Deana Maskill
Mebane,NC
Summary
Talented Insurance Coordinator with 15-year background in lab and dental office settings. Expert in managing insurance claims process, maintaining patient accounts and liaising with insurance companies. Well-versed in Medicare Advantage, Medicaid, HMO and PPO insurance requirements.
Overview
16
16
years of professional experience
Work History
Insurance Coordinator/Billing Specialist
Triangle Implant Center
06.2018 - Current
- Assist with understanding complex insurance policies, effectively addressing concerns or questions.
- Maintain strong knowledge of basic medical and dental terminology to better understand services and procedures.
- Obtain prior authorization and predetermination for procedures with North Carolina Medicaid and Commercial Insurance Carriers.
- Prepare insurance claims for submission to clearinghouses or insurance companies.
- Verify data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Prepare insurance claim forms or related documents and reviewed for completeness.
- Generate, post and attach information to claim files.
- Resubmit claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Reference monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Assist with claim inquiries and provide timely responses to enhance patient satisfaction.
- Research and resolve billing discrepancies to enable accurate billing.
- Work with multiple websites/provider portals to check proper billing information and/or claim status, such as medicare advantages, medicaid and commercial insurances.
- Make contact with insurance carriers to discuss policies and individual patient eligibility/benefits.
- Communicate effectively with staff members of operations, finance and clinical departments.
- Prepare itemized medical statements: Cross-Coding the dental procedure (ADA Code) to the CPT Code with ICD-10.
- Streamline office workflows for increased productivity, organizing and maintaining client files.
- Maintain confidentiality of patient finances, records, and health statuses.
Customer Care Representative
Lab Corp
08.2014 - 06.2018
- Managed high call volume with exceptional professionalism and efficiency.
- Enhanced customer satisfaction by promptly addressing inquiries and resolving issues.
- Collaborated with cross-functional teams to resolve complex customer issues in a timely manner.
- Maintained and managed customer files and databases.
- Logged call information and solutions provided into internal database.
- Met customer call guidelines for service levels, handle time and productivity.
- Daily Monitoring of specimens with timely response to resolve and problems.
Billing Specialist
Lab Corp
12.2008 - 08.2014
- Researched and resolved billing discrepancies to enable accurate billing.
- Contacted doctor's offices or insurance companies for correct information or diagnoses codes (ICD 9).
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Provided excellent customer service, developing and maintaining client relationships..
- Used data entry skills to accurately document and input statements.
- Reconciled accounts receivable to general ledger.
Education
Eastern Alamance High School
Mebane, NCMedical Insurance Billing And Coding
Alamance Community College
Graham, NCSkills
- Customer service and assistance
- Claims
- Insurance claims processing
- Microsoft Office
- ICD-10 Coding
- CPT Coding
Timeline
Insurance Coordinator/Billing Specialist
Triangle Implant Center
06.2018 - Current
Customer Care Representative
Lab Corp
08.2014 - 06.2018
Billing Specialist
Lab Corp
12.2008 - 08.2014
Eastern Alamance High School
Medical Insurance Billing And Coding
Alamance Community College
Similar Profiles
Logan ChurchLogan Church
Patient Care/Dental Insurance Coordinator at Preston Dental CenterPatient Care/Dental Insurance Coordinator at Preston Dental Center
MARIA HERNANDEZMARIA HERNANDEZ
Dental treatment coordinator and Surgical Director at Aria Dental Implant Center & Dental Hearts Implant CenterDental treatment coordinator and Surgical Director at Aria Dental Implant Center & Dental Hearts Implant Center
Regina M. Presley, Au.D., CCC/A, FAAARegina M. Presley, Au.D., CCC/A, FAAA
Director of Audiology at Greater Baltimore Medical Center, Presbyterian Board of Governors Cochlear Implant Center @ GBMCDirector of Audiology at Greater Baltimore Medical Center, Presbyterian Board of Governors Cochlear Implant Center @ GBMC