Kimberly Benoit Email & Phone Number

Cohoes, Ny, Us

Upstate/Central Ny

Assist Providers in resolving complex coverage and reimbursement issues that may create barriers to access for patient therapies. The Field Reimbursement Manager works with local Medicare and Medicaid carriers to ensure access to company products, monitors national and local health care policies, develops relationships and provides direct support to prescribing physicians and support staff regarding reimbursement, coding, and patient access issues.

Albany, Ny

~Analyze/implement hospital system program changes to 837I/837P electronic & paper billing claim forms.~Provide support to leadership in analyzing data sets within receivables and implement workflow process, updates, or change.~Support Billing systems update release, testing and implementation.~Apply Medicaid APG billing methodologies to claim programs.~Electronic processing of Capitation Payments~Prepare NYS SPARC data submissions~Analyze/maintain all coding/billing form programs to ensure compliant and accurate reimbursement from insurance.~Supported daily operations and system maintenance procedures.~Created manuals and training guidelines for staff education.~Trained end-users on billing systems, facilitating a smooth transition during software rollouts and new hire orientation.~Maintained detailed documentation of application updates and changes to facilitate efficient troubleshooting processes when required.~Managed multiple projects simultaneously, ensuring timely completion and adherence to established guidelines.

OAS Gold (Siemens database)Page Center Plus

Cohoes, Ny

~Responsible for various tasks associated to the management/direct reporting responsibilities of 12 Patient Account/Billing Associates.~Management of physician A/R and collections of outstanding government and commercial insurances for 12 hospital based provider offices including Oncology and OB/GYN.~Onboarded new employees with training and new hire documentation.~Educational support and training on authorization and denial appeal procedures.~Cross-trained existing employees to maximize team agility and performance. ~Providing education on commercial insurance billing policies, contracts, and regulations.~Analyze Medicare/Medicaid government billing regulations and apply programming to Meditech billing software for accurate claim submission.~Coverage and benefits inquiry determinations for facility and professional reimbursement.~Collaborate with insurance representatives to correct and appeal coding error/denials.~Stay current and active in monitoring Medicare and Medicaid policies and reimbursement methods.~Maintain all billing claim forms for hospital APC/APG billing for UB04 and CMS 1500 billing forms.~Supported and motivated employees to be productive and engaged in work.

Bachelor Healthcare Administration, Health/Health Care Administration/Management

High School

Legal Assistant/Paralegal