Katherine Perry
Torrance
Summary
Experienced Office Management and Administration Professional experienced optimizing productivity, efficiency and service quality across various environments. Highly dependable, ethical and reliable support specialist and leader that blends advanced organizational, technical and business acumen. Works effectively with cross-functional teams in ensuring operational and service excellence.
Overview
38
38
years of professional experience
Work History
Patient Account Representative
Conifer Healthcare Solutions
10.2022 - Current
- Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
- Electronically submitted bills according to compliance guidelines.
- Collaborated with the medical staff to ensure proper documentation and coding for accurate billing.
- Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
- Researched billing errors and discrepancies to initiate corrective action.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
- Accomplished multiple tasks within established timeframes.
- Cross-trained existing employees to maximize team agility and performance.
- Achieved departmental goals by developing and executing strategic plans and performance metrics.
- Defined clear targets and objectives and communicated to other team members.
- Ensured compliance with HIPAA regulations when handling sensitive patient information, protecting client privacy at all times.
- Expanded knowledge on medical terminology and insurance policies through continuous learning initiatives, enhancing accuracy in communication with clients.
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
Medical Office Manager
1st Stop Urgent Care & Family Practice Torrance
01.2017 - 05.2022
- Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing and accounts receivable.
- Developed close working relationships with front office and back office staff.
- Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
- Consulted with healthcare professionals on business decisions.
- Oversaw account receivable, accounts payable, billing on a daily basis
- Built relationships with physicians to create steady referral pipeline.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Determined prior authorizations for medication and outpatient procedures.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Evaluated patients' financial status and established appropriate payment plan.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Adhered to established standards to safeguard patients' health information.
- Liaised between patients, insurance companies and billing office.
- Set up and maintained new electronic billing system.
Medical Billing Specialist
Hala Koudsi MD., Dermatology
07.1999 - 01.2017
- Reviewed billing problems, researched issues and resolved concerns.
- Worked with customers to develop payment plans and bring accounts up to date.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Located errors and promptly refiled rejected claims.
- Posted and adjusted payments from insurance companies.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Precisely evaluated and verified benefits and eligibility.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Determined prior authorizations for medication and outpatient procedures.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Delivered timely and accurate charge submissions.
- Posted payments and collections on regular basis.
- Filed and updated patient information and medical records.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Adhered to established standards to safeguard patients' health information.
Medical Billing Specialist
MEDAC
09.1997 - 07.1999
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Precisely evaluated and verified benefits and eligibility.
- Identified and resolved patient billing and payment issues.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Set up and maintained new electronic billing system.
- Liaised between patients, insurance companies and billing office.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Filed and updated patient information and medical records.
- Posted payments and collections on regular basis.
- Delivered timely and accurate charge submissions.
- Evaluated patients' financial status and established appropriate payment plans.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Communicated effectively and extensively with other departments to resolve claims issues.
Abstractor
Harbor UCLA Medical Center, LADHS
02.1987 - 07.1997
- Maintained patient confidence by keeping patient records information confidential.
- Processed medical records requests from outside providers according to facility, state and federal law.
- Reviewed charts and flagged incomplete or inaccurate information.
- Gathered patient information by collecting demographic information from variety of sources.
- Maintained historical reference by abstracting and coding clinical data such as diseases, operations, procedures and therapies with standard classification systems.
- Input data into computer programs and filing systems.
- Utilized [Software] to manage and confirm patient data, such as insurance, demographic and medical history information.
- Used correct diagnosis-related groups based on patient encounter details.
- Posted billings to medical insurance providers.
- Compiled, abstracted and coded patient data using classification manuals and standard systems.
- Communicated effectively with staff, patients and insurance companies by email and telephone.
Education
Master of Arts - Health Care Administration
University of La Verne
La Verne, CA05-2026
Bachelor of Arts - Business Administration And Management
University of La Verne
La Verne, CA05-2024
Skills
- Medical Billing and Collections
- Cash Flow and Reconciliation
- Office Supplies and Inventory
- Biweekly Payroll Processing
- Contracts and Vendor Agreements
- Managing Appointments
- Collecting Statements
- Meeting Coordination and Support
- Policy and Procedure Modification
- Staff Training
- Office Management
Timeline
Patient Account Representative
Conifer Healthcare Solutions
10.2022 - Current
Medical Office Manager
1st Stop Urgent Care & Family Practice Torrance
01.2017 - 05.2022
Medical Billing Specialist
Hala Koudsi MD., Dermatology
07.1999 - 01.2017
Medical Billing Specialist
MEDAC
09.1997 - 07.1999
Abstractor
Harbor UCLA Medical Center, LADHS
02.1987 - 07.1997
Master of Arts - Health Care Administration
University of La Verne
Bachelor of Arts - Business Administration And Management
University of La Verne
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