Summary
Overview
Work History
Skills
Timeline
Generic

Dana Villanova-Day

East Wenatchee,WA

Summary

Insurance billing professional with solid background in claims processing and financial reconciliation. Known for reliability and adaptability in dynamic environments, with strong focus process improvement and achieving results. Skilled in data entry, account management, and effective communication.

Overview

13
13
years of professional experience

Work History

Senior Insurance Billing Specialist

Columbia Valley Community Health
03.2017 - Current
  • Enhanced claim accuracy by meticulously reviewing and verifying patient insurance information.
  • Reduced processing time with thorough pre-authorization requests, ensuring prompt approvals for patient procedures.
  • Conducted periodic audits to ensure compliance with industry regulations and maintain the integrity of billing operations.
  • Improved cash flow by promptly posting payments and reconciling accounts on a daily basis.
  • Assisted patients in understanding their coverage benefits, providing clear explanations and addressing any concerns or questions.
  • Assisted colleagues during peak workload periods, demonstrating strong teamwork and commitment to overall departmental success.
  • Facilitated training sessions for new employees, sharing best practices and promoting consistency across the team''s work output.
  • Collaborated with medical staff to obtain necessary documentation, enabling timely submission of accurate claims.
  • Generated monthly billing and posting reports for management review.
  • Increased recovery of aged receivables, devising targeted strategies for follow-up on long-standing unsettled claims.

Office Administrative Assistant

Ogden, Murphy, Wallace PLLC
06.2016 - 03.2017
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Answered multi-line phone system, routing calls, and delivering messages to staff.
  • Opened and properly distributed incoming mail to promote quicker response to client inquiries.
  • Maintained inventory of office supplies and placed orders.
  • Managed scheduling for attorneys, balancing complex calendars to ensure optimal use of time.

Medical Billing Specialist

Eastern Carolina Psychiatric Services
04.2012 - 06.2016
  • Experienced in managing all aspects of medical billing, including Medicare, Medicaid, Champus, HMOs, PPOs, and private insurance providers, as well as, secondary insurance claims.
  • Reduced outstanding accounts receivables by 74% by implementing rigorous follow-up procedures with insurers and patients.
  • Organized record keeping and aging reporting resulting in significantly reduced bad-debt write-offs.
  • Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
  • Performed reception duties as needed to include greeting patients, updating patient demographics and insurance coverage, collecting co-pays, and scheduling appointments.

Skills

  • Extensive knowledge of Medical Insurers:
  • Medicare, Medicare Advantage, Medicaid, VA, Tricare, ChampVA, Premera, and Aetna
  • Deep expertise in DSHS Dental
  • Medical and Dental Billing Software Proficiency
  • NextGen
  • ADA Terminology
  • ICD-10 Knowledge
  • CPT Knowledge
  • HIPAA Compliance

Timeline

Senior Insurance Billing Specialist

Columbia Valley Community Health
03.2017 - Current

Office Administrative Assistant

Ogden, Murphy, Wallace PLLC
06.2016 - 03.2017

Medical Billing Specialist

Eastern Carolina Psychiatric Services
04.2012 - 06.2016

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Dana Villanova-Day