Resume of Qualifications for Denise Klimers
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Responsible for follow-up on Internal Medicine, Family Practice, Pediatric, Behavioral Health, Physical Therapy, and OB/GYN claims. Contacted insurance companies regarding claim status and denials. Researched and resolved claim errors and denials in electronic work files, and resubmitted them electronically.
Researched insurance company payment and reimbursement policies to remain current on coding and billing policies to assure proper payment. Submitted appeals and reconsiderations to insurance companies. Posted insurance payments electronically and manually.
Reviewed and updated ICD10 Diagnosis codes, CPT Codes and Modifiers. Worked on the EPIC Computer System.
Billing Specialist - Gerald L.
Center - Milwaukee, WI
(2021-09)
Responsible for follow-up on Internal Medicine, Family Practice, Pediatric, Behavioral Health, Physical Therapy, and OB/GYN claims. Contacted insurance companies regarding claim status and denials. Researched and resolved claim errors and denials in electronic work files, and resubmitted them electronically.
Researched insurance company payment and reimbursement policies to remain current on coding and billing policies to assure proper payment. Submitted appeals and reconsiderations to insurance companies. Posted insurance payments electronically and manually.
Reviewed and updated ICD10 Diagnosis codes, CPT Codes and Modifiers. Worked on the EPIC Computer System.
Patient Account Representative - Blount Orthopaedic Associates - Glendale, WI
(2017-10 - 2021-08)
Posted insurance payments. Identified improper denials, and discounts by insurance companies. Responsible for insurance follow-up. Inquired on outstanding claims, re-billed or supplied necessary to insurance carriers.
Prepared appeals to collect the proper payment from insurance companies. Researched insurance company payment and reimbursement policies to remain current on coding and billing policies to assure proper payments. Processed patient and insurance refunds.
Provided customer services to patients regarding billing issues. Collected patient balances, set-up payment plans according to office policy. Worked on the GE Centricity Program.
Patient Account Representative - Physicians Accounting LTD - Brookfield, WI
(2016-03 - 2017-09)
Responsible for insurance follow-up on anesthesia claims. Reviewed claim for the correct insurance reimbursement. Verified the correct insurance contract rates were applied. Followed-up on denials. Researched and obtained the necessary information to get the claims paid.
Submitted appeals to Insurance companies. Reviewed accounts to determine if current or past due. Contacted patients to discuss payment options. Referred delinquent accounts to the collection agency. Worked on the PHYGENYSIS Computer Program.
General Mathematics - Mohave Valley Community College Bullhead City, AZ
General Studies for Graduation - Billing and Recordkeeping Management - Greenfield High School Greenfield, WI
