Danielle Work
Las Vegas,NV
Summary
Experienced Medical Biller with a strong background in claims processing and EOB interpretation. Demonstrated ability to maximize reimbursements and improve revenue cycle efficiency. Proficient in data analysis and dedicated to exceptional customer service while ensuring HIPAA compliance and promoting team collaboration.
Overview
11
11
years of professional experience
Work History
Medical Biller
Heart Center of Nevada of Nevada
Las Vegas, NV
08.2024 - Current
- Reviewed and interpreted the EOB received from payers to assist patients and guarantors with understanding claims processing or the denial of services by the payer.
- Conducted audits of third-party payer contracts to ensure accurate reimbursement rates are being applied.
- Prepared Aging Reports, ensured timely and accurate claim processing.
Claims Analyst II
Aspirion Revenue Cycle Management
Franklin, TN
06.2022 - 08.2024
- Performed Analysis, identified trends, presented opportunity areas, and prioritized initiatives for performance improvement for the designated revenue cycle function for the Eastern and Midwestern United States Region.
- Resolved accounts by obtaining maximum reimbursement through diligent work on denials and submitted appeals.
- Contacted patients and the local affiliates, including VA, hospitals, and insurance carriers.
- Verify insurance eligibility and communicate any eligibility changes promptly to the patient.
Medical Biller
Nevada Retina
Las Vegas, NV
09.2014 - 10.2020
- Reviewed patient medical records, insurance information, and billing codes to ensure proper documentation for claim submissions.
- Created reports for claims activity, highlighting trends in insurance payments to offer solutions for higher claims submission.
- Accounts payable
- Payment posting
Education
High School Diploma -
Romeoville High School
Romeoville, IL01-1997
Some College (No Degree) - Las Vegas, NV
Nevada Career Institute
Las Vegas, NVSkills
- Payment posting and charge entry
- Claims processing and EOB interpretation
- Insurance verification and billing
- Revenue cycle management
- Data analysis and performance improvement
- Authorizations and referrals
- HIPAA compliance
- Customer service excellence
- Time management skills
- Team collaboration strategies
- Reimbursements and claim review
- Patient registration processes
- CPT and ICD coding expertise
- Electronic medical records (EMR) management
- Practice management systems proficiency
- Medicare and Medicaid knowledge
- Account reconciliation techniques
- Verbal and written communication skills
- Patient account analysis
Affiliations
- Boy Scouts
Timeline
Medical Biller
Heart Center of Nevada of Nevada
08.2024 - Current
Claims Analyst II
Aspirion Revenue Cycle Management
06.2022 - 08.2024
Medical Biller
Nevada Retina
09.2014 - 10.2020
High School Diploma -
Romeoville High School
Some College (No Degree) - Las Vegas, NV
Nevada Career Institute