Kimberly Merryman
Gwynn Oak
Summary
Dedicated healthcare professional with extensive experience in delivering exceptional patient care and ensuring regulatory compliance. Proven ability to foster strong relationships with patients, families, and medical teams through effective communication and empathy. Demonstrates adaptability in high-pressure environments while consistently maintaining organized practices that align with organizational goals. Career aspirations include further enhancing patient care quality and contributing to a collaborative healthcare team.
Overview
9
9
years of professional experience
Work History
Financial Eligibility Specialist
Chase Brexton Health Care
Windsor Mill
05.2023 - Current
- The Financial Eligibility Specialist is responsible for determining applicant eligibility for third-party reimbursement, processing data necessary for admitting new patients into health services, ensuring proper coding for insurance billing, and handling inquiries from prospective applicants and patients
- They are also responsible for discussing Chase Brexton billing and addressing questions related to Sliding Fee charges
- Reviewed applications for eligibility and determined whether applicants met the criteria to receive benefits.
- Maintained confidential patient documentation to prevent data compromise and comply with HIPAA regulations.
- Assisted clients with completing forms required for processing applications.
- Gathered financial information from clients regarding income, assets and debts.
Financial Coordinator- Department of Neurology
Sinai Hospital of Baltimore
Baltimore
12.2021 - 05.2023
- Verifies benefit coverage to determine patient financial liability
- Communicates, via Telephone, patient financial responsibility
- Review patient encounter forms for accuracy and completeness
- Works with the Professional Billing Office to provide attachments and supporting documentation required to process claims
- Provides documentation requested by third-party payers to enhance reimbursement opportunities
- Handles Referral Management and assesses forms and paperwork flow utilization to ensure streamlined functions
- Follows up on outstanding referrals and obtains necessary authorizations
Financial Coordinator- Pediatric Division
Sinai Hospital of Baltimore
Baltimore
12.2015 - 08.2020
- Coordinates daily billing activities in multiple departments
- Maintains consistent workflow of billing activities, and serves as a liaison between the billing office, physicians, and third-party payers
- Performs charge entry functions to optimize revenue enhancement
- Collaborates with intradepartmental administration, and physicians to establish policies and procedures
- Verifies benefit coverage to determine patient financial liability, and establishes payment plans when needed
- Supervises and delegates assignment of work, and participates in performance appraisals, according to established departmental procedures
- Responsible for charge entry and subsequent collections for all services provided
- Ensures that financial batches balance at the end of the day with BAR functions, according to established policies and procedures
- Prepares deposits daily and performs reconciliation functions when needed
- Reviews and resolves missing charge reports and claims manager reports
Education
Certified Application Counselor - Application Counselor
Maryland Health Benefit Exchange
09-2023
Medical Billing and Coding - Medical Billing And Coding
Towson University
Baltimore, MD01.2020
High School Graduate-Diploma -
Lansdowne Senior High School
Halethorpe, MD01.2001
Skills
- Critical Thinking
- Eligibility determination
- Insurance billing
- Patient communication
- Referral management
- Data processing
- Detail orientation
- Team collaboration
- Customer service
- Effective communication skills
- Income verification
- Quality Assurance
References
References to follow upon request
Timeline
Financial Eligibility Specialist
Chase Brexton Health Care
05.2023 - Current
Financial Coordinator- Department of Neurology
Sinai Hospital of Baltimore
12.2021 - 05.2023
Financial Coordinator- Pediatric Division
Sinai Hospital of Baltimore
12.2015 - 08.2020
Certified Application Counselor - Application Counselor
Maryland Health Benefit Exchange
Medical Billing and Coding - Medical Billing And Coding
Towson University
High School Graduate-Diploma -
Lansdowne Senior High School