Devonne Washington
Austin,USA
Summary
Detail-oriented Insurance Claims Processor experienced in managing patient information in compliance with HIPAA guidelines. Ensured timely processing and payment of claims through efficient monitoring and navigation of complex medical billing software. Excelled in maintaining confidentiality of patient records and fostering smooth billing operations by leveraging strong organizational and communication skills.
Overview
13
13
years of professional experience
Work History
Medical Billing Administrator
Storm medical billing
Austin, Tx
04.2016 - 10.2024
- Prepared and submitted claims to insurance companies for reimbursement.
- Processed medical claims using advanced billing software for accuracy.
- Reviewed patient accounts to ensure compliance with insurance regulations.
- Reviewed claims for coding accuracy.
- Communicated with insurance companies to resolve billing discrepancies.
- Investigated rejected claims using payer websites or by contacting third-party payers directly.
- Responded promptly to inquiries from insurance providers regarding claim status or discrepancies.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Maintained accurate accounts receivable records and updated patient files accordingly.
- Assisted with the preparation of monthly financial reports related to billing activities.
- Analyzed trends in claim processing times and worked closely with staff members to reduce delays.
- Performed periodic audits of coding accuracy according to established protocols.
- Ensured compliance with HIPAA regulations related to patient privacy rights.
- Compiled and coded patient data using standard classification systems.
- Distributed or posted financial data to appropriate accounts and prepared simple reconciliations.
- Entered patient insurance, demographic and health information into software and confirmed records.
Revenue Cycle Specialist
Austin hospice
Austin, Texas
12.2015 - 04.2017
- Reviewed insurance claims for accuracy and compliance with regulations.
- Processed appeals related to denied or rejected claims in a timely manner.
- Coordinated with healthcare providers to resolve payment issues promptly.
- Managed patient billing and collections processes for hospice services.
- Communicated with patients regarding billing inquiries and payment plans.
- Analyzed financial reports to identify trends in revenue and expenses.
High claim specialist
Financial Corporation of America
04.2013 - 12.2014
- Managed past due hospital accounts to facilitate timely claim payments
- Processed and assessed insurance claims for accuracy and compliance.
- Resolved all issues related to claims to ensure accurate processing
- Filed appeals for denied claims to ensure proper reimbursement.
- Monitored deadlines for claim submissions to maintain compliance.
- Processed adjustments to claims to correct billing errors.
- (Early Out Insurance)
- Provided training and support to junior staff on claims procedures.
Medical Billing Administrator
Armed Forces Services Corporation
01.2014 - 11.2014
- Reviewed and processed VA payment authorizations to facilitate timely reimbursements
- Processed and verified scanned claims for errors to maintain high standards of claim accuracy
- Reviewed medical insurance claims for veterans and active military personnel to ensure compliance and accuracy
- Provided financial services for veterans
Medical Claims Processor
Brackenridge Hospital
02.2013 - 12.2013
- Verified patient insurance information to facilitate timely billing and claims processing
- Billed for specimens tested at Brackenridge laboratory
- Entered patients' demographic information for billing purposes
- Processed stat specimens for urgent testing and results. for immediate results
- Ordered specimens using Smarterm software, ensuring accuracy in functional codes
- Coordinated specimen pickup with Medspeed from doctor's office for testing at Brackenridge Laboratory
- Located missing requisitions for pathology billing department
- Faxed back lab results to the doctor’s office that performed the test
- Assisted with administrative tasks during temporary assignment at Adecco.
Medical Billing Specialist
Advance Medical Services
10.2012 - 11.2013
- Facilitated approval of durable medical equipment for patients through insurance processes
- Coordinated appointments for timely delivery of equipment to residents
- Processed authorization paperwork for patients' doctors' offices to sign
- Monitored claim status with insurance providers to ensure timely processing
- Set up appointments with patients so equipment can be delivered to residents
- Completed externship program
Medical Coder
Health Reimbursement Services
11.2012 - 05.2013
- Received training on the Kareo system for billing insurance process
- Find diagnosis/procedure codes for physicians
- Followed up on insurance claims to ensure timely resolution
- Contacted insurance companies to inquire about claim status
- Identified diagnosis/procedure codes for physicians to facilitate accurate coding
- Completed internship program
Medical Billing Coordinator
Sunshine Care
12.2011 - 04.2013
- Processed medical claims using electronic billing systems efficiently.
- Monitored and scheduled elderly patient checkup appointments to ensure timely care
- Accurately collect co-payments prior to appointments
- Served as insurance claims advisor, assisting patients with their inquiries.
- Reviewed patient accounts for accuracy and completeness regularly.
- Coordinated with healthcare providers to gather necessary billing information.
- Maintained updated knowledge of insurance policies and regulations consistently.
- Ensured compliance with healthcare regulations in all billing practices diligently.
- Coordinated with healthcare providers to gather essential billing information, enhancing claim accuracy.
Education
Medical Billing and Coding Diploma -
Virginia College
Austin, TXGraduate -
Del Vallee High School
Skills
- ICD 10
- ICD-9-CM
- CPT
- HCPCS
- Medical terminology
- Online claim submission
- Medisoft
- Smarterm
- Mysis
- Medspeed
- Meditech
- CUBS
- Emdeon
- MS Word/Excel
- 10-key data entry
- Patient confidentiality
Timeline
Medical Billing Administrator
Storm medical billing
04.2016 - 10.2024
Revenue Cycle Specialist
Austin hospice
12.2015 - 04.2017
Medical Billing Administrator
Armed Forces Services Corporation
01.2014 - 11.2014
High claim specialist
Financial Corporation of America
04.2013 - 12.2014
Medical Claims Processor
Brackenridge Hospital
02.2013 - 12.2013
Medical Coder
Health Reimbursement Services
11.2012 - 05.2013
Medical Billing Specialist
Advance Medical Services
10.2012 - 11.2013
Medical Billing Coordinator
Sunshine Care
12.2011 - 04.2013
Medical Billing and Coding Diploma -
Virginia College
Graduate -
Del Vallee High School