Darla Devlin
Williamsport,PA
Summary
Accomplished in Medicare Secondary billing and adept at Office Management, I bring over 33 years of experience in medical billing, primarily with Novitas Solutions. Expertise in debt recovery, Insurance and Appeals.
Overview
23
23
years of professional experience
Work History
Financial Representative Debt Recovery
Novitas Solutions
Williamsport, PA
04.2020 - Current
- Reviewing Unsolicited MSP payments for Possible ECRS submissions and claims adjustments being requested
- Performing Claims adjustments resulting inform Unsolicited MSP Payments
- Tracking MSP Claims adjustments to completion and working suspended claims as necessary
- Posting Unsolicited payments to accounts receivables
- Letters to Medicaid providers regarding Medicaid payments and participation in the Medicaid and Chip program
- Process statistical samplings to Share Point for Informatics
Appeals Representative
Novitas Solutions
Williamsport, PA
09.2009 - 04.2020
- Supported fellow Appeals Representatives through peer coaching and knowledge sharing, fostering a collaborative work environment.
- Researched and resolved written complaints submitted by consumers and physicians or providers.
- Rendered decision for non-clinical complaints using sound, fact-based decision making.
- Reviewing MSP Appeals for Valid MSP Trailers
- Performing adjustments based on attached documentation
- Tracking MSP adjustments to completion and working suspended adjustments as needed
- Worked appeals for the Recovery Auditor Contractor (RAC)
- Processed appeals for the Office of Inspector General requests
Billing Specialist
Susquehanna Physician Services
Williamsport, PA
04.2005 - 09.2009
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Researched and resolved billing discrepancies to enable accurate billing.
- Worked denial claim revenue report from clearing house
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Generated claims and follow-up with insurance companies
- Posted Medicare Claims and MSP Payments
- Claims and Recovery for Williamsport physicians and affiliates
Office Manager
Stocki & Neil Counseling Associates
Williamsport, PA
01.2001 - 06.2005
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Maintained computer and physical filing systems.
- Updated reports, managed accounts, and generated reports for company database.
- Patient check-in, Insurance verification, Billing ,and Posting
- Initiated provider credentialing for multiple insurance companies
- Converted office from paper billing to electronic billing
- held weekly office meetings on office updates
- Developed HIPAA policy for the Office
Education
No Degree - Phlebotomy, Medical Terms, Anatomy & Physiology
Phlebotomy Course
West Palm Beach, FLHigh School Diploma -
Point Pleasant High School
Point Pleasant, WV06.1981
Skills
- Medical Billing with 33 years experience
- Medicare Secondary billing and payments
- Appeals Management
- Office Management
- Debt Recovery
Timeline
Financial Representative Debt Recovery
Novitas Solutions
04.2020 - Current
Appeals Representative
Novitas Solutions
09.2009 - 04.2020
Billing Specialist
Susquehanna Physician Services
04.2005 - 09.2009
Office Manager
Stocki & Neil Counseling Associates
01.2001 - 06.2005
No Degree - Phlebotomy, Medical Terms, Anatomy & Physiology
Phlebotomy Course
High School Diploma -
Point Pleasant High School