DAWN WALLACE
Bath,MI
Overview
32
32
years of professional experience
Work History
Medical Billing Assistant II
MSU Health Care
East Lansing, MI
01.2014 - Current
- Support daily medical billing and revenue cycle operations for a multi-provider healthcare environment, helping ensure timely and accurate claim processing, payment posting, and account follow-up.
- Review patient accounts, billing details, and claim-related information for accuracy and completeness prior to submission, correction, or follow-up.
- Apply knowledge of CPT and ICD-10 coding in support of charge capture, claim review, and billing workflow accuracy.
- Research and resolve claim issues, denials, rejections, and payer discrepancies by working within billing systems, payer portals, and internal documentation.
- Communicate with insurance carriers, third-party payers, and patients regarding claim status, balances, payment issues, and required supporting documentation.
- Post payments, adjustments, and account activity accurately while maintaining strong attention to detail and revenue cycle integrity.
- Use Athena, Aris, Epic, and Cerner to access account information, review documentation, support billing workflows, and maintain organized records.
- Assist with insurance follow-up, appeals, and account resolution efforts to support reimbursement and reduce outstanding receivables.
- Maintain confidentiality and professionalism while handling protected health information and sensitive financial data in compliance with healthcare standards.
- Collaborate with coworkers, clinical staff, and administrative teams to resolve billing questions, clarify documentation, and support efficient patient account management.
Medical Billing Specialist
AMBS Management Company, Inc. (formerly Advanced Medical Business Services, LLC)
East Lansing, MI
01.1994 - 01.2014
- Performed medical billing functions for a company specializing in radiology billing, supporting the full billing cycle from data entry through collections follow-up.
- Completed radiology coding and data entry activities to support accurate billing and reimbursement workflows.
- Worked with procedure and diagnosis coding, including CPT and ICD-10 terminology, to support claims-related activities and account accuracy.
- Posted patient and insurance payments and maintained accurate account activity records.
- Handled insurance denials and conducted payer follow-up to resolve unpaid, rejected, or underpaid claims.
- Prepared and submitted insurance appeals with supporting information when additional review was needed.
- Conducted collection follow-up and communicated with patients and third-party payers regarding balances and claim status.
- Used online resources and payer systems for Blue Cross Blue Shield, Medicare, Medicaid, and commercial insurance plans.
- Built a reputation for being detail oriented, dependable, quick to learn, and effective in a team-based billing environment.
Customer Service Associate
Walmart
Okemos, MI
01.2014 - Current
- Provide customer service in a fast-paced retail environment, assisting customers with transactions, issue resolution, and general service needs.
- Maintain accuracy in cash handling and front-end support responsibilities while balancing service, efficiency, and professionalism.
- Demonstrate strong communication, dependability, and problem-solving skills in a high-volume customer-facing setting.
Customer Service Sales Associate
Younkers
Okemos, MI
01.2003 - 01.2014
- Supported commissioned sales, order management, customer assistance, cash drawer accuracy, and inventory-related responsibilities.
- Developed strong customer service, organization, and communication skills applicable to patient-facing and billing support roles.
Timeline
Medical Billing Assistant II
MSU Health Care
01.2014 - Current
Customer Service Associate
Walmart
01.2014 - Current
Customer Service Sales Associate
Younkers
01.2003 - 01.2014
Medical Billing Specialist
AMBS Management Company, Inc. (formerly Advanced Medical Business Services, LLC)
01.1994 - 01.2014