Kayla Warthen
Graniteville
Summary
Efficient Medical Biller known for exceptional productivity and task completion speed. Skilled in medical coding, insurance verification, and claim processing. Excel in time management, problem-solving, and adaptability to ensure smooth billing operations and patient satisfaction. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
15
15
years of professional experience
Work History
Medical Biller
Augusta Oncology Associates
Augusta
06.2024 - Current
- Monitored past due accounts and pursued collections on outstanding invoices.
- Generated reports in order to track payments due from insurance companies or other third party payers.
- Executed account updates and noted account information in company data systems.
- Checked claims coding for accuracy with ICD-10 standards.
- Submitted appeals using provider portals and phone communication.
- Maintained accurate records of all billing activity in accordance with departmental standards.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Handled billing, waivers and claims for private and commercial clients.
- Applied HIPAA privacy and security regulations while handling patient information.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Collaborated with managers to develop strategies for improving revenue cycle processes.
- Reviewed legal claims for accuracy and issues.
- Submitted electronic claims to various insurance carriers.
- Reviewed claims for coding accuracy.
- Completed and submitted appeals for denied claims.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Answered customer questions to maintain high satisfaction levels.
- Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
- Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
Lead Medical Biller And Payment Poster
CDR Maguire
Augusta
09.2020 - 05.2024
- Maintained updated knowledge through continuing education and advanced training.
- Submitted appeals using provider portals and phone communication.
- Maintained accurate records of all billing activity in accordance with departmental standards.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Generated and distributed month-end statements for customers and resolved related concerns.
- Ensured compliance with HIPAA guidelines when handling confidential patient information.
- Managed all payments processing, invoicing and collections tasks.
- Applied HIPAA privacy and security regulations while handling patient information.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
- Collaborated with managers to develop strategies for improving revenue cycle processes.
- Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
- Assisted in developing and updating accounts receivable procedures.
- Managed timely invoicing of clients and ensured accurate billing details.
- Maintained accounting ledgers by verifying and posting account transactions.
- Created receiving reports and updated vendor balance sheets to record accounts payable.
- Checked claims coding for accuracy with ICD-10 standards.
Traveling Manager
Circle K
Augusta
10.2019 - 01.2021
- Managed daily banking activities such as deposits and withdrawals.
- Updated POS system with new products and promotional offers.
- Improved productivity initiatives, managing budgets and accounts, coordinating itinerary and scheduling appointments.
- Delegated work to staff, setting priorities and goals.
- Reviewed customer feedback to make operational improvements and promote satisfaction.
- Monitored inventory levels and placed orders to restock shelves.
- Exceeded team goals and resolved issues by sharing and implementing customer service initiatives.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
- Completed thorough opening, closing, and shift change functions to maintain operational standards each day.
- Managed inventory tracking and physical inventory counts to minimize loss.
- Updated and maintained store signage and displays.
- Delivered excellent customer service and adhered to standard practices to maximize sales and minimize shrinkage.
- Established customer service standards and monitored staff compliance.
- Recruited, trained and supervised new employees.
- Maintained accurate records of employee performance reviews.
- Resolved customer complaints in a timely manner.
- Prepared staff work schedules and assigned team members to specific duties.
- Managed payroll for temporary, hourly and salaried employees.
Store Manager
Dollar General
Warrenton
08.2010 - 10.2019
- Managed daily banking activities such as deposits and withdrawals.
- Trained and mentored associates to teach daily tasks and procedures.
- Updated POS system with new products and promotional offers.
- Established customer service standards and monitored staff compliance.
- Oversaw inventory management through cycle counts, audits and shrinkage control.
- Established store tactics and strategies to achieve operational performance and sales goals.
- Prepared monthly reports on sales figures, expenses, profits.
- Recruited, trained and supervised new employees.
- Maintained accurate records of employee performance reviews.
- Conducted daily store operations, including opening and closing procedures and cash handling.
- Updated and maintained store signage and displays.
- Appraised inventory levels on frequent basis, ordering new merchandise to keep quantities well-stocked.
- Strengthened work flow productivity by hiring, managing and developing top talent.
- Completed day-to-day duties accurately and efficiently.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Managed payroll for temporary, hourly and salaried employees.
- Developed processes for streamlining the workflow associated with payroll operations.
Education
Associate in Medical Billing And Coding - Medical Billing And Coding
Miller Motte Technical College
Augusta, GA09-2020
Veterinarian Technician - Veterinary Science
Animal Behavior College
Valencia, CA08-2012
High School Diploma -
Georgia Military Prep School
Milledgeville, GA05-2010
Skills
- Claims processing
- ICD-10
- Billing software
- Revenue cycle management
- Data analysis
- Payment collection
- Expert in Microsoft Word
- Expert in Excel
- Budget planning
- Availity
- Spot
- Adobe
- Microsoft PowerPoint
- Cpt-Coding
- Payroll
- Insurance
- Customer communication
- Accounts receivable
- Insurance verification
- Written communication
- Critical thinking
- Reimbursements
- Medical terminology
- Correspondence
- Active listening
- Decision-making
- Patient billing
- Billing and collection procedures
- Commercial and private insurance
- Scheduling
- Insurance Benefits
- Problem solving
Languages
English
Professional
References
References available upon request.
Timeline
Medical Biller
Augusta Oncology Associates
06.2024 - Current
Lead Medical Biller And Payment Poster
CDR Maguire
09.2020 - 05.2024
Traveling Manager
Circle K
10.2019 - 01.2021
Store Manager
Dollar General
08.2010 - 10.2019
Associate in Medical Billing And Coding - Medical Billing And Coding
Miller Motte Technical College
Veterinarian Technician - Veterinary Science
Animal Behavior College
High School Diploma -
Georgia Military Prep School