Diana Collins
Compton,CA
Overview
23
23
years of professional experience
1
1
Certificate
9
9
years of post-secondary education
Work History
Reimbursement Representative
Cardiovascular Medical Group
Gardena, Ca
2023.02 - 2023.03
- Prepared Authorization in the different medical portals such as UHC, Blue Shield, Blue Cross and other medical web-based portals
- Set up new patient info in Allscripts to make sure they have current eligibility and benefits
- Called patient(s) on late or unpaid payments and requested to update their current address for our files.
Reimbursement Representative
PROVIDENCE HOME CARE
Anaheim, CA
2022.08 - 2022.10
- Daily tracking of Medicare NOE's/NOTR's
- Identify bad debt and contractual allowances with attached documentation supporting request for write-offs
- Document in computer system all phone calls and correspondence with payor source
- Calculate accurate contractual write off on open accounts, utilizing appropriate write off codes
- Resubmit claims not received by payor source, with verification of receipt
- Timely follow up on open balance accounts.
Lead Reimbursement Representative
Amplus Group
Torrance, CA
2022.02 - 2022.03
- Communicates with branches and other departments to assure resolution of reimbursement issues
- Timely review of remittance Advice/Correspondence, take appropriate steps to appeal nonpayment of claims
- Report to Manager on any reimbursement issues resulting to nonpayment.
Collection Analyst
KabaFusion
Cerritos, CA
2021.10 - 2021.12
- Analyze and rectify claims issues with payers by timely follow up of claims status/payments
- Handles collections call promptly with professionalism to payors and/or patients
- Provide medical records, doctor and/or nurses notes along with the prescription and execute an appeal on denied EOB's
Reimbursement Representative
U. S. Renal Care
Long Beach, CA
2000.09 - 2020.10
- Reviews EOB/EOMB's for proper reimbursement
- Resolve electronic claim rejections and Explanation of Benefits denials in a timely manner
- Follows up on unpaid/unresolved account balances., including claims rejected electronically, report to Manager on any reimbursement issues resulting in nonpayment.
Education
Associate degree in Business Administration - Business Admin
Compton Community College
Compton, CA 1977.09 - 1986.06
Skills
- Epic
- ICD-9
- ICD-10
- Medicare (10 years)
- Cerner
- Microsoft Excel (10 years)
- Microsoft Word (10 years)
- Microsoft Outlook (10 years)
- Managed care (10 years)
- Customer Support
- Telephone Reception
- Paperwork Processing
Certification
Medical Billing Certificate
Timeline
Reimbursement Representative
Cardiovascular Medical Group
2023.02 - 2023.03
Reimbursement Representative
PROVIDENCE HOME CARE
2022.08 - 2022.10
Lead Reimbursement Representative
Amplus Group
2022.02 - 2022.03
Collection Analyst
KabaFusion
2021.10 - 2021.12
Reimbursement Representative
U. S. Renal Care
2000.09 - 2020.10
Associate degree in Business Administration - Business Admin
Compton Community College
1977.09 - 1986.06
Personal Information
Work Permit: Authorized to work in the US for any employer
Personal Information
Work Permit: Authorized to work in the US for any employer