Diahanna Taylor
Yuma,AZ
Summary
Dynamic Medical Billing Coordinator with extensive experience at Veradigm, excelling in claims processing, payment posting, and regulatory compliance. Proven ability to enhance payment accuracy and expedite resolutions through effective communication and analytical skills. The ability to code using ICD-10 coding and team training consistently drives operational efficiency and improves patient account management.
Overview
25
25
years of professional experience
1
1
Certification
1
1
years of post-secondary education
Work History
Medical Billing Coordinator
Veradigm
305 Church At N Hills St Raleigh, NC 27609, NC
10.2019 - 06.2025
- Expedited payments by verifying vendor information for accuracy and currency.
- Processed invoice payments and recorded details in account database.
- Collected, posted, and managed patient account payments efficiently.
- Communicated with insurance representatives to resolve claims issues and expedite processing.
- Entered procedure codes, diagnosis codes, and patient data into billing software for invoicing.
- Participated in workshops and training to enhance knowledge of industry regulations.
- Conducted account reconciliations to resolve discrepancies and ensure integrity.
- Trained new team members on accounting systems and company policies for operational efficiency.
Payment Poster
Veradigm, Inc
Raleigh, NC
03.2004 - 10.2019
- Participated in departmental meetings to enhance payment processes and compliance standards.
- Ensured adherence to HIPAA regulations while managing patient information and confidentiality.
- Balanced daily cash postings with deposits to maintain accurate financial records.
- Posted payments for insurance companies, including Medicare and Medicaid, by accurately entering data.
- Trained new team members on procedures for posting payments and reconciling accounts receivable.
- Updated patient accounts with verified information to ensure data accuracy in the system.
- Resolved payment issues caused by coding errors or missing information promptly.
- Maintained current accounts receivable tracking database, documenting billing progress and adjustments.
Claims Processor
YRMC - Childrens Health Services
Yuma, AZ
10.2000 - 02.2004
- Researched discrepancies between submitted documentation and actual records to identify errors.
- Analyzed and evaluated claim forms, medical reports, bills, and other documents to ensure accuracy of data.
- Evaluated validity of assigned claims by verifying medical necessity according to established guidelines.
- Analyzed claim forms, medical reports, and bills to ensure data accuracy.
- Identified trends in denials due to incorrect coding or billing practices.
- Processed high volume of incoming claims according to established policies and procedures.
- Managed escalated customer complaints regarding denied or delayed payments efficiently.
- Maintained confidentiality of policyholder information in compliance with HIPAA regulations.
- Updated job knowledge through educational opportunities and professional networking.
Education
High School Diploma -
San Pasqual Unified School District
Winterhaven, CA 09.1984 - 06.1988
Skills
- Claims processing and insurance verification
- Medical coding and billing
- Payment posting and account reconciliation
- Regulatory compliance and HIPAA adherence
- Team training and development
- Data entry and attention to detail
- Analytical skills and problem resolution
- Effective communication skills
- Healthcare reimbursement strategies
- ICD-10 and CPT coding
- CERNER proficiency
- CMS-1500 billing forms
- Verbal and written communication
- Motivation and initiative
Certification
- 2004-2006 AAPC Coding Certificate
Accomplishments
- Multiple Achievement Recognition Awards for Training New Employees.
References
References available upon request.
Timeline
Medical Billing Coordinator
Veradigm
10.2019 - 06.2025
Payment Poster
Veradigm, Inc
03.2004 - 10.2019
Claims Processor
YRMC - Childrens Health Services
10.2000 - 02.2004
High School Diploma -
San Pasqual Unified School District
09.1984 - 06.1988
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