Kimberly M.

Contractor at The Salem Group
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Contact Information
us****@****om
(386) 825-5501
Location
Greater Chicago Area

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Experience

    • United States
    • Staffing and Recruiting
    • 1 - 100 Employee
    • Contractor
      • Feb 2014 - Present

      Contract - University of IL Medical Ctr • Supervised a special project that identified potential, collectible, aged revenue, and collectible insurance payments due to underpayments, denials, and errors for multiple payers. Follow-up,re- billing, collection, and adjustment activity when applicable. • Medicare Bad Debt and Credit Balance projects • All other duties as assigned, including reporting staff productivity, timesheets, and training. Contract - University of IL Medical Ctr • Supervised a special project that identified potential, collectible, aged revenue, and collectible insurance payments due to underpayments, denials, and errors for multiple payers. Follow-up,re- billing, collection, and adjustment activity when applicable. • Medicare Bad Debt and Credit Balance projects • All other duties as assigned, including reporting staff productivity, timesheets, and training.

  • Ajilon; Addison Group
    • Greater Chicago Area
    • Contractor
      • Jan 2011 - Oct 2013

      Contract – Vyridian Revenue Management July 2013-Sep 2013 • Contracted on a cash acceleration project to follow up, rebill, and collect on physician claims for cardiology, emergency room, and internal medicine services for government and non-government payers. Contract – Northwestern Memorial Hospital, Chicago, IL May 2012-July 2013 • Contracted to audit claims placed in a bill hold due to missing or incorrect ICD-9 codes; obtained billable ICD-9 code(s) from physicians’ office, initiated insurance verification, registration, and rebill process. • Reviewed Electronic Medical/Health Records Epic Resolute to obtain medical information for registration and pre-billing. • Worked Charge Entry Edit batch reports and processed electronic medical record results in PathNet Lab. Show less

    • Contractor
      • Oct 2010 - Dec 2010

      • Contracted to work for hospitals to improve Revenue Cycle solutions through collections, billing, and assessments of Managed Care, self-pay, and bad debt accounts. • Contracted to work for hospitals to improve Revenue Cycle solutions through collections, billing, and assessments of Managed Care, self-pay, and bad debt accounts.

    • United States
    • Financial Services
    • 200 - 300 Employee
    • Network Accounting Manager
      • Sep 2008 - Mar 2010

      • Established a credit, collection, and invoicing policy in order to recover and monitor the aged accounts receivable. • Provided a monthly accounting of the aged receivables, tracked cash collected, placed collection calls and emails. Achievements: • Successfully collected over $300,000 that was due to be written off the books. • Established a credit, collection, and invoicing policy in order to recover and monitor the aged accounts receivable. • Provided a monthly accounting of the aged receivables, tracked cash collected, placed collection calls and emails. Achievements: • Successfully collected over $300,000 that was due to be written off the books.

    • United States
    • Hospitals and Health Care
    • 1 - 100 Employee
    • Manager, Revenue Cycle
      • Jun 2006 - Apr 2007

      • Contributed to compliance and risk assessments of healthcare facilities to ensure that federal and state guidelines were upheld. • Performed internet research and data compilation activities as they related to litigation support and expert witness engagements. • Worked with management team on Revenue Cycle projects (Denials Management, POS Collections, etc.) to reduce denials and A/R days outstanding and improve cash flow and best practices. Achievements: • Worked to build the company brand by creating sell sheets to market revenue cycle services to potential and existing clients. Show less

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Central Business Office Manager
      • Nov 2004 - May 2006

      • Managed the staff and performed the day to day billing, collections, bank reconciliations/deposits, cash posting, refunds, bad debt write-offs and patient registration functions for both departments of these for-profit Sarbanes-Oxley compliant facilities. • Processed the charge entry, charge capture/master and corrections and daily and month-end Business Office close processes on Meditech’s B A/R menu; performed monthly chart audits with clinical departments. • Rebilled, collected, and resolved all problematic, denied, high dollar accounts and A/R over 270 days. • Provided management with financial and billing reports of the A/R. • Reviewed EOBs and vouchers to ensure that proper reimbursement was received. • Conducted employee evaluations, provided employee training, and information on industry updates; met routinely with staff to discuss issues and departmental plans. Responsible for hiring, disciplining, and terminating employees. • Ensured that Business Office was compliant with the CFO’s Sarbanes-Oxley checklist and CMS’ Corporate Integrity Agreement. Achievements: • .Exceeded cash collection goals every quarter since November 2004. • Reorganized an office whose processes and systems had previously been neglected for over a year. Show less

    • Project Supervisor
      • Nov 1994 - Oct 2004

      • Managed the aged A/R for Multi-Practice Physician Groups and Hospitals for the recovery and reduction of the outstanding A/R; provided consultations on corrective measures to increase collection activity and reduce the aged A/R. • Traveled locally and nationally to bill Medicare, Medicaid, Managed Care, Commercial, Workers Comp and Liability claims. • Performed annual and ad hoc quality reviews of staff‘s work and productivity; provided feed back, training, and corrective actions to staff; provided information on industry updates and certifications. • Compiled weekly and month-end financial narrative reports to detail progress toward established goals and provide recommendations for external clients. • Maintained and initiated policies related to quality, workflow processes, compliance, and client satisfaction. Achievements: • Developed cross training program between staff to ensure completion of assigned duties during changes in staffing levels. • Successfully collected over 18.3 million dollars with a total receivable placement of 24 million dollars; reduced assigned A/R by 90% by the end of the 3 year project which originated as a 90 day cash acceleration engagement. Show less

    • Registrar II
      • Feb 1992 - Oct 1994

      • Scheduled follow-up appointments for patients with the clinic physicians and ancillary departments and facilities; obtained required referrals and authorizations and medical records • Responsible for entering daily facility charges and patient registrations into the hospital system for clinical services • Reviewed/previewed physicians’ charge tickets/super bills to ensure proper completion • Scheduled follow-up appointments for patients with the clinic physicians and ancillary departments and facilities; obtained required referrals and authorizations and medical records • Responsible for entering daily facility charges and patient registrations into the hospital system for clinical services • Reviewed/previewed physicians’ charge tickets/super bills to ensure proper completion

Education

  • DePaul University
    Bachelor of Science (B.S.), Business Administration and Management, General

Community

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