Diane Dunn
Abilene,TX
Summary
Adept Medical Billing Specialist with a proven track record at David M Hampton, M.D., enhancing revenue collection by meticulously managing patient accounts and leveraging expertise in medical coding and insurance billing. Demonstrated ability to foster strong relationships with healthcare providers and patients, ensuring a 30% reduction in claim denials through effective communication and problem-solving skills.
Overview
23
23
years of professional experience
Work History
Medical Billing Specialist
David M Hampton, M.D.
07.2019 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Precisely evaluated and verified benefits and eligibility.
- Responded to customer concerns and questions on daily basis.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Delivered timely and accurate charge submissions.
Office Manager
Dr David Hampton
05.2001 - 06.2008
- Managed daily administrative tasks to ensure smooth operations within medical office environment.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Increased revenue by optimizing billing processes and ensuring timely collection of payments from both patients and insurance companies.
- Coordinated regular staff meetings to address challenges, discuss solutions, and share best practices within team.
- Developed close working relationships with front office and back office staff.
- Created and implemented organizational policies and procedures.
- Streamlined office operations for increased efficiency and productivity through effective staff training and delegation of tasks.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Completed bi-weekly payroll for 3 employees.
Education
High School Diploma -
Pampa High School
Pampa TexasBusiness
West Texas A&M University
Canyon, TXSkills
- HIPAA Compliance
- Payment posting
- Claim submission
- Insurance Verification
- CPT Knowledge
- ICD-10 Proficiency
- Medicare and Medicaid process
- Medical Coding Expertise
- Collections Management
- Insurance Billing
- Medical Billing
- Billing and Collection Procedures
- Insurance claims processing
Timeline
Medical Billing Specialist
David M Hampton, M.D.
07.2019 - Current
Office Manager
Dr David Hampton
05.2001 - 06.2008
High School Diploma -
Pampa High School
Business
West Texas A&M University
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