Danielle Archevald
Medical Billing & Claim Resolution Specialist
Brooklyn,NY
Summary
Results driven Medical Billing & Claims Resolution Specialist with over 20 years of hands-on experience in account management, revenue generation and medical billing. Comfortable working independently or as part of supportive team.
Overview
20
20
years of professional experience
Work History
Follow-Up Specialist Supervisor
The Dermatology Specialists
Long Island City, New York
04.2024 - 03.2025
- Researched billing errors and discrepancies to initiate corrective action.
- Responded to customer inquiries and provided detailed account information.
- Updated accounts and maintained detailed records for accurate billing submissions
- Trained new personnel regarding company operations, policies and services.
- Exhibited high energy and professionalism when dealing with clients and staff.
- Managed and motivated employees to be productive and engaged in work.
Account Manager
ADO Billing Services, LLC
Richmond Hill , NY
10.2016 - 03.2024
- Manage and review medical billing staff to ensure accuracy of patient accounts.
- Assists in developing training programs for new hires and existing staff in order to improve performance and efficiency.
- Resolve issues related to denied or rejected payments from insurance companies.
- Monitor accounts receivable aging reports and worked proactively to reduce outstanding balances due from patients or insurers.
- Maintain detailed records of all payments received from patients or third-party payers.
- Oversees daily activities related to the processing of electronic claims submissions.
- Resolve billing issues by applying knowledge and completing in-depth research.
Senior Medical Billing Specialist
ADO Billing Services
Richmond Hill , NY
10.2013 - 03.2024
- Performed billing tasks for assigned accounts which included data entry, claim review, charge review, accounts receivable follow-up, or other related responsibilities.
- Analyze patient accounts for accuracy and completeness of documentation and billing information.
- Resolves discrepancies between charges billed and payments received from insurance companies or other third-party payers.
- Reviews claim rejections and denials to determine appropriate action needed for resolution.
- Process appeals and corrected claims on denied claims as necessary.
- Responds to inquiries from providers regarding claim status, reimbursement rates.
- Provides training and support to staff members on medical billing processes.
- Reviews payment plans with patients according to established protocols.
- Communicate with insurance representatives to complete claims processing or resolve problem claims.
- Submits appeals for denied claims using provider portals and phone communication.
- Monitors past due accounts and pursued collections on outstanding invoices.
- Collected, posted and managed patient account payments.
Education
High School Diploma -
August Martin High School
Jamaica, NY06.1996
Skills
- Accounts Receivable
- Medical Billing - Dermatology
- Insurance Billing
- Commercial and Private Insurance, Medicare
- Multitasking
- Patient Billing
- ECW (e Clinical Works ) Criterion,Practice Fusion, Care Cloud, MD LAND,
- ICD-10
- Insurance Payment Posting
- CPT Code Modifiers
- CMS-1500 Billing Forms
- Submission of Medical Claims
- HIPAA Compliance
- Work Prioritization
- Data Entry
- Customer Service
Timeline
Follow-Up Specialist Supervisor
The Dermatology Specialists
04.2024 - 03.2025
Account Manager
ADO Billing Services, LLC
10.2016 - 03.2024
Senior Medical Billing Specialist
ADO Billing Services
10.2013 - 03.2024
High School Diploma -
August Martin High School
Similar Profiles
Rose MohonaRose Mohona
Medical Assistant at The Dermatology SpecialistsMedical Assistant at The Dermatology Specialists
Ellis VernonEllis Vernon
Medical Receptionist at The Dermatology SpecialistsMedical Receptionist at The Dermatology Specialists
Ma Kristina A DomingoMa Kristina A Domingo
Dermatology Medical Assistant at The Dermatology SpecialistsDermatology Medical Assistant at The Dermatology Specialists
Connor JohnstonConnor Johnston
Power BI & Automation Engineer at The TJX Companies, Inc.Power BI & Automation Engineer at The TJX Companies, Inc.
Cara VogelCara Vogel
Adult Literacy Tutor at New Lots Public Library Literacy ZoneAdult Literacy Tutor at New Lots Public Library Literacy Zone