Anna Donnelly
Lynbrook,NY
Summary
Experienced leader at Meduit P.C.B, driving client satisfaction and operational efficiency through team mentoring and expertise in Insurance Follow up. Proficient in Microsoft Office and EMR systems, achieving exceptional organization and coaching skills to surpass performance goals.
Overview
14
14
years of professional experience
Work History
Team Leader
Meduit RCM
Garden City, NY
01.2023 - Current
- Lead a team of 10 insurance specialists, mentoring and coaching them to enhance client satisfaction and adherence to best practices and company policies.
- Collaborating with insurance companies to gain access to information in order to process claims more efficiently.
- Ensure new team members are trained and educated in company policies and providing training to existing members in regulatory updates.
- Does Quality Audits for staff.
- Responsible for creating employee work schedules, informing them of new policies, and other changes. Conducts 70+ claims a day.
- Maintaining cooperative and professional relationships with clients and patients.
Senior Insurance Specialist
Meduit RCM
Garden City, NY
02.2017 - Current
- Run payment files and reports. Determine correct payment according to hospital/payer contract.
- Billing of medical claims, primary and secondary carriers. Place outbound calls to insurance companies for status of outstanding claims.
- Submit adjustment claims, submit appeals for underpayment and/or denials.
- Analyze Remittance/Explanation of Benefits.
- Verifying patient's commercial eligibility, no-fault, worker compensation eligibility.
- Billing contractual and nonparticipating responsibility to the members. Following ICD-10 and CMS guidelines and coding.
- Knowledge of payer portals, Microsoft Office, and EMR Systems: Epaces, Epremis, LLS, Meditech, Waystar, Clinicient, and Huron programs.
- Maintains timely documentation, entering data into database, analytical, and computer skill sets.
- Collects and Mails Correspondence.
- Ability to work 70 accounts per day.
Assistant Manager
H.I.J. Billing Services, INC
07.2014 - 02.2017
- Lead and manage a team of 8 insurance specialists, mentoring, supervising, and coaching them to enhance client satisfaction and adherence to best practices and company policies.
- Meeting month-end goals by analyzing data through data analysis tools: No-Fault, Workers' Compensation, and Major Medical.
- Upholding policy and procedures to meet the needs of company expectations.
Medical Biller
02.2011 - 07.2014
- Responsible for following up on client claim status regarding unpaid invoices and meeting their needs.
- Maintaining accurate records of clients and payment status, and insurance companies.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Submitted electronic claims to various insurance carriers.
- Answered incoming calls regarding billing inquiries from patients and or providers in a professional manner.
Education
ABC Certified Veterinary Assistant -
Animal Behavior College
Santa Clarita, California01.2016
Liberal Arts Associates degree -
Nassau Community College
01.2014
High School Diploma -
Lynbrook High School
01.2011
Skills
- Detail-oriented
- Organized
- Multi-tasking
- Communication skills
- HIPPA Trained
- Ten key skills
- Complaint resolution
- Team motivation
- ICD-10
- CPT coding
- Workers' Compensation
- No-Fault Claims
- Microsoft Office Suite
- Insurance Eligibility Verification
- EMR systems
- Insurance Claims Processing
- Problem-solving aptitude
- Healthcare Documentation Expertise
- Leadership
- Accounts receivable management
- Collecting payments
- Revenue Cycle Management
Accomplishments
- MVE Award at Meduit
References
References available upon request.
Timeline
Team Leader
Meduit RCM
01.2023 - Current
Senior Insurance Specialist
Meduit RCM
02.2017 - Current
Assistant Manager
H.I.J. Billing Services, INC
07.2014 - 02.2017
Medical Biller
02.2011 - 07.2014
ABC Certified Veterinary Assistant -
Animal Behavior College
Liberal Arts Associates degree -
Nassau Community College
High School Diploma -
Lynbrook High School
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