Kimberly Wiggins

Attentive and detail-oriented Medical Assistant/Office Assistant with over 20 years of clinical experience and 3 years of Medical Billing. I have experience in both administrative and clinical duties and a true passion for helping people in the health profession.

Willing to relocate to: Middletown, DE - Bel Air, MD

Medical Biller/Post Payment Specialist at QMACS (2025-06 – Present)

• Worked Open Negotiations for an out of network emergency facility and providers under the No Surprise Act.
• Resolved disputes, adjusted accounts

Medical Biller/Accounts Receivable at Ideal Option (2022-09 – 2023-06)

• Familiar with all insurance plans, ie Medicaid, Medicare, most third party insurances.
• Utilized time-management skills
• Comprehensive knowledge of the billing cycle
• Effective communication with insurances, patients, providers.
• Prior Authorizations
• Payment Posting

Medical Biller at Wellspring Clinic (2021-08 – 2022-08)

• Accounts Receivable
• Managing insurance and patient billing
• Payment posting
• Insurance eligibility
• Electronic claims
• Communicate with insurance companies
• Denials/rejections
• Reconciliation
• Credentialing of providers
• Prior Authorizations
• Workman's Comp/MVA

Medical Assistant at Thornton Plastic Surgery (2021-03 – 2021-08)

• EHR
• Supported 1 clinicians
• Roomed patients
• Measured vital signs
• Prepared charts
• Assisted in surgeries/procedures
• Assisted in wound care
• Prior Authorizations
• Insurance eligibility
• Scheduled appointments

Patient Service Representative at United Medical Clinic (2019-03 – 2021-03)

• Answer all incoming calls(30-50 per day)
• Perform follow calls
• Schedule appts
• Verify insurance eligibility and benefits
• Efficiently navigate several different healthcare databases
• Maintain knowledge of the ever changing insurance requirements, Medicare and Medicaid
• Prior Authorizations
• Triage patients

Medical Assistant at Susquehanna OB/Gyn (2015-03 – 2017-09)

• Verify patient eligibility, claim status with insurance agencies.
• Assisted in minor procedures
• Measured accurate vital signs
• Performed numerous administrative duties
• Contacted patients for appointment reminders
• Recorded patient history
• Updated care plans
• Assisted with charting
• Cleaned patient rooms

Medical Assistant at Susquehanna OB (2007-07 – 2014-12)

Responsibilities included preparation of exam rooms, obtaining patients medical records, taking patients vital signs, documenting patient's medical history, assisting with medical exams, reviewing medical charts, administering of medications, and assisting in minor in office procedures.

• Triaging patients, wound care, obtaining prior authorizations for medications, procedures.
• Verified patient eligibility and claim status with insurance agencies.

Certificates (High school or equivalent) – Cecil Community College (1995)