Summary
Overview
Work History
Education
Skills
Timeline
Generic

Katie Hedlund

Sioux Falls

Summary

Dynamic Medical Billing Specialist with a proven track record at Experity Inc, excelling in process optimization and customer relations. Expert in resolving billing discrepancies and enhancing documentation accuracy, leading to improved claim submission efficiency. Strong analytical thinker committed to continuous improvement and delivering exceptional service to patients and insurance representatives.

Dedicated professional prepared to bring extensive expertise and results-oriented approach to Specialist role. Known for effectively managing tasks and supporting organizational goals through collaborative efforts and adaptive strategies. Recognized for excellent communication and analytical skills, ensuring seamless operations and consistent outcomes.

Thorough team contributor with strong organizational capabilities. Experienced in handling numerous projects at once while ensuring accuracy. Effective at prioritizing tasks and meeting deadlines.

Overview

14
14
years of professional experience

Work History

Medical Billing Refunds Specialist

Experity Inc.
02.2020 - Current
  • Supported team in daily operations and project tasks, enhancing workflow efficiency.
  • Assisted in data collection and analysis to inform decision-making processes.
  • Participated in meetings, contributing ideas for process improvements and problem-solving.
  • Maintained organized documentation for projects, facilitating information sharing among team members.
  • Followed all company policies and procedures to deliver quality work.
  • Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
  • Streamlined project delivery processes, reducing completion times significantly.
  • Enhanced customer satisfaction with timely and accurate issue resolution.
  • Optimized customer experience by delivering superior services and effectively troubleshooting issues.
  • Gathered, organized and input information into digital database.
  • Collected, arranged, and input information into database system.
  • Generated reports detailing findings and recommendations.
  • Collaborated with colleagues to streamline communication and project updates.

Medical Billing Specialist

Avera McKennan Hospital
11.2017 - 02.2020
  • Managed billing processes to ensure timely submission of claims and payments.
  • Reviewed and verified medical records for accuracy and compliance with regulations.
  • Resolved discrepancies in billing through effective communication with healthcare providers.
  • Trained new staff on billing procedures, software usage, and compliance standards.
  • Developed efficient workflows that improved overall processing times for claims submission.
  • Led initiatives to enhance documentation practices, resulting in increased accuracy in billing submissions.
  • Posted and adjusted payments from insurance companies.
  • Located errors and promptly refiled rejected claims.
  • Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
  • Identified and resolved patient billing and payment issues.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
  • Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Precisely evaluated and verified benefits and eligibility.
  • Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
  • Liaised between patients, insurance companies, and billing office.
  • Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
  • Posted payments and collections on regular basis.
  • Delivered timely and accurate charge submissions.
  • Responded to customer concerns and questions on daily basis.
  • Collaborated with customers to resolve disputes.
  • Used data entry skills to accurately document and input statements.
  • Audited and corrected billing and posting documents for accuracy.

Loan Processor

CorTrust Bank
09.2015 - 11.2017
  • Processed loan applications efficiently, ensuring compliance with industry regulations and internal policies.
  • Reviewed financial documents for accuracy and completeness, facilitating timely loan approvals.
  • Collaborated with underwriters to resolve discrepancies and expedite loan processing timelines.
  • Developed training materials for new staff, enhancing knowledge of loan processing procedures.
  • Maintained up-to-date knowledge of lending products and regulatory changes to ensure compliance.
  • Worked with customers in person and via telephone to answer questions, process transactions, and resolve issues.
  • Ensured accuracy of client information, verifying data collected during the application process and updating records as needed.
  • Reviewed loan files for completeness, identified missing documentation, and generated condition lists for applicants.
  • Set up and completed loan submission packages.
  • Assisted loan officers with origination and closing processes to fastrack procedures and promote teamwork.
  • Prepared documents for underwriting by verifying client income, credit reports, and other information.
  • Promoted a positive work environment through effective communication skills and teamwork initiatives.
  • Managed multiple loans simultaneously ensuring timely completion of each task assigned without compromising on compliance or quality standards.
  • Provided quick turnaround times to maintain fast-past schedule.
  • Developed and maintained relationships with customers and loan officers to establish smooth loan process.
  • Maintained compliance with federal, state, and company regulations through regular review of updated guidelines.
  • Analyzed credit reports to determine eligibility of applicants and capacity for loan products.
  • Conducted credit analyses on applicants to assess risk levels prior to approval decisions.
  • Utilized loan origination software to process and track loan applications.
  • Reduced processing time for loan applications by implementing an organized filing system.
  • Advised loan officers to comply with loan guidelines and apply best practices.

Front Desk Receptionist

Apen Dental
08.2015 - 11.2017
  • Managed multi-line phone systems to direct calls efficiently and enhance customer service experience.
  • Coordinated appointment scheduling for staff, ensuring optimal office operations and client satisfaction.
  • Assisted visitors with inquiries and provided information about services, promoting positive first impressions.
  • Maintained accurate record-keeping for client interactions and appointments, improving organizational efficiency.
  • Executed insurance verifications for diverse patient populations, ensuring accuracy and compliance with regulations.
  • Coordinated communication between healthcare providers and insurance companies to resolve discrepancies efficiently.
  • Mentored junior staff on best practices for insurance verification, improving team performance and knowledge retention.
  • Developed training materials for new hires, streamlining onboarding processes and increasing team proficiency.
  • Collaborated with cross-functional teams to optimize workflows, resulting in improved turnaround times for insurance approvals.
  • Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Updated patient records with accurate, current insurance policy information.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
  • Assisted patients with understanding personalized insurance coverage and benefits.
  • Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
  • Reduced errors in billing by accurately maintaining patient records with updated insurance information.
  • Trained new staff on current, correct insurance verification procedures.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.

Personal Banker

MetaBank
06.2011 - 08.2015
  • Guided clients through banking products to enhance financial literacy and decision-making.
  • Developed tailored financial solutions to meet diverse customer needs and goals.
  • Collaborated with team members to streamline account opening processes, improving efficiency.
  • Trained new staff on banking policies, procedures, and customer service best practices.
  • Analyzed customer accounts to identify opportunities for cross-selling additional services.
  • Monitored compliance with regulatory requirements, ensuring adherence to industry standards and best practices.
  • Assisted customers with setting up or closing accounts, completing loan applications, and signing up for new services.
  • Maintained compliance with bank policies and regulations while executing various financial transactions for customers.
  • Improved customer satisfaction by providing personalized banking solutions and exceptional service.
  • Managed deposits, withdrawals and wire transfers to process smooth banking transactions for clients.
  • Cross-sold bank products and services to meet customer needs and provide options.
  • Networked to increase client base and encourage existing clients to expand financial portfolios.
  • Answered customer questions and explained available services such as deposit accounts, bonds, and securities.
  • Processed deposits, withdrawals and ACH transfers accurately.
  • Balanced cash drawers and vault accounts on daily basis with zero discrepancies.
  • Evaluated loan applications to determine creditworthiness and ensure compliance with regulations.
  • Developed personalized loan solutions based on client financial needs and goals.
  • Analyzed market trends to advise clients on optimal loan products and interest rates.
  • Maintained strict confidentiality of bank records and client information.
  • Submitted loan applications to underwriter for verification and recommendations.
  • Examined customer loan applications for loan approvals and denials.

Education

Licensed Cosmotologist - Cosmotology

Stewarts School
Sioux Falls, SD
12-2005

High School Diploma -

Winner High School
Winner, SD
05-2004

Skills

  • Customer relations
  • Expert problem solving
  • Analytical thinking
  • Documentation management
  • Quality assurance
  • Advanced communication
  • Technical troubleshooting
  • Continuous improvement
  • Process optimization
  • Teamwork and collaboration
  • Self motivation
  • Time management

Timeline

Medical Billing Refunds Specialist

Experity Inc.
02.2020 - Current

Medical Billing Specialist

Avera McKennan Hospital
11.2017 - 02.2020

Loan Processor

CorTrust Bank
09.2015 - 11.2017

Front Desk Receptionist

Apen Dental
08.2015 - 11.2017

Personal Banker

MetaBank
06.2011 - 08.2015

Licensed Cosmotologist - Cosmotology

Stewarts School

High School Diploma -

Winner High School

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Katie Hedlund