Michelle Kirk Email & Phone Number

Emeryville, Ca

• Review outstanding medical bills to validate status. This includes researching claim adjudication if posted on accounts.• Research and allocate payments on claims that were process in error by the insurance company.• Communicate with patients, physicians, insurance companies and other departments to resolve patient accounts.• Administered credit balance for all patients and payors.• Bill and collect physician's claims; contacted payors to facilitate efficient cash collections.• Follow up on outstanding claims over 45 days.• Reconcile accounts using explanation of benefits (EOB) and processed adjustments as needed.• Contact commercial and government payers regarding underpaid and denied claims as well as contacting patients regarding claim issues.• Identify authorization, cash posting, and registration errors on patient accounts and route to the appropriate department for corrections.• Communicate to and advised superiors of amending payor policies due to discovered trending on payment delays and denials.

Parnassus, Ca

• Streamed charges through APex to verify billing charges.• Reviewed and resolved PB and HB billing system edits for the assigned divisions according to their guidelines; examining the clinical documentations ensuring contents are accurate. This includes validation of services and the CPT and ICD 10 codes used.• Coding E/M for Outpatient for four hours daily and assisting in coding Electrophysiology• Collaborated with the Department Administrator and management supervisors regarding trends and patterns andsystemic issues in the billing workflow for their assigned practices.• Served as a liaison between division billing staff providers, billing agents and the Medical Group to resolve billing inquiries (RFI), such as coding, medical records request and charge confirmation.• Reconciled missing charge report (MCR) for outpatient and inpatient services according to guidelines per divisions.• Processed and forwarded all insurance checks to the lockbox for deposit.• Obtained copies of clinical documentation from the electronic medical record, UCARE and retrieving doctor's notes from STOR/DOM electronic archives for charge entry.• Sent reports to the different divisions for missing or pending information on the doctor's notes. • Updated different divisions and providers on missing charges.• Reviewed charges for missing information such as modifiers and referring physicians.• Analyzed trending reports for pending addendum needed for Pulmonary, Endocrinology and Cardiology department.• Reviewed different patterns in the work queue such edits that could delay billing. Reach out to providers and departments for corrections.• Assisted in completing credentialing forms such as CMS enrollment forms for different providers.• Provided support to internal and external cross-functional teams and customers in support of Customer IssueTracking.

Sunnyvale, Ca

• Reviewed, classified and maintained the freight source files on weekly basis such as Inbound/Outbound/Inter-company/Third Party/Service Fees.• Expedite/Regular Contracted reports to be used by the transportation group for carrier reporting, including monthly activity and cost per pound information.• Managed Freight Reporting Database including weekly upload and coordination of enhancements requests and progress tracking.• Analyzed freight rebates and freight accruals to indentify savings for domestic and international.• Monitored freight charge backs to track savings for customers/vendors

San Francisco Bay Area

• Facilitated the Trade Compliance (TC) program for the plants. Implemented policies, procedures and training related to US Customs Regulations.• Partnered up with engineers and US Customs to ensure proper and correct import classification of products is assigned as it relates to its functions and end use systems• Educated engineers on preparing invoices in compliance of US Customs regulations with respect to procurement of new/sample products, tooling.• Audited product classifications and trade program participation to reduce import/export costs.

Hayward, Ca

• Managed the document process for both the inbound and outbound shipments in the international freight department.• Administered air and sea freight ratings for all trade lanes and commodities• Developed and implemented the invoicing process to streamline all billings• Utilized weekly reports to monitor receivables with AS400• Monitored and documented all movement related to international and domestic shipments• Audited Letters of Credit ensuring the agreement between the exporter and importer are precise. Facilitating with the issuing bank ratifying all information is accurate.• Examined invoices for export shipments to Latin America, Middle East, and Dangerous Goods shipments ensuring all requirements are met.• Notarized and/or legalized commercial documents per Letter of Credit requirements.

Bachelor Of Arts - Ba, Business Administration And Management, General

General Education