DIANDA CARTER
Johns Hopkins University
Baltimore,MD
29
years of professional experience
Revenue cycle professional with 10+ years of a strong background in managing billing, coding, and collections processes. Proven ability to enhance team performance and streamline operations to achieve optimal financial results. Known for effective collaboration, adaptability, and reliability. Skilled in revenue cycle management software, regulatory compliance, and customer service. Seeking a position that will use my proven skills to fill a leadership role and become a valuable asset to your company.
Work History
AR Revenue Cycle Specialist II
15 Years 5 Months- Excellent problem-solving skills.
- Met demands of a busy collections group by performing high volume of daily calls and follow up.
- Completion of correspondence
- Accounts receivable for physicians
- Completing multiple specialties for insurance follow up
- Fulfilling quota of 35 or more accounts per day
- Verifying claim status by phone and online
- Charge correction and payment posting
Customer Service Representative II
4 Years- Successfully answering 40 or more inbound member/provider calls per day with documentation.
- Achieves 85% Availability and 98% or more QA.
- Follow up with resolution to member and provider issues.
- Insurance USFHP and Priority Partners.
- Addressed customer service inquiries quickly and accurately.
- Maintained calm, friendly demeanor with upset customers to de-escalate stressful situations.
- Consulted with customers to determine best methods to resolve service and billing issues.
Customer Service Rep I
7 Years- Assisting with questions from staff.
- Monthly reports for Medicare leakage and various spreadsheets.
- Correspondence.
- Achieving Quality Assurance requirements.
- Escalated customer concerns, Addressed customer service inquiries quickly and accurately.
- Resolved average of 40 inquiries per day to consistently meet performance benchmarks, including speed, accuracy and volume.
Patient Account Rep II
3 Years- Billing HMO insurance.
- Follow up with insurance companies for claim status.
- Correspondence and Remits.
- Filing, faxing, pulling medical records and eob's, submitting appeals.
- Collections/ Payment posting.
- Completing various account receivable reports.
Education
- Health And Human Services
Diploma
Skills
Insurance
Organizational and problem solving skills
Quality Assurance
Credit Adjustments
Problem-solving
Task prioritization
Microsoft Work
Excel
Outlook
Access
Epic
IDX
Mc400
Power-search
Magic
Healthlink
Evs
Claims review
Insurance verification
Analytical problem solving
Revenue cycle management
Time management
Experience in handling confidential paperwork
HIPAA
Strong customer service and communication skills
Timeline
AR Revenue Cycle Specialist II
Johns Hopkins University
01.2011 - CurrentRead More
Customer Service Representative II
Johns Hopkins HealthCare LLC
01.2007 - 01.2011Read More
Customer Service Rep I
Johns Hopkins Healthcare
01.2000 - 01.2007Read More
Patient Account Rep II
Johns Hopkins Health System
01.1997 - 01.2000Read More
Paul Laurence Dunbar Senior High Baltimore County Community College
Diploma
Read More
Walden University
from Health And Human Services
Read More