Dana Charles
Dalton,GA
Summary
Knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. Offers background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
22
22
years of professional experience
Work History
Medical Biller and Coder
Nierman Practice Management
06.2021 - Current
- Streamlined billing processes by implementing efficient coding practices, resulting in reduced errors and improved revenue generation.
- Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.
- Enhanced compliance with industry regulations by staying up-to-date on changes to medical billing and coding guidelines.
- Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Collaborated with other billing professionals during team meetings to exchange best practices and strategies for overcoming common challenges in the industry.
Scheduling Coordinator
Skin Cancer And Cosmetic Dermatology Centers
01.2011 - 05.2021
- Expertly managed planning, scheduling and coordination of outpatient procedures.
- Verified insurance coverage and obtained pre-authorizations.
- Educated patients about surgeries and provided treatment plan documentation.
- Reviewed medical histories and current information to provide accurate information to surgeons.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Greeted visitors and initiated triage processes for clients to streamline patient flow.
Dispatch Coordinator
Windstream Communications, Inc.
01.2006 - 01.2011
- Organized paperwork and explained individual job parameters for each assignment.
- Responded to high volume of phone and email requests to provide logistics information.
- Served as mediator when appropriate to settle conflicts and discrepancies between field personnel and management.
- Received new orders, prepared documentation and assigned personnel.
- Facilitated communications between customers and field personnel to answer questions or resolve concerns.
Bookkeeper
Bi-Lo
10.2002 - 03.2006
- Established QuickBooks accounting system to reflect accurate financial records.
- Reviewed and filed financial documents, coded accounting entries for data processing and posted daily receipts and payments in accordance with all corporate protocols.
- Verified accurate recordkeeping processes, reducing financial inconsistencies.
- Supported operations by communicating with customers, filing documents and managing data.
- Maintained and processed invoices, deposits and money logs.
Education
Associate of Science -
Chattanooga State Community College
Chattanooga, TN05.2015
Skills
- Medical Records Management
- Insurance Knowledge and Pre-certification
- Knowledge of Medical scheduling
- Customer service and support
- Updating charts
- Record assessment
- Epic Systems
- Facility coordinating
- Following up with patients
- HIPAA Compliance
- Claim submission
- Appeals processing
- Insurance Verification
- Diagnostic Coding
- CPT coding knowledge
- Medicare and Medicaid Billing
- Clinical Documentation
Timeline
Medical Biller and Coder
Nierman Practice Management
06.2021 - Current
Scheduling Coordinator
Skin Cancer And Cosmetic Dermatology Centers
01.2011 - 05.2021
Dispatch Coordinator
Windstream Communications, Inc.
01.2006 - 01.2011
Bookkeeper
Bi-Lo
10.2002 - 03.2006
Associate of Science -
Chattanooga State Community College
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