Microsoft Office
Danyell Berry
Baltimore,MD
Summary
Organized and efficient Business Office Manager supporting corporate level officers and senior management personnel with demonstrated expertise in financial and operational leadership. Adroit professional exemplifies multidisciplinary managerial skill in process, procedure and policy improvement initiatives. Accomplished in workflow optimization techniques implementation which increase productivity, reduce collections and maintain business integrity and quality of service.
Overview
19
19
years of professional experience
1
1
Language
Work History
Medical Billing Specialist
Pickersgill, Inc
01.2022 - 10.2023
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting positive customer experience.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Verified insurance of patients to determine eligibility.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances timely.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Precisely evaluated and verified benefits and eligibility.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
- Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Prepared billing correspondence and maintained database to organize billing information.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Reconciled accounts receivable to general ledger.
- Created improved filing system to maintain secure client data.
- Generated monthly billing and posting reports for management review.
- Audited and corrected billing and posting documents for accuracy.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Maintained up-to-date knowledge of relevant laws, regulations, and policy changes affecting Medicaid eligibility determinations.
- Reduced errors in eligibility decisions with meticulous attention to detail and thorough documentation of applicant information.
- Assisted clients with completion of Medicaid applications and paperwork.
- Improved customer service experience for applicants, providing clear explanations of eligibility requirements and addressing concerns promptly.
- Conducted thorough assessments to determine eligibility for various Medicaid programs and benefits.
Business Office Manager
Communicare
12.2018 - 10.2020
- Deposit and post cash receipts daily
- Verified daily midnight census and update resident's accounts
- Resolved financial discrepancies and customer billing issues with timely attention.
- Enhanced customer satisfaction by addressing inquiries promptly and resolving issues professionally.
- Complete collection activity in accordance to CHS policy
- Complete and submit Medicaid approximately 25 applications and Redeterminations per quarter
- Maintain Resident Trust accounts in accordance with CHS policy and Federal and State regulations, including monthly reconciliations, Resident Trust agreements and quarterly statements
- Complete and managed Month End Close process including data entry, and census reconciliation
- Review and data entry of ancillary charges including pharmacy, laboratory and therapy
- Complete root cause analysis on accounts that contribute to bad debt and cash shortages
- Complete monthly Write Offs, Refunds, and Adjustments timely
- Supervise, organize, evaluate and monitor all Business Office Staff
- Managed financial operations ensuring accurate budgeting and timely invoice processing.
- Managed financial operations, ensuring accurate budgeting and timely statement processing.
- Collaborated with providers and staff to ensure accurate coding for billing purposes.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Facilitated cross-departmental collaboration between clinical teams as well as finance and administrative staff to ensure seamless integration of billing-related tasks into daily workflows.
- Enhanced Medicaid eligibility determinations by thoroughly analyzing applicants'' financial and personal information.
- Assisted clients with completion of applications and paperwork.
Business Office Manager
Brinton Woods Post Acute Care Center
10.2017 - 10.2018
- Supervised, organized, evaluated and monitored business office operations and staff
- Directed processing of accounts receivable and payable, adjustments/refunds, private and third party agencies, census information, ancillaries, cash deposits and posting
- Managed 75 customer trust funds and ensured compliance with all state and federal regulations
- Managed all month end reconciliation process and payroll
- Maintained Private Spend down worksheets and oversaw LTC Medicaid Application process
- Managed accounts receivable collections for past due customer accounts
- Recommended and prepared accounts for collections, attorneys, and write offs
- Supervised collection process and ensured accuracy of approximately 200 monthly patient account statements
- Audited 3+ daily admissions to ensure accuracy in all necessary signed documents and policy/procedures
- Medicare A&B, Medicaid, Managed Care and secondary payer billing and collections
- Managed financial operations for business, ensuring accurate budgeting and timely invoice processing
- Maximized cash flow through optimal billing and collection processes
- Resolved financial discrepancies and customer billing issues with timely attention
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel
- Conducted performance evaluations for employees, identifying areas for improvement and providing constructive feedback
- Established team priorities, performance goals, maintained schedules and monitored performance
- Cultivated positive rapport with fellow employees to boost company morale and promote employee retention through open communication
- Communicated corporate objectives to various divisions to meet deadlines and adhere to company budgets
Business Office Manager
Lorien Mays Chapel
02.2016 - 07.2017
- Supervised, organized, evaluated and monitored business office operations and six staff members
- Directed processing of accounts receivable and payable, adjustments/refunds, private and third party agencies, census information, ancillaries, cash deposits and posting
- Managed 55 customer trust funds and ensured compliance with all state and federal regulations
- Managed all month end processes and department payroll
- Maintained Private Spend down worksheets and oversaw LTC Medicaid Application process
- Managed accounts receivable collections for past due customer accounts
- Recommended and prepared accounts for collections, attorneys, and write offs
- Supervised collection process and ensured accuracy of monthly patient account statements
- Audited admissions to ensure accuracy in all necessary signed documents and policy/procedures
- Resolved financial discrepancies and customer billing issues with timely attention
- Coordinated staff schedules, adjusting workloads to maximize productivity and meet deadlines
- Delivered performance reviews, recommending additional training or advancements
Admissions Coordinator
Stella Maris
03.2014 - 02.2016
- Contacted Insurance Payer source benefit department to confirm subscriber benefits and related parameters
- Determined financial viability and notified all parties if determined customer needs financial denial
- Tracked daily progress of approximately 20 referrals, acting as liaison to payer source and Stella Maris.
- Coordinated placement for patients by responding to all referrals and inquiries
- Marketed Stella Maris to hospital social workers and admission directors, explaining finances, communicated intake information for scheduling of admissions
- Provided exceptional customer service during phone and email interactions with prospective patients and their families, addressing concerns promptly and professionally
- Optimized communication strategies between departments involved in admissions process, fostering collaboration and efficiency
- Completed preliminary paperwork for incoming patients
- Maintained high level of customer service with patients, families, and visitors by consistently displaying empathy, professionalism, and excellence in communication skills
Business Office Manager
Genesis Healthcare
01.2009 - 03.2011
- Supervised, organized, evaluated and monitored business office operations and staff of 8
- Directed processing of accounts receivable and payable, adjustments/refunds, private and third party agencies, census information, ancillaries, cash deposits and posting
- Managed customer trust funds and ensured compliance with all state and federal regulations
- Managed all month end processes and payroll
- Maintained Private Spend worksheets and oversaw LTC Medicaid Application process
- Managed accounts receivable collections for past due customer accounts, ensures timely filing of Medicare, Medicaid, and Insurance claims
- Recommended and prepared accounts for outside collection agencies, attorneys, and write offs
- Supervised collection process and ensured accuracy of monthly patient account statements
- Audited admissions to ensure accuracy in all necessary signed documents and policy/procedures.
- Maximized cash flow through optimal billing and collection processes.
- Coordinated staff schedules, adjusting workloads to maximize productivity and meet deadlines.
- Ensured compliance with company policies and industry regulations through regular audits and process updates.
- Set aggressive targets for employees to drive company success and strengthen motivation.
CareLine Benefits Specialist
Genesis Healthcare
11.2004 - 01.2009
- Contacted Insurance Payer source benefit department to confirm subscriber benefits and related parameters
- Determined financial viability and notified all parties if determined customer needs financial denial on up to 15 requests daily
- Tracked referral progress, acting as liaison to payer source and Genesis ElderCare Center for up to 15 requests daily
- Trained ECL Benefit Specialists, Admissions Directors & back up personnel and served as a reference in addressing benefit issues.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Managed high-volume caseloads while maintaining strict deadlines for completing benefit verifications and authorizations.
- Collaborated with cross-functional teams to address discrepancies in patient information, ensuring accurate billing and reimbursement.
- Maintained up-to-date knowledge of insurance regulations, enabling accurate benefit verifications for various plans.
- Coordinated nursing home placements daily for up to 45 patients by responding to all referrals and inquiries received from referring hospitals and inquiring prospects
- Marketed patient hospital discharges to Genesis admissions directors, explaining finances, communicated intake information for scheduling of new and re-admissions
- Demonstrated strong attention to detail and organizational skills in managing high volume of referrals while maintaining exceptional levels of patient care
- Maintained high level of accuracy in referral documentation, ensuring smooth transitions between healthcare providers
- Established strong relationships with external providers, facilitating seamless communication and collaboration in patient care
- Developed comprehensive knowledge of insurance requirements, advocating for patients when necessary to secure approval for needed services.
Education
High School Diploma -
Eastern Voc Tech High School
Essex, MD. Skills
- Accounts Payable and Receivable
- Billing and Collection Procedures
- Insurance claims processing
- Medicaid and Medicare Knowledge
- Staff Management & Training
- Problem Resolution
- Meeting and Event Planning
- Human resources practices and procedures
- HIPAA Compliance
- Insurance Verification
- Denial Management
- ICD-10 Proficiency & CPT Knowledge
- Collections Management
- Administrative Support & Customer Relations
- Microsoft Office
- Electronic Health Record Software
- Payroll and budgeting
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimePart TimeContract WorkLocation Preference
RemoteOn-SiteImportant To Me
Company CulturePaid time offWork-life balancePaid sick leaveHealthcare benefitsFlexible work hoursWork from home optionSoftware
Point Click Care
Timeline
Medical Billing Specialist
Pickersgill, Inc
01.2022 - 10.2023
Business Office Manager
Communicare
12.2018 - 10.2020
Business Office Manager
Brinton Woods Post Acute Care Center
10.2017 - 10.2018
Business Office Manager
Lorien Mays Chapel
02.2016 - 07.2017
Admissions Coordinator
Stella Maris
03.2014 - 02.2016
Business Office Manager
Genesis Healthcare
01.2009 - 03.2011
CareLine Benefits Specialist
Genesis Healthcare
11.2004 - 01.2009
High School Diploma -
Eastern Voc Tech High School