Destiney Wilkins
Washington
Summary
Dynamic Medicaid Billing Specialist with a proven track record at Aetna Medicaid, specializing in HIPAA compliance and effective communication. Streamlined billing processes for enhanced efficiency, significantly reducing claim denials. Excelled in customer service, ensuring high levels of client satisfaction and loyalty. Expert in ICD-10 coding and adept at maintaining patient confidentiality.
Professional billing specialist with strong expertise in Medicaid claims processing and reimbursement. Proven ability to navigate complex billing systems, ensuring accuracy and compliance with regulations. Known for effective team collaboration, adaptability, and achieving results in dynamic healthcare environments. Skilled in claims resolution, coding, and patient communication.
Healthcare professional with extensive background in Medicaid billing and regulatory compliance. Known for optimizing billing workflows and ensuring accurate claim submissions, delivering consistent results. Valued for collaborative teamwork, adaptability to changing regulations, and strong analytical skills.
Overview
9
9
years of professional experience
Work History
Medicaid Billing Specialist
Aetna Medicaid
12.2024 - Current
- Monitored accounts receivable aging reports closely, ensuring timely collection efforts were made on overdue balances.
- Participated in continuous improvement initiatives aimed at enhancing overall billing operations within the department.
- Maintained up-to-date knowledge of Medicaid regulations, ensuring full compliance in all billing practices.
- Streamlined the billing process for improved efficiency through implementing better organization and filing systems.
- Maintained up-to-date knowledge of relevant laws, regulations, and policy changes affecting Medicaid eligibility determinations.
Customer Service Representative
Kaiser Permanente
06.2022 - 11.2024
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Managed a high volume of calls daily, maintaining composure under pressure while providing exceptional service.
Medical Biller and Coder
George Washington University Hospital
02.2020 - 10.2024
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Checked insurance eligibility by making appropriate phone calls and conducting research on services rendered.
- Kept all patient information secure and confidential.
Lead Customer Service Representative
Wells Fargo & Company
02.2016 - 02.2020
- Managed a team of customer service representatives, consistently achieving performance targets and goals.
- Enhanced customer satisfaction by efficiently resolving complex issues and providing timely solutions.
- Trained, oversaw, and mentored new team members to strengthen performance and job expertise.
- Engaged clients in person and over phone to answer questions and address complaints.
- Boosted team spirit and performance by communicating clear service expectations and quality goals to each team member.
Education
Master of Cybersecurity - Master of Cybersecurity
Arizona State University
01-2028
High School Diploma -
Loris High School
05-2013
Skills
- Organizational growth
- Critical thinking
- HIPAA compliance
- Effective communication
- ICD-10 coding
- Customer service
- Active listening
- Data entry
- Insurance verification
- Patient confidentiality
- Appointment scheduling
- Billing
Education
Loris,Tempe, AZ
Contact
Washington, DC 20020
Timeline
Medicaid Billing Specialist
Aetna Medicaid
12.2024 - Current
Customer Service Representative
Kaiser Permanente
06.2022 - 11.2024
Medical Biller and Coder
George Washington University Hospital
02.2020 - 10.2024
Lead Customer Service Representative
Wells Fargo & Company
02.2016 - 02.2020
High School Diploma -
Loris High School
Master of Cybersecurity - Master of Cybersecurity
Arizona State University
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