Kathrina McAllister

3088 Fields Drive

Lithonia, GA 30038
770-323-0169

OBJECTIVE:
Obtain a position where I can utilize my skills and training to further enhance my career.

EXPERICENCE:

Team Lead/Patient Account Representative, 2001-present, HCA Patient Account Services, Norcross, GA
 Assist manager in ensuring all assigned insurance claims are billed/followed up accurate, compliant and timely.
 Provide ongoing training and education to the billing staff.
 Assist and help identify the need for edits in the billing system to address trends in denials for assigned payers.
 Assist manager with training, QA and productivity measuring of the billers.
 Prepare UB92 claim forms for electronic submission and hard copy billing.
 Work all vendors, commercial(Blue Cross, Aetna, work comp, etc) and a government payer (Tricare,
ChampVA, Medicaid, etc) edits from the hospital bill alert reports.
 Research and review errors concerning occurrence codes, revenue codes, CPT/HCPCS/ICD9 and diagnosis
codes for rebilling or reprocessing.
 Verify and enter patient, insurance, and physician information needed to process claims.
 Past Positions: Billing Specialist, Collector, High Dollar Collector
Medical Biller, 1999-2001, Pediatric Services of America, Atlanta, GA
 Prepared and processed HCFA 1500/DME claims for hard copy billing and electronic submission for
commercial and government payers.
 Obtained authorizations and certifications, entered patient demographics and charges.
 Assisted with follow up and resolution of claim problems.

Claims Processor, 1997-2000, American Medical Receivables, Decatur, GA

 Prepared and processed DME claims for electronic and hard copy billing for commercial and government
payers.
 Obtained certifications and authorizations.
 Data entry of charges, ICD9 codes, CPT/HCPCS codes, patient demographics, insurance and doctor
information.

Referral Coordinator/Receptionist, 1998-99, Meridian Medical Group, Norcross, GA

 Customer service, checked patients in/out, collected co-pays, scheduled appointments, verified insurance
benefits, and maintained patient information.
 Prepared referrals, obtained authorizations and applied necessary coding for services rendered.

ACCOMPLISHMENTS:

 Member of American Academy of Professional Coders, 2008

 CPC/Medical Coding, Certificate, 2008 Medical Asset Mgmt, Atlanta, GA
 CPAR Certification, 2002 Atlanta, GA
 Insurance Coding and Billing, Certification 1999 Jolei Medical, Decatur, GA
 Medical Business Technology, Diploma 1994-96 Asher school of Business, Norcross, GA

SKILLS:

 Posting payments, remits/EOBs, hospital and Durable Medical Equipment billing

 Medical terminology (ICD9, CPT, HCPCS codes) and medical computer applications
 Familiar with office machine equipment and computer software (Excel, Microsoft Word)
 Team mentor and team player, able to adapt to new ideas, changes and fast learner
 Excellent customer service and organization skills