Danielle Pecora
Greenacres,FL
Summary
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
8
8
years of professional experience
Work History
Medical Biller
Soma Medical Center PA
West Palm Beach, FL
02.2020 - Current
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Submitted electronic claims to various insurance carriers.
- Performed daily reconciliation of accounts receivable with payment postings on the computer system.
- Ensured compliance with HIPAA guidelines when handling confidential patient information.
- Assisted in auditing process by verifying accuracy of submitted claim forms against documentation provided by physicians' offices.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Applied HIPAA privacy and security regulations while handling patient information.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
Front Desk Medical Receptionist
Soma Medical Center PA
West Palm Beach, FL
06.2016 - 02.2020
- Greeted patients, verified insurance information and collected copays.
- Checked-in patients when they arrived at the front desk; obtained necessary paperwork from them prior to check-in process.
- Scheduled appointments, managed patient records and updated medical histories.
- Answered incoming calls, addressed inquiries and routed messages to appropriate personnel.
- Verified patient demographics, entered data into electronic health record system and provided support to physicians.
- Ensured compliance with HIPAA regulations by maintaining confidentiality of all patient information.
- Provided customer service to patients including answering questions about treatments or services offered by the practice.
- Monitored appointment schedules to ensure timely arrival of patients for their scheduled visits.
- Assisted with scheduling tests or other procedures as requested by physicians or other healthcare providers.
- Managed multiple tasks simultaneously while providing excellent customer service in a busy office environment.
- Called patients to confirm scheduled appointments and obtain additional details.
- Managed office phone lines by checking voicemail, returning calls and directing messages to team members.
- Handled correspondence, managed files and performed other clerical duties for office staff.
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
Education
High School Diploma -
Palm Beach Central High School
Wellington, FL05-2007
Skills
- Teamwork and Collaboration
- Commercial and Private Insurance
- Billing and Collection Procedures
- Account Reconciliation
- Multitasking and Organization
- Medicaid and Medicare Knowledge
- Medical coding understanding
- Medical Billing
- Data Entry
- ICD-10
- Critical Thinking
- Insurance Verification
- Account follow-up
- Electronic Health Record Software
Languages
Spanish
Professional
Timeline
Medical Biller
Soma Medical Center PA
02.2020 - Current
Front Desk Medical Receptionist
Soma Medical Center PA
06.2016 - 02.2020
High School Diploma -
Palm Beach Central High School
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