Derielle Baity
Tampa,FL
Summary
Detail-oriented Billing Specialist experienced in managing account payments and enhancing billing efficiency. Achieved effective client relationships and optimized account collections through strong organizational and problem-solving skills. Committed to delivering accurate invoicing and innovative solutions for timely receivable collections.
Overview
1
1
Certification
1
1
year of post-secondary education
11
11
years of professional experience
Work History
Billing Specialist
Bay Area Cardiology
Brandon, FL
05.2020 - 07.2026
- Managed insurance claims submissions and follow-ups for timely resolutions.
- Reviewed and adjusted patient accounts for accuracy and compliance.
- Processed patient billing and coding for various cardiology services.
- Communicated with patients regarding billing inquiries and payment options.
- Collaborated with healthcare providers to ensure accurate documentation of services.
- Utilized billing software to maintain up-to-date patient records and transactions.
- Answered customer inquiries regarding billings, payments, account status.
- Investigated incorrect billings and processed refunds.
- Worked closely with patients to discuss payment arrangements when needed.
- Trained new staff on billing procedures and system navigation techniques.
- Assisted in developing efficient billing workflows to enhance overall operations.
- Worked with team members to identify and develop process improvements.
- Resolved discrepancies between customers' remittances and invoices received.
Prior Authorization Specialist
Wipro
Tampa, Florida
04.2017 - 03.2020
- Reviewed and processed prior authorization requests for medical services.
- Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
- Reviewed prior authorization requests to ensure accuracy and completeness of required information.
- Communicated effectively with healthcare providers to gather required documentation.
- Utilized electronic health record systems for tracking authorization statuses.
- Maintained accurate records of all prior authorization requests and outcomes.
- Maintained accurate records of all authorization activities in the database system.
- Educated staff on authorization procedures and best practices.
- Assisted in developing workflows to streamline the authorization process.
- Resolved issues related to denied authorizations through effective problem-solving techniques.
- Contacted insurance carriers to obtain authorizations, notifications and pre-certifications for patients.
- Scheduled peer to peer reviews for physicians to discuss medical necessity with insurance providers.
- Notified ordering providers of denied authorizations.
- Performed detailed medical reviews of prior authorization request, following established criteria and protocols.
- Responded promptly to inquiries from providers, patients and payers regarding status of prior authorization requests.
- Educated healthcare professionals on how to properly submit a request for pre-authorization.
- Developed relationships with external vendors providing pre-authorization services.
- Processed appeals in a timely manner as per policy guidelines.
- Identified reasons behind denied claims and worked closely with insurance carriers to promote resolutions.
Customer Service Representative
General Dynamics
Tampa, FL
07.2015 - 03.2017
- Resolved customer inquiries through phone and email communications.
- Assisted team members with complex customer issues and escalations.
- Documented customer interactions in the company's CRM system effectively.
- Provided product information to customers, enhancing understanding and satisfaction.
Education
Medical Billing And Coding Specialist - Health Administration
Florida Technical College
Tampa, FL 02.2026 - 08.2026
Plant High School
Tampa, FloridaSkills
- Medical billing
- Billing and collections
- Claims processing
- Insurance verification
- Authorization processing
- Insurance confirmation
- Denial management
- Claim submission
- Patient account management
- Accounts receivable management
- Accounts receivable expertise
- Revenue cycle management
- Billing cycle management
- Billing software proficiency
- Billing software management
- Monthly billing management
- Payment posting
- Collections management
- Billing statement processing
- Workflow enhancement
- Healthcare compliance
- Records organization and review
- Data entry accuracy
- Multitasking and organization
- Team collaboration
- Customer service
- Client relationship management
- Client engagement
- Relationship management
- Problem-solving
- Analytical thinking
- Attention to detail
- Verbal and written communication
- Procedure development
- Month-end closing
- Financial reporting
- Deductible management
- Payment posting
- Collections management
- Financial reporting
Accomplishments
have maintained a 4.0 GPA in my Medical Billing and Coding Specialist program and am on track to complete my program in October 2026. I have consistently demonstrated strong academic performance and exceeded expectations in my coursework
Certification
- Medical Billing and Coding Specialist Certificate
Authority: NorthBridge University
Timeline
Medical Billing And Coding Specialist - Health Administration
Florida Technical College
02.2026 - 08.2026
Billing Specialist
Bay Area Cardiology
05.2020 - 07.2026
Prior Authorization Specialist
Wipro
04.2017 - 03.2020
Customer Service Representative
General Dynamics
07.2015 - 03.2017
Plant High School