Katherine C. Burton has over 10 years of experience in financial services and medical billing. She currently works as a Billing Assistant at UNC/Rex Home Care & Hospice Service, where she verifies insurance benefits, processes claims, and counsels patients. Previously she held roles as a Care Team Assistant and Business Office Assistant in medical billing. Burton has strong skills in Microsoft Office, medical terminology, and claims processing. She aims to enhance patient care through accurate insurance verification and documentation.

1. Katherine C. Burton
1845 Farrington Point Rd
Chapel Hill, NC 27517
Cell Phone: 919-923-7038
Email: burtonaysia@yahoo.com
Summary of Qualifications:
 More than 10 years of experience in diverse financial services institutions, with a proven
record of productivity, quality, and integrity.
 Analytical and detail-oriented, able to identify and implement process improvements that
increase accuracy, consistency, and efficiency.
 Wide experience and knowledge of word processing programs like Microsoft Word,
Excel, PowerPoint, Outlook, Schedule Plus and Microsoft Exchange.
 Excellent customer service setting, accounting, communication skills, and telephone
skills, public contact and organizational skills.
 Working knowledge of verifying Medicare/Medicaid, EOB’S, Federal BCBS, and other
medical commercial billing and collection insurance.
 Medical Terminology, EMR, Centrix, Home Health, A2K, Blue E, Billing Ins., WebCIS,
Referral Portal, Zirmed, GE OASIS, Allsripts Billing, Emdeon, Sovera, Power Chart,
EPIC.
Employment History:
UNC/Rex Home Care & Hospice Service
Jan.2013-Present
Billing Assistant (Rex Home Health): Job duties are review, verify, edit and submits/transmits
claim data to third party payors, insurance carriers, federal and state governmental agencies in a
timely, accurate and complaint manner. Reviews third party payor payments, explanations of
benefits/payments and other correspondence received to assure accurate processing has occurred.
I verify Medicaid/Medicare pending and obtain information from financial counselor and NC
Tracks. I work denials and resolve unpaid claims and I also review payer websites for claim
status, filing consideration and appeal request. I have the ability to analyze claims payment
information and determine the need for additional action to appeal denied or low payment
claims. I obtain insurance authorization and pre-certification for patients, negotiates rates, and
verify insurance benefits, calling patients and working legacy accounts. I also counsel and
educate patients on their outstanding balances, and collecting money for the Health Care System.
Research, investigates and coordinating with insurance companies or billers, with regards to their
requests and medical necessity. Follow up on commercial insurance, documents and claim
processing, collection, charity care, deceased accounts and financial assistance. I also receive and
process forms and insurance information from companies and patients, checking accounts of
patients, communicating with biller and requesting additional information. I also collaborate with
global transplant patients, sending documentation to the appropriate provider.

2. UNC/Rex Home Care & Hospice Service
Mar.2012-Jan.2013
Care Team Assistant (Rex Home Health): Job duties are assisting with medical records, data
entry and implementing physician orders. Maintain patient charts, creating new medical records,
scanning documents, filing nursing notes, patient surveys, case managing nursing visits and
discharging patients frequently. And also ability to read and interpret documents such as
operating and maintenance instructions and procedure manuals. Also answer phone calls
regarding release of medical records to patients and physician offices. Retrieve medical records
by following chart-out procedures, documenting reasons chart mark off procedures and
facilitating chart location activities. Also review records to be released according to HIPAA
guidelines. Gather patient information by collecting demographic information. Coordinate
pharmacy referrals entering CPT codes, diagnosis and verify insurance documentation, obtain all
re-authorizations and communicate with staff, documents all claim processing and follow up,
distribute mail, prepares daily deposits of funds and post payments and other assigned duties.
Enhances medical records and hospital reputation by accepting ownership for accomplishing
new different requests, exploring opportunities to add value to job accomplishments. I also was
back up to front desk, answering switchboard, distributing mail to appropriate staff.
Amedisys Home Health Services
Mar.2010-Feb.2012
Business Office Assistant (Home Health): Job duties for day to day administrative tasks required
to keep medical practice running smoothly. My task is to performance and accuracy of data input
and maintenance of patient records and data as well as the tracking system for physician’s orders.
Prepare charts for new admission and close medical records upon discharge. Maintain forms and
completeness of charts according to state and federal regulations. Participate and work
collaborative manner to assists in the timely and accurate submissions of billing and payroll.
Also verify patient insurance carriers, federal and state governmental agencies and third party
payors, process referrals and continuously monitor Medicaid authorizations, approvals and visits.
Direct administrative services and operations for the branch including: billing, purchasing,
communications systems, space utilization, secretarial support, and mail services. I budget and
order office supplies, medical inventory supply and distribution and inventory control processes.
Schedule all nurses visits based on patient needs, staff experience and geographical location. I
also did on call over the weekend, faxing and follow up with documents for Nurse’s to assist
patients and Physical therapist also. Demonstrate a desire to meet objectives in an efficient way
to perform tasks, and other assigned duties.

3. Mar.2008-Feb. 2009
Courier/Dot/CDL: Duties to provide an efficient pickup and delivery service support to
customers on any issues regarding features of services, while complying Job with all operational,
security and safety policies, procedures and processes with the objective of meeting service
commitments and maximizing customer satisfaction. I also did customer financial service ensure
that customers understand the charges we have applied to their account and resolve any issues.
The Carolinas Center, Cary, NC
Apr.2006-Mar.2008
Technician (Hospital & Physician Care): Under limited supervision perform daily routine
correspondence requiring through knowledge of policies, procedures and precedents. Maintain
files of all correspondence, reports and other written materials. I also work Health Data
Management insuring electronic HR .Assure appropriate internal distribution of information
from both external and internal sources. Assist with the coordination of providing records to
Review Specialists and Physician Consultants. Handle all incoming mail for staff members.
Match up and log medical records into computer system. Receive and route phone calls/
messages to appropriate individuals. Enter client referrals data onto computer system for CCME-
PAT system. Assure all necessary information is received from provider in order for review
therapists to conduct prior authorization reviews. Follow-up with providers via phone/fax
regarding items not received. Match up and verify patients Medicaid eligibility and number and
record into the CCME-PAT system. Enter approval/ denial information onto ED’s website.
Assure that confidentiality requirements established by contract, regulations or statute are
adhered to. Relieve switchboard operator/ receptionist periodically as indicated by relief
schedule. Assist with projects as assigned.
Education:
Miller-Motte College Associates Degree Medical Billing & Coding (Present)
Northwood High School (1993)