Judy Kojetin
Colorado Springs
Summary
Organized Medical Biller thoroughly versed in medical coding and HIPAA requirements. Personable professional with 20 years of hands-on experience claiming refunds, reviewing claims and maintaining billing reports. Accommodating and helpful team player proficient in job-related billing software.
Logical Medical Biller proudly offers over 20 years of experience reviewing accounts and maintaining patient records. Driven professional with background in medical terminology and coding. Recognized task prioritization expertise in fast-paced environments.
Results driven Medical Biller with over 20 years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.
Overview
20
20
years of professional experience
Work History
Medical Billing Specialist
Children's Hospital Colorado
03.2022 - Current
- I have over 5 years of Epic experience.
- I have also worked with Nextgen, LLS, Meditech, Eclinical, AdvancedMD and Athena.
- I work the Cigna accounts and I have extensive experience with appeals and have been doing medical billing for 20 plus years. Children's hospital also has urgent cares offices around the state which we handle the A/R and billing.
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Provided customer service support to patients who had questions about their bills or payments due.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Updated patient accounts with information obtained from internal departments or external sources.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Worked closely with clinical staff to ensure accurate coding practices were followed.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Performed quality assurance audits on submitted claims ensuring that they met industry standards.
Medical Billing Specialist
Panorama Orthopedics & Spine Center
08.2021 - 02.2022
- Looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies
- Follow up with the payer to check on claim status
- Identify denial reason and work on resolution.
Billing Coordinator
Colorado Brain and Spine institute
09.2019 - 08.2021
- Demonstrated appropriate knowledge and proficiency in Revenue Cycle Management Services.
- Analyzed customer accounts to identify discrepancies and resolve billing issues.
- Created and maintained accurate customer records in database system.
- Processed invoices, credit memos, and other financial documents.
- Researched customer account information to respond to inquiries and resolve disputes.
- Generated detailed reports on billing activity for management review.
- Coordinated with sales team to ensure accurate billing of customers.
- Developed strategies to reduce discrepancies in the billing process.
- Provided support for internal departments regarding billing inquiries.
- Maintained up-to-date knowledge of all applicable laws related to billing activities.
- Reviewed past due accounts and contacted customers for payment arrangements.
- Assisted with month end closing procedures related to accounts receivable activities.
- Reconciled accounts receivable ledger against general ledger entries.
- Conducted research and analysis of current billings policies and procedures, making recommendations as needed for improvement or changes.
- Responded promptly to customer inquiries concerning services, bills, payments.
Medical Billing Specialist
podiatry associates
12.2018 - 07.2019
- Managed appeals and follow-up with different carriers.
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Provided customer service support to patients who had questions about their bills or payments due.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Processed credit card payments from patients in accordance with office policy.
- Worked closely with clinical staff to ensure accurate coding practices were followed.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Performed quality assurance audits on submitted claims ensuring that they met industry standards.
Billing and Collections Coordinator
MAPS-Diversified Radiology
05.2017 - 12.2018
- Oversees registration, patient insurance, billing and collections.
CREDIT BALANCE ANALYST
Amerita
09.2016 - 05.2017
- I work towards company goals for credit balance levels, cash collections and A/R over 90 days.
- Analyzed customer credit balances to identify discrepancies and errors.
- Created reports for customers to review their current balance status.
- Reviewed accounts receivable aging summary reports to ensure accuracy of data.
- Identified and reconciled differences between internal records and bank statements.
- Maintained accurate records of all financial transactions in the general ledger system.
- Investigated customer payment histories, account activities, and other related information.
- Assisted with monthly close process by validating credit card payments against bank statements.
Medical Billing/collections Specialist
Salt Lake Orthopaedic Clinic
10.2015 - 08.2016
- Checked doctor list each day to make sure all patients information is current and see if referral/authorization are required.
Federal Employee Program CSR
BCBS of MT
04.2010 - 09.2015
- Handle customer inquiries, complaints, benefit questions and explain in detail why a provider claim paid in a certain manner.
- Identified customer needs and provided appropriate solutions.
- Handled customer inquiries and complaints in a timely manner.
- Provided customer service support to customers over the phone and by email.
- Processed orders, forms, applications, and requests.
- Followed up with customers to ensure their satisfaction.
- Maintained records of customer interactions, transactions, comments, and complaints.
- Gathered feedback from customers regarding products and services.
OUTPATIENT CHARGE CAPTURE
Benefis Health System
04.2004 - 03.2010
- Demonstrated appropriate knowledge and proficiency in Revenue Cycle Management Services.
- Developed and maintained charge capture processes for accurate billing.
- Analyzed patient records to ensure accuracy of charges billed.
- Reviewed daily reports of all service encounters to identify discrepancies in charge capture activities.
- Performed quality assurance reviews of charge data to ensure accuracy of information entered into system.
- Resolved any errors or issues with billing codes, modifiers, or other related information prior to submission.
- Coordinated with medical coders and physicians to resolve questions regarding correct diagnosis and procedure code selection.
Education
Associate's - General Studies
Career Step
Provo, UT02.2014
college in General Studies -
National american college
Sioux Falls, SD08.1996
Skills
- NATIONAL AMERICAN COLLEGE
- GPA: 38
- Completed coursework towards generals (Aug 1996)
- 20 Years medical billing experience
- Self-starter
- (2013)
- CAREER STEP
- Provo, UT
- Medical billing coding (Feb 2014)
- Relevant Coursework
- Medical Billing and Coding online course
- CPT knowledge (10 years)
- ICD 9 and ICD 10 knowledge
- Customer service (10 years)
- Medical billing (10 years)
- Information Security
- Medical Collection (10 years)
- EMR Systems (10 years)
- Accounts Receivable (10 years)
- Insurance Verification (10 years)
- Medical Records
- Medical Office Experience
- HIPAA
- Microsoft Excel
- Clerical Experience
- Medical Terminology
- Journal Entries
- Bill Payment
- EMR Software Applications Proficiency
- Files and Records Management
- Quality-Oriented Team Player
- Accounts Payable
- Clerical Support
- Claims Processing
- Teamwork and Collaboration
- Account Reconciliation
- Commercial and Private Insurance
- Multitasking and Organization
- Billing and Collection Procedures
- Claims Review
- HIPAA Compliance Certification
- Billing Codes
- Patient Collections
- Electronic Claims
- Claim Review
- Medical Record Security
- CMS-1500 Billing Forms
- Medical Coding Understanding
- Insurance Claims Processing
- Payer Contracts
Timeline
Medical Billing Specialist
Children's Hospital Colorado
03.2022 - Current
Medical Billing Specialist
Panorama Orthopedics & Spine Center
08.2021 - 02.2022
Billing Coordinator
Colorado Brain and Spine institute
09.2019 - 08.2021
Medical Billing Specialist
podiatry associates
12.2018 - 07.2019
Billing and Collections Coordinator
MAPS-Diversified Radiology
05.2017 - 12.2018
CREDIT BALANCE ANALYST
Amerita
09.2016 - 05.2017
Medical Billing/collections Specialist
Salt Lake Orthopaedic Clinic
10.2015 - 08.2016
Federal Employee Program CSR
BCBS of MT
04.2010 - 09.2015
OUTPATIENT CHARGE CAPTURE
Benefis Health System
04.2004 - 03.2010
Associate's - General Studies
Career Step
college in General Studies -
National american college
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