Dawn Riffle
Medina,OH
Summary
Experienced professional with a diverse skill set in Clerical, Customer Service, Sales support, and Durable Medical Equipment (DME) Medical billing. Demonstrated expertise as a Medicaid billing specialist, adept at driving effective billing processes and ensuring accurate claims submissions. Proficient in navigating complex Medicaid guidelines and regulations, with a strong emphasis on compliance and denial reduction. Known for a collaborative approach and adaptability, consistently achieving results in fast-paced healthcare settings. Skilled in claims analysis, electronic health records, and patient account management, always seeking to expand knowledge through continuous learning opportunities.
Overview
17
17
years of professional experience
Work History
Customer Service / Medicaid Biller
Hastings/Discount Drug Mart
01.2016 - Current
- Started in Customer Service - answer calls, process new orders and process reorders.
- Moved into billing in November 2017.
- Process recertification CMN's, Submit for authorizations and renewals.
- Work CMN, PAR and AR stop/hold reports.
- Confirm sales order to process electronically.
- CPR and Brightree software.
Customer Service Representative, Billing
Aeratech Home Medical
10.2010 - 01.2016
- New patient intake, insurance verification, obtaining/maintaining Certificates of Medical Necessity.
- Obtaining proper insurance authorizations for billing, answer multi line phones-handling or redirecting calls as necessary.
- Greet walk-in patients and assist when needed.
- Data Entry - Brightree software.
- Maintain inventory and ordering of office supplies.
Customer Service Representative
Health Care Solutions / Lincare
09.2008 - 10.2010
- Customer Service Representative, Answering multi line phone, process orders, data entry, scheduling RT appointments, update patient charts.
- Work various patient reports daily.
- Inventory and maintain office supplies.
Education
High school diploma - General Studies, Intensive Office Education
North Royalton High School
North Royalton, OH06.1980
Skills
- Experienced in medical terminology usage
- Professional phone communication
- Effective organizational skills
- Familiarity with various operating systems
- Windows operating system proficiency
- Email management
- Experienced in document creation using Microsoft Word
- Excel spreadsheet management
- Fax machine operation
- Proficient in scanner operation
- Office copier operation
- Proficient in multi-line phone operations
- Sales assistance
- Client support
- Healthcare billing expertise
- Administrative support experience
- Proficient in computer applications
- Proficient in ICD-10 classification
- Document organization
- HIPAA compliance knowledge
- Patient record management
- Insurance eligibility verification
- Proficient in computer applications
- Proficient typing skills
- Customer service at front desk
- Experienced in managing Microsoft Outlook
- Effective communication
- Thorough documentation review
Timeline
Customer Service / Medicaid Biller
Hastings/Discount Drug Mart
01.2016 - Current
Customer Service Representative, Billing
Aeratech Home Medical
10.2010 - 01.2016
Customer Service Representative
Health Care Solutions / Lincare
09.2008 - 10.2010
High school diploma - General Studies, Intensive Office Education
North Royalton High School
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