Diana D. Gallagher
Redford
Summary
Experienced healthcare billing professional prepared for this role with strong expertise in Medicare billing processes, claims management, and patient account handling. Known for collaboration and adaptability, ensuring seamless team operations and meeting evolving needs. Possess keen analytical skills, attention to compliance, and results-driven mindset valued by employers.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Medicare Biller/ Denials Rep.
Corewell Health-East Corporate Services
12.2020 - 03.2025
- Used payor portals, direct communication and EMR to process denied Medicare and Medicare Advantage claims for healthcare services
- Researched claims and communicated with insurance companies to determine the actual denial reason and process accordingly by submitting appeals or by advancing the claims to specialized areas for review
- Maintained quality and productivity per company standards
Medical Assistant III
Beaumont Orthopedic Associates
09.2015 - 12.2020
- Performed front office duties including scheduling appointments, patient registration, insurance verification, scheduling and boarding surgeries and obtaining insurance authorizations, processed medical record requests for insurance, legal cases, etc.
- Performed back office duties including patient intake, obtaining vitals, reconciling medications and health history, set up injections, wound care and cast applications
- Kept accurate account of office and medical supplies and ordered accordingly
Medical Assistant
Wayne State Univ. Physicians Group- Dept. of Orthopedic Surgery
06.2014 - 09.2015
- Performed front office duties including scheduling appointments, patient registration
- Performed back office duties including patient intake, obtaining vitals, reconciling medications and health history, set up injections, wound care and cast applications
- Kept accurate account of medical supplies and ordered accordingly
Education
Medical Assisting Program - Medical Assisting
Ross Medical Education Center
07.2011
Skills
- Organizational growth
- Critical thinking
- HIPAA compliance
- Medicare regulations
- Multitasking and organization
- Insurance claims processing
- Verbal and written communication
- Work prioritization
- Continuous learning attitude
- Customer service
- Teamwork and collaboration
- Denial management strategies
Certification
CPR/BLS Certified April 2025-April 2027
Timeline
Medicare Biller/ Denials Rep.
Corewell Health-East Corporate Services
12.2020 - 03.2025
Medical Assistant III
Beaumont Orthopedic Associates
09.2015 - 12.2020
Medical Assistant
Wayne State Univ. Physicians Group- Dept. of Orthopedic Surgery
06.2014 - 09.2015
Medical Assisting Program - Medical Assisting
Ross Medical Education Center
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