Summary
Overview
Work History
Education
Skills
Timeline
Generic

Deborah Ila Taylor-Cramer

Star

Summary

Proven expertise in credentialing, cash posting, daily financial balancing, including credit card summaries, petty cash and copay. Payer set-up, claims and denial management. Possesses a strong track record in medical practice acquisitions, startup management, facility expansion/construction, and successful EHR implementation. A results-oriented leader, adept at managing multiple projects under strict deadlines while fostering collaboration and communication to build credibility.

Driven Medical Biller motivated to perform beyond expectations.

Experienced with medical billing and accounts receivable procedures, ensuring accuracy and efficiency in financial operations. Utilizes strong organizational skills to manage patient accounts and resolve discrepancies. Knowledge of industry regulations and billing software, ensuring compliance and streamlined processes.

Overview

2025
2025
years of professional experience

Work History

Workers Compensation Auditor

Employers Insurance
01.2022 - 01.2025
  • Prepare and complete daily workers’ compensation reports. Verify all documents received. Enforce state/federal regulations are met.
  • Developed customized audit programs tailored to individual department needs, ensuring maximum relevance during assessments.
  • Promoted a strong ethical culture within the organization through consistent communication on the importance of compliance with policies and regulations.
  • Followed instructions and procedures to complete assigned tasks.
  • Worked fast to complete tasks and meet daily deadlines.
  • Consistently met deadlines under pressure while maintaining high-quality work output in a fast-paced environment.
  • Established strong working relationships with clients through excellent communication skills, fostering long-term partnerships built on trust.

Practice Administrator

Daniel Peterson, MD
2007 - 2022
  • Skilled at working independently and collaboratively in a team environment.
  • Demonstrated respect, friendliness and willingness to help wherever needed.
  • Used critical thinking to break down problems, evaluate solutions and make decisions.
  • Proven ability to learn quickly and adapt to new situations.
  • Participated in ongoing training sessions to stay current on industry best practices for medical billing and coding procedures.
  • Assisted guests with special needs or requests, demonstrating empathy and understanding in every interaction.
  • Maintained confidentiality of patient information by adhering to strict HIPAA regulations throughout the billing process.
  • Updated and maintained patient accounts within the billing system, ensuring accurate records for future invoicing and reimbursement processes.
  • Provided exceptional customer service to diverse clientele, fostering an atmosphere of inclusivity and respect.
  • Facilitated clear communication between medical providers, insurance companies, and patients for smooth billing operations.
  • Enhanced revenue by identifying and resolving billing discrepancies in patient accounts.
  • Streamlined the billing process for increased efficiency by implementing new software solutions.
  • Collaborated with the collections department to address overdue accounts and recover outstanding payments.

Program Manager

Nevada Division of Emergency Management
01.2016 - 01.2019
  • Lead program and coordinated/managed services and activities in accordance with legal and regulatory requirements. Updated plans annually in accordance to state and federal regulations for emergency preparation for catastrophic disasters.
  • Conducted program management for Utility agencies and monitored activities through on-site visits and/or the review of reports and records to ensure compliance with federal and state laws.
  • Assembled for open law meetings; Interstate mutual aid committee; Search and Rescue planning program section for state emergency monthly training exercises. Prepared and participated in annual summit conference.
  • Certificate of training: 17 courses in emergency management specializing in managing complex operations, ensuring compliance with industry standards, and overseeing critical workflows to maintain efficiency and productivity within various professional environments.
  • Established strong relationships with key stakeholders, ensuring support for program initiatives.
  • Managed and supervised administrative and daily program operations, complying with policies and regulations.

Practice Manager

Primary Care/Psychology/Home Healthcare-University of Nevada
01.2013 - 01.2016
  • Successfully Implemented installation of GE-Centricity EMR/EHR.
  • Established clear lines of communication between stakeholders by creating detailed status updates that kept everyone apprised of critical milestones throughout each stage of the project.
  • Answered telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
  • Responsible for all payroll verification and reviews.
  • Completed appeals of denied claims on patient bills.
  • Processed insurance verifications, copays and cash postings (self-pay/EFT) and submitted all claims. Handled payer set-up, denial management with resubmission or change of insurance, and claim review for ICD/CPT codes.
  • Verified accurate billing and reimbursement with all contracted payers.
  • Oversaw all ordering of medical supplies and maintaining PAR levels. Approved invoices with verification of received supplies.
  • Supported and executed simultaneous delivery of various e-commerce and mobile projects.

Practice Administrator

St. Mary’s Regional Medical Center-Prime Health Care
01.2009 - 01.2013
  • Company Overview: Affiliated with Catholic Healthcare West – acquired by Prime Healthcare
  • Cardiology, Home Health, Hospice, Primary care, Coumadin clinics.
  • Navicur/Royco -(Waystar) Verified daily cash posting (self-pay/EFT). Managed payer set-up, denial management and insurance communications to ensure accurate billing and reimbursement on all claims.


  • Facilitated onboarding and credentialing of new physicians. Provided excellent communication with physicians, nurses billing team and contracted payers. Including facilitating employee training and continued education updates for software.
  • Managed all annual competency evaluations for employees, for regulatory compliance for both state and federal guidelines.
  • Supervised operations staff and kept employees compliant with company policies and procedures.
  • Empowered employees to take ownership of their responsibilities, leading to increased accountability and improved performance outcomes.
  • Conducted regular performance reviews, identifying areas for improvement and developing action plans to address them.
  • Enhanced customer satisfaction by establishing clear communication channels and addressing concerns promptly.

Research Coordinator

Whittemore Peterson Institute of Research
01.2007 - 01.2012
  • Company Overview: Affiliated with University of Nevada, Reno, Nevada
  • Research Coordinator

Medical Office Manager

Holistic Health Center - Home Health, Pain Management, Hospice
01.2020 - 2022
  • Lead on EPIC installation, including all contracted insurances, work with clearing house and follow through with all claims to change or clarify and resubmit claims for payment.
  • Steered implementation with vendor and training for staff. Interviewed/hired/trained all employees for practice.
  • Hospice and Home health referrals; facilitated same day for physician’s assistant/RN to interview and meet patient needs for both hospice/home health and home care.
  • Conducted daily operations which included cash posting (EFT/self pay) of claims in a timely manner. End of day batching, balance verification and collection and posting of cash/checks and credit cards. Facilitated onboarding and credentialing of new Physician Assistants and Physicians.
  • Managed payer set-up, insurance verification, claims and denial management, all insurance communication, and accounts payable for all supplies and maintenance of PAR levels. Prepared all referrals and completed all authorizations of medications.
  • Enhanced accuracy of processed claims with meticulous attention to detail and knowledge of coding systems.
  • Provided excellent customer service to both patients and healthcare providers during the entire claims process.
  • Assisted in training new Medical Claims Representatives, sharing best practices for efficient claim processing.
  • Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
  • Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
  • Maintained up-to-date knowledge of healthcare regulations and policies, ensuring the practice remained in compliance at all times.
  • Increased revenue by optimizing billing processes and ensuring timely collection of payments from both patients and insurance companies.
  • Led transition to telehealth services, expanding patient access to care during challenging times.

Education

AA Degree - undefined

Foothill College
Palo Alto, CA

A.S. Degree - Nursing

Western Nevada Community College
Carson City, NV

Skills

  • Microsoft office, Microsoft word, Excel
  • Quickbooks
  • EPIC
  • All scripts
  • Navicur/Royco-(currently called Waystar)
  • GE Centricity
  • Nextgen

Timeline

Workers Compensation Auditor

Employers Insurance
01.2022 - 01.2025

Medical Office Manager

Holistic Health Center - Home Health, Pain Management, Hospice
01.2020 - 2022

Program Manager

Nevada Division of Emergency Management
01.2016 - 01.2019

Practice Manager

Primary Care/Psychology/Home Healthcare-University of Nevada
01.2013 - 01.2016

Practice Administrator

St. Mary’s Regional Medical Center-Prime Health Care
01.2009 - 01.2013

Research Coordinator

Whittemore Peterson Institute of Research
01.2007 - 01.2012

AA Degree - undefined

Foothill College

A.S. Degree - Nursing

Western Nevada Community College

Practice Administrator

Daniel Peterson, MD
2007 - 2022