Keisha Hammond
Saint Pauls,NC
Summary
Motivated and reliable professional with extensive customer service and sales experience, seeking to bring skills and knowledge to excel in the medical industry.
Skilled billing professional with expertise in medical billing and coding, financial reconciliation, and claims management. Known for fostering team collaboration and adapting seamlessly to changing needs. Strong analytical skills, attention to detail, and results-driven approach ensure accuracy and efficiency in all billing processes.
Diligent billing associate with extensive experience in billing and revenue cycle management. Coordinated billing processes to ensure accurate and timely submissions, leading to improved cash flow and reduced claim denials. Demonstrated proficiency in medical coding and patient account management.
Efficient billing professional with 10 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Lead Biller/Assistant Manager
Kidzcare Pediatrics
Fayetteville, NC
10.2022 - Current
- Helped train billers to develop their skills, fostering cooperative and productive work environment.
- Served as "go to" person on billing systems, providing technical support and guidance to colleagues when needed.
- Assisted in financial reporting by providing accurate and timely data on billing activities for management review.
- Improved billing accuracy by meticulously looking at claims before they're submitted for payment.
- Responded to patient and employee concerns and questions on daily basis.
- Used data entry skills to accurately document and input necessary information for claims processing.
- Handled account payments and provided information regarding outstanding balances.
- Audited and corrected billing and posting documents for accuracy.
- Utilized various software programs to process customer payments.
- Generated monthly billing and posting reports for management review.
- Processed payment via telephone with focus on accuracy and efficiency.
- Receive and process Insurance and patient payments on daily basis.
- Kept patient files accurate and up-to-date to expedite payment processing.
- Supervised day-to-day operations to meet performance, quality and service expectations.
- Collaborated with the management team to develop strategic plans for growth and improvement within the department as well as the company,.
- Coached/trained new employees, ensuring accuracy in the claims process and quicker adaptation to their roles.
Insurance Administrator/biller
Kidzcare Pediatrics
Fayetteville, North Carolina
02.2016 - Current
- Use the computer to enter patient's demographics, insurance, and payment information
- Utilize ICD-10 and CPT codes, edit claims and send statements for billing purposes
- Review and submit denied claims using CMS-1500 claim forms electronically
- Answer the phone, handle patient billing issues, and verify insurance
- Collect co-pays and deductibles when taking over the phone payments and file and/or fax claim and payment information to insurance companies to ensure payment
Insurance Administrator/biller
Royal Chiropractic Center
Fayetteville, North Carolina
05.2015 - 02.2016
- Use computer to enter patient's demographics, insurance, and payment information
- Utilize ICD-9 and CPT codes, enter charges, and send statements for billing purposes
- Review and submit denied claims using CMS-1500 claim forms electronically
- Answer phone, schedule appointments, and verify insurance
- Collect co-pays and deductibles when assisting front office and file, fax, and scan medical records
Sales Clerk / Customer Service Associate
Sears Holding Corp
04.2010 - 08.2013
- Acknowledged and provided assistance to customers; located merchandise and answered questions quickly and accurately
- Coordinated with leaders and fellow associates for preparation and placement of merchandise
- Processed transactions utilizing point of sale computer system
Cafeteria Assistant
Public Schools of Robeson County
02.2004 - 01.2010
- Performed skilled tasks necessary for preparation of meals in the cafeteria
- Operated standard commercial kitchen equipment
- Met all standards of local, state, and federal health and safety regulations
Education
Associates - Healthcare Technology & Systems
Ultimate Medical Academy
01.2015
Medical Billing and Coding Associate in Science Degree - Billing and Coding
Ultimate Medical Academy
01.2014
Diploma - Medical Billing and Coding
Ultimate Medical Academy
01.2013
Skills
- Medical Billing
- Medical Coding
- Healthcare Technology
- ICD-9-CM
- HCPCS
- CPT
- Introduction to ICD-10-CM
- Electronic Health Records (EHR)
- Electronic Medical Records (EMR)
- Greenway
- CMS 1500
- CMS 1450 (UB-04)
- EOBs
- Payment Posting
- Co-Payments
- Insurance Claim Processing
- HIPAA Compliance
- Medical Terminology
- Tricare
- Third-Party Payers
- Government Payers
- Medicaid
- Data Security
- Workflow Analysis
- Electronic Document Management Systems (EDMS)
- Clinical Decisions Support Systems (CDS)
- Computerized Physician Order Entry Systems (CPOE)
- Accurate data entry
- Training and mentoring
- Adherence to deadlines
- Insurance verification mastery
- Excellent organizational skills
- Teamwork
- Customer service
- Problem-solving
- Multitasking
- Reliability
- Effective communication
- Professional communication
- Paperwork and documentation
- Microsoft office
- Record keeping
Certification
- Medicare Fraud and Abuse: Prevention, Detection, and Reporting
- CMS Form1500
- Uniform Billing (UB) - 04
- World of Medicare
Hobbies and Interests
Member and Vice President of the Lumber Bridge Volunteer Fire Department Ladies Auxiliary.
Timeline
Lead Biller/Assistant Manager
Kidzcare Pediatrics
10.2022 - Current
Insurance Administrator/biller
Kidzcare Pediatrics
02.2016 - Current
Insurance Administrator/biller
Royal Chiropractic Center
05.2015 - 02.2016
Sales Clerk / Customer Service Associate
Sears Holding Corp
04.2010 - 08.2013
Cafeteria Assistant
Public Schools of Robeson County
02.2004 - 01.2010
Associates - Healthcare Technology & Systems
Ultimate Medical Academy
Medical Billing and Coding Associate in Science Degree - Billing and Coding
Ultimate Medical Academy
Diploma - Medical Billing and Coding
Ultimate Medical Academy
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