Deidre Gumm
Grantsville
Summary
Experienced medical biller with a strong background in claims processing and insurance verification at Minnie Hamilton Health System. Demonstrated success in improving patient communication and efficiently resolving billing discrepancies. Proficient in ICD-10 coding and collections management, showcasing exceptional attention to detail and problem-solving skills. Organized medical biller boasts several-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Medical Biller
Minnie Hamilton Health System
Grantsville
02.2024 - Current
- Processed patient claims using electronic billing systems at Minnie Hamilton Health System.
- Reviewed and verified insurance information for accuracy and completeness.
- Communicated with patients to resolve billing inquiries and discrepancies.
- Collaborated with healthcare providers to ensure proper coding of services rendered.
- Maintained organized records of patient accounts and billing activities.
- Assisted in training new staff on billing procedures and software usage.
- Monitored payment schedules and followed up on outstanding claims regularly.
- Updated patient billing information in compliance with health regulations and standards.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Gathered information to produce accounts payable reports for review.
- Generated and distributed month-end statements for customers and resolved related concerns.
- Collected, posted and managed patient account payments.
Paraprofessional
Calhoun County Board Of Education
Grantsville
01.2018 - 02.2024
- Assisted teachers in classroom management and lesson preparation.
- Supported students with individualized learning plans and diverse needs.
- Implemented instructional activities to enhance student engagement and understanding.
- Collaborated with staff to create a positive learning environment.
- Monitored student progress and reported observations to educators.
- Organized classroom materials and resources for effective use.
- Facilitated communication between teachers, students, and parents as needed.
- Participated in staff meetings to discuss student development strategies.
Medical Biller & Collection Specialist
Minnie Hamilton Health System
Grantsville
07.2012 - 12.2017
- Advised delinquent customers on strategies for debt repayment.
- Contacted customers with delinquent accounts to solicit payment.
- Wrote appeal letters to insurance companies for denial of claims.
- Contacted insurance companies to check status of claim payments.
- Performed administrative functions for assigned accounts, recorded address changes and purged records.
- Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
- Recorded information about status of collection efforts.
- Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
- Maintained confidentiality and adhered to FDCPA regulations during collections.
- Processed medical claims using electronic billing systems for accuracy and efficiency.
- Reviewed patient records to verify insurance information and eligibility.
- Communicated with insurance companies to resolve billing discrepancies and inquiries.
- Coordinated with healthcare providers to obtain necessary documentation for claims.
- Assisted patients with billing questions and payment arrangements effectively.
- Trained new staff on billing procedures and software usage for consistency.
- Submitted electronic claims to various insurance carriers.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
Education
Paraprofessional K-6 - Education
WV Learns
Charleston, WV01-2016
Skills
- Electronic billing
- ICD-10 coding
- Claims processing
- Insurance verification
- Payment reconciliation
- Customer communication
- Record management
- Attention to detail
- Problem solving
- Time management
- Claims review
- Healthcare compliance
- Patient billing
- Insurance claims processing
- Collections management
- CPT knowledge
- Medical billing technology
- ICD-10 proficiency
- Medicare and medicaid process
- Collection calls
- Insurance claims
- Multitasking and organization
Affiliations
- I like to work with disabled children, older adults.
- Church Sunday School with my little kids group
- Fishing, Camping, Hunting
Accomplishments
- President of FBLA from 2004-2006
Certification
- Paraprofessional K-6
Languages
English
Professional
References
References available upon request.
Timeline
Medical Biller
Minnie Hamilton Health System
02.2024 - Current
Paraprofessional
Calhoun County Board Of Education
01.2018 - 02.2024
Medical Biller & Collection Specialist
Minnie Hamilton Health System
07.2012 - 12.2017
Paraprofessional K-6 - Education
WV Learns
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