurse practitioner credentialing for hospitals, Medicare, Medicaid and all private insurance companies, as well as maintaining credentialing through CAQH. Show less
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Vidrine Community Clinic
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United States
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Hospitals and Health Care
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Office Manager
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Dec 2002 - Jan 2019
•Served as the office manager for both the Vidrine Community Clinic (Nick LaHaye, MD; Leann Ardoin, NP; and Britney Fontenot, PA) and Southern Urology (Marcellus LaHaye, MD); supervise employees in managing all aspects of both clinics’ daily operations. •Maintain physician, nurse practitioner and physicians assistant credentialing for hospitals, Medicare, Medicaid and all private insurance companies, as well as maintaining credentialing through CAQH. •Process renewals of medical licenses, DEA licenses and CDS licenses for physicians, nurse practitioner and physicians assistant. •Set up electronic funds transfer and file health insurance claims electronically for Medicare, Medicaid, and all private insurance companies. •Interview all potential new hires and train new personnel. •Review and process all insurance claims, ensuring accurate CPT coding and that all appropriate diagnosis are attached. •Review accounts receivable reports monthly to ensure claims are filed within timely filing limits. •Post all insurance payments for Medicare, Medicaid and private insurance payments to patient accounts. •Process clearinghouse rejections and Medicare, Medicaid and private insurance denials, making all needed corrections and re-filing the claims. •Process all requests for medical records, ensuring that HIPPA laws are properly followed. •Generate financial reports for providers each month. •Code hospital surgeries and consultations for Dr. Marcel LaHaye. •Assisted Dr. Marcel LaHaye in transitioning from ownership in the Vidrine Community Clinic to joining a newly formed urology group – Southern Urology. Led the office staff in the implementation of new practice management software, new policies, and the implementation of electronic health records. •Assisted Dr. Nick LaHaye in transitioning the Vidrine Community Clinic from paper to electronic health records. Show less
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Education
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1996 - 1999
McNeese State University
Bachelor's degree, Business Administration and Management, General -
Sacred Heart High School
High School Diploma
Community
