Dasia Jones
Waldorf,MD
Summary
Highly-motivated medical analyst with a desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
Work History
QA Medical Analyst
Leidos
Philadelphia, PA
02.2022 - Current
- Provide quality assurance for general medical and specialty examination reports.
- Responsible for the timeliness and quality of medical reports.
- Interface with physicians and healthcare extenders, and provide case-specific feedback as necessary.
- Meet personal productivity and quality goals.
- Other projects and duties as assigned.
- Ability to work independently and with team members at all levels of the organization.
- Proven ability to organize, plan, coordinate, and multitask.
- Ability to investigate, fact-find, and provide evidence towards case resolution.
- Proven analytical skills.
Physician Billing/Claims Research Analyst
Medstar Health Corporate Office
Nottingham, MD
10.2019 - 01.2022
- Analyzed new findings and conducted methods to skillfully process claims with error rate of 10%.
- Researched and requested necessary billing information and documentation from provider/division billing contact/patient.
- Reviewed claim forms to ensure claims meet billing requirements as dictated by third-party payers.
- Reviewed, processed, or reassigned appeals, charge correction, coding and provider enrollment rejections as required to achieve successful claim reimbursement.
- Monitored and updated patients' accounts in IDX billing system using appropriate billing and procedure codes.
- Developed spreadsheets in Microsoft Excel, in order to identify any requests or missing authorizations, referrals, etc.
Medical Biller/CSR
Medical Faculty Associates
Arlington, Virginia
12.2017 - 10.2019
- Provided administrative support by answering/redirecting incoming phone calls, averaging about 50-60 calls per day.
- Addressed all inquiries by analyzing and explaining account details efficiently, to maintain acceptable wait times.
- Prepared billings documents, such as, attorney requests for injury claims, itemized statements and proof of injury, to also
include Medical Records. - Updated personally identifiable information and insurance information in IDX practice management system.
- Submitted claims, demanded statements, and conducted account auditing reviews, to ensure accurate account maintenance.
- Recommended and posted account adjustments, within prescribed dollar limits, and initiates refunds as warranted.
Patient Service Coordinator
MedStar Georgetown University Hospital
Washington, District Of Columbia
12.2016 - 12.2017
- Provided patient with after-visit summary and scheduled next appointment to maintain continuous care and facilitate treatment plan.
- Respected patients by recognizing rights and maintaining confidentiality.
- Communicated with primary care offices and insurance companies to obtain authorization.
- Collected forms, insurance card and co-pay to facilitate registration process and prepare patient for appointment.
- Inputted accurate patient insurance, billing and payment information in IDX.
- Answered over 30 telephone calls per day to handle rescheduled, missed and reassigned visit requests.
Emergency Room Registrar
Charles Regional Medical Center
La Plata, MD
10.2014 - 12.2016
- Exceeded department-specific productivity standards registering over 50 patients per day, collection targets, quality audit scores for accuracy productivity and collection standards for registrations and insurance verifications.
- Increased office productivity by transcribing over 15 daily meetings and appointments and implementing organizational systems for documents.
- Received and routed laboratory results to correct clinical staff members.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Placed new supply orders, managed inventory and restocked clerical spaces.
Education
Bachelor of Science - Healthcare Management
Sojourner-Douglass College
Baltimore, MD05.2015
Skills
- Expert in Microsoft Word/Excel
- Strong research skills
- Expert in IDX Term/Centricity
- Proficiency in EPIC
- Physician billing knowledge
- Records Maintenance
- Medical coding knowledge
- Payment posting
- Financial report creation
- Customer service support
- Medical terminology expert
- Patient account analysis
- Accounts receivable management
- Excellent interpersonal and communication skills, time management skills, and organizational skills
Timeline
QA Medical Analyst
Leidos
02.2022 - Current
Physician Billing/Claims Research Analyst
Medstar Health Corporate Office
10.2019 - 01.2022
Medical Biller/CSR
Medical Faculty Associates
12.2017 - 10.2019
Patient Service Coordinator
MedStar Georgetown University Hospital
12.2016 - 12.2017
Emergency Room Registrar
Charles Regional Medical Center
10.2014 - 12.2016
Bachelor of Science - Healthcare Management
Sojourner-Douglass College