Amber Duncan
West Linn,OR
Summary
Results-driven professional with extensive experience in reimbursement analysis. Committed to identifying areas for improvement in claims processing and fostering teamwork to deliver superior outcomes for healthcare providers.
Overview
24
24
years of professional experience
Work History
Reimbursement Specialist
Genentech
Portland, Oregon
05.2022 - 05.2025
- Review insurance policies to ensure compliance with coverage requirements.
- Communicate with healthcare providers regarding reimbursement inquiries and issues.
- Collaborate with cross-functional teams to resolve complex reimbursement cases.
- Analyze trends in claims denials to identify areas for improvement.
- Maintained confidentiality and integrity of patient data.
- Researched rejections, investigating problems to appeal claims.
- Verified technical reimbursement questions for providers, billing, and coding staff.
- Identified opportunities for coverage access to address reimbursement barriers.
- Resolved discrepancies between provider documentation and insurance plan requirements.
- Monitored changes in industry standards related to reimbursements and updated internal policies accordingly.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Retained strong medical terminology understanding in effort to better comprehend procedures.
Preschool Assistant Teacher
Southlake Preschool
West Linn, OR
09.2021 - 05.2022
- Supported lead teacher with daily classroom activities.
- Monitored students to observe behavior, enforce rules and maintain safety.
- Maintained safe, clean and constantly supervised play environment.
- Instructed and assisted students during craft activities.
- Supervised students outside classroom during recess, lunch and breaks.
- Maintained clean, well-kept classroom to encourage children to create, explore and play with confidence.
- Assisted with implementation of approved lesson plans and daily classroom schedule.
Preschool Teacher's Assistant
Valley Christian Preschool
Wilsonville, OR
08.2020 - 02.2021
- Supported lead teacher with daily classroom activities.
- Monitored students to observe behavior, enforce rules and maintain safety.
- Instructed and assisted students during craft activities.
- Supervised students outside classroom during recess, lunch and breaks.
- Made and distributed nutritious snacks by preparing and dividing into portions.
- Attended field trips to accompany and supervise children.
- Maintained tidy and clean classroom consistent with safety and health standards.
Teacher's Aide
Albany Christian School
Albany, OR
08.2018 - 08.2019
- Supervised children and participated with children in activities.
- Established positive relationships with students, parents, fellow teachers and school administrators.
- Kept students safe inside and outside classrooms by proactively monitoring behaviors and tracking student movements, safety hazards and visitors.
- Provided one-on-one assistance and tutoring to students requiring additional help.
- Helped students master learning concepts through one-on-one and small group tutoring.
- Handled clerical duties, managed classrooms and coordinated documents for teachers.
- Monitored students in class, hallways and cafeteria to supervise, enforce rules and support lead teacher.
- Distributed classroom materials, pencils, paper and art materials.
- Graded assignments and tests using answer key, documented results and informed lead teacher of students' performance.
- Proofread and edited documents to correct errors.
Background Investigator
Pre-employ.com Family Of Companies
Anderson, CA
06.2009 - 12.2010
- Created and submitted reports regarding background investigations, highlighting special findings.
- Reviewed appropriate records to obtain facts about individuals.
- Ran background checks of individuals to obtain data on character, financial status and personal history.
- Produced timely and accurate reports about findings.
- Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
- Juggled multiple projects and tasks to ensure high quality and timely delivery.
- Demonstrated self-reliance by meeting and exceeding workflow needs.
- Communicated with court clerks to assist in background investigations.
Medical Biller
Mission Medical Imaging
San Luis Obispo, CA
01.2001 - 01.2002
- Reviewed claims for coding accuracy.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Reviewed and updated account information in company computer system.
- Adhered to strict data confidentiality policies to prevent information leakage.
- Proofread and edited documents to correct errors.
- Exceeded quality goals to support team productivity.
Education
Accounting
Clackamas Community College
Oregon City, OR06.2020
Medical Billing
Shasta Community College
Redding06.2008
Skills
- Reimbursement analysis
- Policy compliance
- Patient advocacy
- Problem solving
- Effective communication
- Detail orientation
- Team collaboration
- Medical terminology
- Time management
- Healthcare industry
- Policy evaluation
- Denial management
- Medical billing
- HIPAA compliance
- Policy requirements and eligibility
- Insurance coverage verification
Timeline
Reimbursement Specialist
Genentech
05.2022 - 05.2025
Preschool Assistant Teacher
Southlake Preschool
09.2021 - 05.2022
Preschool Teacher's Assistant
Valley Christian Preschool
08.2020 - 02.2021
Teacher's Aide
Albany Christian School
08.2018 - 08.2019
Background Investigator
Pre-employ.com Family Of Companies
06.2009 - 12.2010
Medical Biller
Mission Medical Imaging
01.2001 - 01.2002
Accounting
Clackamas Community College
Medical Billing
Shasta Community College