CATHERINE KRAMER

M. CATHERINE KRAMER * ckfcfcee@westpost.net * 484.560-6562

Billing Specialist and Business Manager with more than 10 Years Experience in th
e Medical Industry with Strong Skills in Administration, Strategic Planning, Lea
dership, and Process Improvement
COLLECTIONS * INSURANCE * MEDICAID * ACCOUNT MANAGEMENT
SUMMARY OF QUALIFICATIONS
Medical billing specialist and business manager with more than 10 years experie
nce Extensive knowledge of medical billing procedures, collections, patient and
provider billing along with experience with Medicaid, Medicare, insurers, and ma
naging uninsured patient accounts
Ability to work in a fast-paced environment and manage multiple simultaneous pr
ojects, tasks, and accounts while maintaining an emphasis on accuracy, quality,
and customer service
Strong knowledge of business and management principles involved in strategic pl
anning, resource allocation and coordination, human resources, and leadership te
chniques
Excellent written and verbal communication skills with ability to convey comple
x financial information to audiences of varied backgrounds and at all levels of
an organization
CAREER ACHIEVEMENTS
Medical Billing and Collections
Recovered more than $207,000 in past due insurance claims within first 100 days
of hire by diligently researching and enforcing provider rights
Collected more than $84,000 per month for underinsured and self-pay patients wh
ile assisting up to 12 patients each month with Medicaid applications and covera
ge
Managed 4,500 accounts in central billing division supporting 8 nationwide endo
scopy facilities, researched maximum insurance reimbursement procedures, and rev
iewed Medicare policies
Managed daily operations and accounts receivable and accounts payable for singl
e practice medical office serving more than 4,000 patients each year
Maintained collaborative association with various insurance companies which led
to 62% increase in amount of eligible insurance claims
Educated patients on insurance expectations which increased point of service pl
an collections by over 35% which resulted in reduced non-emergency visits and in
creased quality of registration
Managed 21 accounts within central billing department with focus on state and f
ederal Medicaid Managed Care recipients, researched maximum reimbursement proced
ures, and appealed claims
Maintained less than 2% outstanding accounts by meticulously managing and track
ing accounts resulting in reduced accounts receivable and bad debt
Designed user-friendly guidelines of services covered by insurance firms and pr
ocedures requiring patient payment at time of service which maintained accounts
receivable below 1.2%
Provided assistance to uninsured patients, assisted with Medicaid applications,
recommended payment and insurance counseling for patients, helped patients rece
ive charity-care
Oversaw insurance contracts, fee schedules, claim submissions, and adherence to
federal and state regulations including the Medicaid 180 expectation ruling
Assisted front office staff with insurance billing coordination including provi
ding patient education on insurance expectation rulings, contact matrix, and cla
im submission guidelines

Medical Business and Operations Management

Managed operations of patient registration for 30-bed emergency department with
an average daily patient volume of approximately 3,200
Reduced overtime by approximately 1,872 hours per year by establishing scheduli
ng process for registration staff and financial counselors
Implemented discharge policies and provided point of service training to regist
ration and clinical staff that increased time management and efficiency within d
epartment
Developed effective reference base of patients which provided understanding of
treatments to patients which resulted in an increase in patients and revenue
Leadership
Managed, mentored, and motivated a team of up to 35 registration staff and fina
ncial counselors utilizing a development mindset to enable employees to achieve
personal and professional success
Trained 21 employees on state regulations, Medicare and Medicaid, insurance con
tracts, and importance of accurate and timely claim submissions which led to an
improvement in quality
PROFESSIONAL EXPERIENCE
PMA, ALLENTOWN,PA 18104*AUGUST 2009-
Medical Bill Review Supervisor
BERKSHIRE BEHAVORIAL HEALTH, Reading, PA *DEC 2008-AUG 2009
BILLING MANAGER
EASTON HOSPITAL, Easton, Pennsylvania*
ASSISTANT DIRECTOR OF PATIENT ACCESS* April 2007 December 2008
Financial Counselor Coordinator*August 2004- April 2007
THE FAMILY FERTILITY CENTER, Bethlehem, Pennsylvania*August 2001-August 2007
OFFICE MANAGER
DOCTOR STEPHEN R. GSCHREY, DDS, Bethlehem, Pennsylvania*February 1999 August 20
01
OFFICE MANAGER
EDUCATION AND TRAINING
BACHELOR OF ARTS BUSINESS ADMINISTRATION*
UNIVERSITY OF MINNESOTA*Minneapolis, Minnesota
CERTIFICATE MEDICAL TERMINOLOGY*
LEHIGH COUNTY COMMUNITY COLLEGE *Schnecksville, Pennsylvania
SELECTED TRAINING, SKILLS, AND RECOGNITION
Certified Medical Coder, American Academy Of Procedure Coders, 1995
Certified in Emergency Disaster Management
Proficient in Microsoft Access and PowerPoint and IDX and HMS Healthcare Inform
ation Management Systems
Best New Recruit, CHS, 2005