Kathy Burger Email and Phone Number

Revenue Cycle Manager for Home Health and Outpatient therapy.

Expert experience with collection actions including insurance appeals, contacting patients by phone, correcting and resubmitting claims to third-party payers, prepares and submits clean claims to various insurance companies either electronically or by paper or PDF via email/fax, audits and reviews claim payments reports for accuracy and compliance.Posting payments, data entry, insurance processing, A/R, client relations, charge reviews, claim submissions, rejection claim follow and answering phone calls for patients with statement and insurance questions.Maintain payer contracts and CAQH profiles.HIPAA compliance and responsible for training all staff employees.Follow up and reports on the status of delinquent accounts handling collections actions to MD/OwnerVery knowledgable with multiple EMR and electronic billing systems.Maintains up-to-date knowledge of coding and regulatory requirements to accurately assign codes for appropriate reimbursement of healthcare services.

•Multiple specialty payment posting, data entry, insurance processing, A/R, client relations, charge reviews, claim submissions, rejection claim follow up, extensive work with aging reports and answering phone calls for patients with statement and insurance questions•Served as a mentor, defined strategy and business plans for new and existing clients•Worked closely with clients to maintain billing, claim and payment status in order to create a consistent flow of revenue•Review physician notes and obtain necessary clarification where necessary•Follow up with clearinghouses, insurance companies and ensure that all claims are paid in timely manner•Extensive work with Medicare/Medi-Cal and private insurance reimbursement regulations and applications

• Maintain accurate and up to date files, statistical data and records; coordinate the flow of paperwork and check for thoroughness and accuracy.• Schedule meetings, appointments and coordinate travel arrangements for VP’s• Compose letters and other correspondence; compile statistical data to create reports and track information.• Develop and monitor projects and special assignments; assist in data gathering, design and modify work methods, procedures, and forms.

(January 2006 to Sept 2012)● Coordinating and creating a new Speciality practice of medical providers within the foundation. ● Responsible for and business operations coordinating with vendors to have office equipment purchased, installed and training with providers and staff. ● Work with off-site venues such as Hospitals and Surgery Centers, to ensure surgical billing efficiency and professionalism of the highest degree of care for our patients. ● Department point-person for coordinating and leading all logistical operations.

• Responsible for scheduling over 250 patients each month in 2 operating rooms for the Surgery Center-Fremont Procedure Suite. • Obtain all the authorizations for procedures, home health care, and DME products.• Insurance billing and submissions, accounts receivable, patient accounting posting, insurance and patient refunds, aging reports, insurance denials and resubmissions, patient monthly financial statements.• Balancing financial months end, continues efforts to decrease unpaid claims, gathering data reports for Administration. • Assist patients of surgical and clinical claims, home health and DME authorizations, and assisting patients with their accounting questions.• Patient Disability Processor, Professional credentialing of new MD’s requesting privileges to perform surgeries or continue existing privileges.• Manage employees with prioritizing responsibilities, leading multiple teams in operations with brainstorming and initiating to receive positive results fiscally and financially.• Report and problem solve with VP operations financial management regarding, contacts and billing issues in order to receive payment from insurance companies.