Deasha Mcbride
Atlanta,Ga
Summary
Competent Medical Billing Specialist and Credentialing Specialist with 10 years of experience in handling wide variety of medical coding and billing tasks. Sophisticated and hardworking individual with excellent analytical and multitasking abilities. Coordinates with insurance companies and expedites claims processes. Expertise in accurately inputting procedure and diagnosis codes into billing software to generate invoices.
Overview
10
10
years of professional experience
Work History
Provider Enrollment Specialist
Caresource
01.2022 - Current
- Audited provider information regularly to ensure accuracy and completeness of documentation, reducing potential risks associated with noncompliance.
- Maintained up-to-date knowledge on regulatory changes, ensuring compliance in all provider enrollments.
- Reduced errors in provider applications with meticulous attention to detail and thorough review procedures.
- Streamlined provider enrollment processes by implementing efficient data management systems.
- Implemented quality control measures to identify areas for improvement in the enrollment process, resulting in reduced processing time.
Credentialing Specialist
Inovalon
02.2024 - 07.2024
- Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
- Supported quality improvement initiatives by identifying potential areas of risk within the credentialing department and recommending proactive solutions.
- Enhanced credentialing processes by streamlining documentation and verification procedures.
- Ensured compliance with industry standards by regularly updating policies and procedures related to credentialing.
- Maintained a thorough understanding of accreditation standards, enabling accurate interpretation of guidelines for staff members when needed.
Senior Medical Billing Specialist
CVS Aetna
02.2020 - 12.2021
- Improved revenue cycle by managing and overseeing the entire medical billing process.
- Ensured all electronic health records were accurately maintained according to established guidelines.
- Trained new employees on Epic software, policies, and procedures, ensuring accuracy in claims submission from day one.
- Logged charges and payments within Epic .
- Corrected, completed and processed claims for multiple payer codes.
- Managed patient accounts using Epic effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
Medical Front Office Coordinator
Piedmont Hospital
7 2018 - 1 2020
- Managed front desk operations, including greeting guests, answering phone calls, and assisting with check-in/check-out processes
- Experienced in maintaining electronic health records (EHR) using Epic system accurately and securely.
- Determined amounts due and accepted payments.
- Scheduled appointments, sent reminders and updated master calendar.
- Assisted with training new front office staff members on essential job duties and procedures, ensuring a smooth onboarding process.
Patient Access Representative
Northside Hospital Atlanta
01.2015 - 05.2018
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Received patient deductibles and co-pay amounts and discussed options to satisfy remainder of patient financial obligations.
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Reduced financial loss through diligent monitoring of outstanding balances and proactive collection efforts with patients and insurers.
Education
High School Diploma -
Statesboro High School
Statesboro, GA 05.2001 -
Skills
Genesys
Salesforce
Facets
Epic
EMR
EHR
Streamline
Clearing-house
Electronic Data Interchange
ServiceNow
Timeline
Credentialing Specialist
Inovalon
02.2024 - 07.2024
Provider Enrollment Specialist
Caresource
01.2022 - Current
Senior Medical Billing Specialist
CVS Aetna
02.2020 - 12.2021
Patient Access Representative
Northside Hospital Atlanta
01.2015 - 05.2018
High School Diploma -
Statesboro High School
05.2001 -
Medical Front Office Coordinator
Piedmont Hospital
7 2018 - 1 2020