Da’Neisha Robinson

• Managed patient registration processes, ensuring accuracy and compliance with healthcare regulations.
• Facilitated insurance verification and pre-authorization for various pediatric specialty services.
• Collaborated with clinical staff to streamline appointment scheduling and improve patient flow.
• Trained new staff on electronic health record systems and patient access protocols.
• Maintained strict confidentiality of patient information in accordance with HIPAA regulations, protecting privacy rights at all times.
• Collaborated with clinical staff to ensure seamless coordination of care, resulting in improved patient outcomes.
• Answered incoming calls, scheduled appointments and filed medical records.
• Greeted and assisted patients with check-in procedures.
• Provided excellent customer service to patients and medical staff.
• Processed payments using cash and credit cards, maintaining accurate records of transactions.
• Delivered support to medical staff in completion of patient paperwork.
• Organized patient records and database to facilitate information storage and retrieval.

•Accurately entered patient charges into the billing system, ensuring proper coding and documentation for all services rendered.

•Verified provider documentation and encounter forms to confirm correct CPT, ICD-10, and modifier usage prior to charge entry.

•Reviewed claims for completeness and compliance with payer requirements before submission.

•Posted insurance and patient payments, adjustments, and denials to accounts in a timely and accurate manner.

•Reconciled daily payment batches and balanced transactions to deposit reports and remittance advices.

•Identified and corrected charge discrepancies, underpayments, and posting errors to maintain billing accuracy.

•Communicated with insurance carriers and internal departments to resolve billing or payment issues.

•Ensured compliance with HIPAA regulations and organizational policies in handling patient and financial data.

•Assisted with month-end closing and financial reporting by verifying charge and payment accuracy.

•Supported the revenue cycle team with process improvements to increase reimbursement efficiency and reduce claim rejections.

•Lead bi weekly huddles with physicians, nurses, front office, and tech with policies and procedures updates when necessary.

•Handled all Emergency Room registrations, ensuring accurate collection of patient demographics, insurance, and financial data.

•Verified insurance eligibility, authorizations, and coverage prior to services to prevent claim delays.

•Processed patient co-pays, consent forms, and required documentation in compliance with hospital and payer policies.

•Collaborated with clinical teams to support efficient patient flow and timely registration in a high-volume environment.

•Reviewed and corrected registration errors to ensure billing accuracy and reduce denials.

•Maintained confidentiality and compliance with HIPAA and organizational standards.

•Accurately posted insurance and patient payments, adjustments, and denials in a timely manner.

•Reconciled daily deposits and balanced batches with EFTs and remittance advices.

•Reviewed EOBs/ERAs to verify proper reimbursement and identify underpayments or discrepancies.

•Meet and exceeded performance expectations of 80+ invoices daily.

•Applied contractual adjustments, write-offs, and secondary balances according to payer guidelines and hospital policy.

•Resolved posting errors and collaborated with billing teams to ensure accurate account balances.

•Assisted with training and rollout of EPIC (due to knowledge of EPIC at time of hire).

•Completed month-end reporting and audit preparation by verifying accuracy of posted payments. Increased productivity by 15%.

•Maintained compliance with HIPAA and Emory Hospital revenue cycle standards.

• Assisted customers with inquiries regarding policy details and claims processing.
• Processed policy renewals and updates accurately in the company's CRM system.
• Managed high call volume while maintaining professionalism, empathy, and attention to detail in each interaction.
• Documented customer interactions and transactions for accurate, up-to-date records.
• Trained new customer service representatives on best practices, policies and procedures.
• Liaised with insurance carriers to resolve billing errors and discrepancies.
• Improved efficiency with implementation of new CRM software, leading to faster query resolution.
• Processed insurance claims to ensure timely support for customers in need.
• Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
• Maintained strong knowledge of basic medical terminology to better understand services and procedures.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
• Processed medical claims with accuracy to ensure timely reimbursement.
• Collaborated with cross-functional teams to streamline the claims processing workflow.
• Reviewed patient records and documentation for compliance with insurance requirements.
• Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
• Managed high volume of claims, consistently meeting deadlines without compromising accuracy or quality.
• Negotiated payment plans for patients facing financial hardships, minimizing revenue loss while maintaining empathetic customer service.
• Advanced through roles in Member Services and Patient Financial Services before attaining senior-level responsibilities in billing and pclaims management and resolution