Open To Work
Dawn Cline
Simpsonville
Summary
Insurance Verification & Healthcare Support Specialist with 15+ years of experience in eligibility verification, claims support, payment posting, billing resolution, and patient/client communication. Experienced working remotely with providers, insurance carriers, and patients to resolve coverage issues and improve reimbursement workflows.
Overview
23
23
years of professional experience
Work History
Remote Billing Specialist and Tech Support
Netsmart/Netalytics
10.2022 - 09.2024
- Verified insurance information and supported billing accuracy for clinics nationwide
- Collaborated with clinic staff to resolve claim issues and reimbursement delays, enhancing billing processes
- Partnered with insurance carriers and clearinghouses to resolve payment issues
- Posted payments and supported accounts receivable workflows
- Assessed billing records for compliance and accuracy across 2,900 clinics, ensuring adherence to regulations
- Assisted providers with software onboarding and troubleshooting within Methasoft systems
- Provided remote client support while managing multiple accounts and deadlines, maintaining high customer satisfaction
Airbnb Super Host
Airbnb
03.2016 - 07.2024
- Managed booking operations, vendor coordination, cleaning schedules, and online pricing strategy, achieving 5-star guest satisfaction ratings for vacation rental property.
- Managed reservations and coordinated check-in processes for guests.
- Greeted guests upon arrival to create a welcoming atmosphere. and ensured a positive first impression.
- Provided local recommendations and answered guest inquiries promptly.
Remote Medical Coder
Upstate Medical Billing Company
12.2008 - 05.2016
- Processed radiology and pathology claims, contributing to smooth operations in a medical billing office.
- Managed remote coding of overflow claims, ensuring timely processing and accuracy.
- Assisted billing office staff with various tasks, supporting overall team efficiency.
Medical Billing/Collection Specialist(on Site)
Southern Eye Associates
10.2007 - 12.2008
- Managed medical billing collections for an ophthalmology group.
- Communicated with current and former patients to recover overdue debts for ophthalmology practice, enhancing cash flow
- Demonstrated knowledge of HIPAA compliance standards in daily operations.
- Learned and Implemented the new collection software
- Organized patient files and safeguarded personal information while managing phone inquiries and providing customer service.
Compliance Auditor for The ABC Voucher Program
SC Department of Health and Human Services
05.2001 - 12.2006
- Conducted audits for daycare facilities under ABC Voucher Federal Program for SC standards.
- Performed yearly, unannounced evaluations of caregiver interactions with children in caregiving rooms, confirming compliance with the federal program standards for infants through 12-year-olds.
- Oversaw operations for 200+ daycares in Upstate SC territory, ensuring compliance with federal program standards.
- Evaluated effectiveness of daycare administration processes based on specific criteria.
- Facilitated clinics offering SC State credit hours for caregiver training. These clinics were setup and held at local technical colleges, libraries and related venues that I coordinated and set up.
- Created dynamic PowerPoint presentations and facilitated interactive games to promote enjoyment at the caregivers daycare's while educating them on effective caregiving methods that they could use in their everyday classrooms.
- Helped create and facilitate the new ECD 101 modules that the technical college professors would use in their new ECD 101 class.
- Promoted newly created ECD 101 class across South Carolina Technical Colleges, enhancing awareness and enrollment for aspiring early childhood caregivers.
Education
Certificate in ECD 101 - Early Childhood Developers
University of South Carolina
Columbia, South Carolina, SCCertificate - Medical Billing And Medical Coding
Piedmont Technical College
Greenwood, SCBachelor of Arts - Sociology
University of South Carolina Upstate
Spartanburg, SCSkills
Remote Customer Service Insurance Verification Medical Billing Coding A/R Insurance Verification Claims Resolution Remote Support EMR Systems HIPAA Payment Posting
Work Preference
Job Search Status
Open to workWork Type
Full TimePart TimeLocation Preference
RemoteHybridSalary Range
$18/hr - $1000/hrTimeline
Remote Billing Specialist and Tech Support
Netsmart/Netalytics
10.2022 - 09.2024
Airbnb Super Host
Airbnb
03.2016 - 07.2024
Remote Medical Coder
Upstate Medical Billing Company
12.2008 - 05.2016
Medical Billing/Collection Specialist(on Site)
Southern Eye Associates
10.2007 - 12.2008
Compliance Auditor for The ABC Voucher Program
SC Department of Health and Human Services
05.2001 - 12.2006
Certificate in ECD 101 - Early Childhood Developers
University of South Carolina
Certificate - Medical Billing And Medical Coding
Piedmont Technical College
Bachelor of Arts - Sociology
University of South Carolina Upstate