Destinee Huebner
Port Saint Lucie
Summary
Detail-oriented Senior Claims Analyst with extensive experience in medical claims processing and revenue cycle management. Proven ability to resolve denied claims, verify patient eligibility, and ensure compliance with insurance regulations. Strong problem-solving skills and customer service expertise contribute to maximizing claim reimbursements. Seeking a remote position to leverage skills within a dynamic healthcare team.
Overview
7
7
years of professional experience
Work History
Senior Claims Analyst
Aspirion Health Resources
Wayne
10.2023 - Current
- Analyze and resolve denied claims, submitting appeals and corrected claims to maximize reimbursements.
- Conducted thorough review of diagnosis codes to ensure accuracy. Verify medical necessity and submit supporting documentation for claim approval.
- Work on high-dollar accounts, ensuring timely follow-ups and escalations when necessary.
- Ensured accurate patient eligibility and insurance verification while resolving issues promptly.
- Maintain compliance with HIPAA and payer-specific guidelines while working independently in a remote setting.
Account Representative
Clevland Clinic Florida
Stuart
01.2022 - 10.2023
- Processed patient accounts, including claim appeals, refunds, and insurance verification.
- Facilitated collection of overdue accounts through strategic negotiations.
- Prepared and delivered detailed invoices aligned with specific client requirements.
- Directed handling of incoming and outgoing correspondence involving financial transactions and claim-related documents.
Medical Records Clerk/Office Coordinator
Hematology Oncology Associates of the Treasure Coast
Stuart
01.2019 - 01.2022
- Maintained and updated patient medical records, ensuring compliance with insurance and privacy regulations.
- Facilitated documentation for insurance, managed schedule of appointments, and handled claims submission.
- Explained account balances to patients while supporting billing requirements.
- Guaranteed secure processing of sensitive patient records in accordance with HIPAA standards.
Patient Services Representative
Change Healthcare
Port St Lucie
09.2017 - 12.2018
- Coordinated responses to patient inquiries about financial transactions, insurance coverage issues, and scheduling details.
- Researched and resolved outstanding claim issues to ensure maximum profitability.
- Verified and updated patient accounts efficiently.
Education
High School Diploma -
Saint Lucie West Centennial Highschool
Port Saint Lucie, FL05-2013
Skills
- Claims analysis
- Appeals submission
- Insurance verification
- HIPAA compliance
- Financial negotiation
- Claims and billing software: Epic, Availity, Meditech
- Professionalism and integrity
- Problem solving
- Attention to detail
- Excel, Word, and Outlook Expertise
- Skilled in Secure Data Management
- Effective Virtual Communication
References
References available upon request.
Timeline
Senior Claims Analyst
Aspirion Health Resources
10.2023 - Current
Account Representative
Clevland Clinic Florida
01.2022 - 10.2023
Medical Records Clerk/Office Coordinator
Hematology Oncology Associates of the Treasure Coast
01.2019 - 01.2022
Patient Services Representative
Change Healthcare
09.2017 - 12.2018
High School Diploma -
Saint Lucie West Centennial Highschool
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