Summary
Overview
Work History
Education
Skills
Timeline
Generic

Diane Everett

Boston,MA

Summary

Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

25
25
years of professional experience

Work History

ED Secretary

Mass General Brigham Faulkner Hospital
Jamaica Plain, MA
10.2021 - Current
  • Assisted physicians with paperwork and other administrative tasks as needed.
  • Maintained confidentiality of all patient information in accordance with HIPAA regulations.
  • Provided assistance with filing, copying, scanning documents as requested by staff members.
  • Coordinated communication between the ER department and other departments within the hospital.
  • Monitored inventory levels of supplies in the ER department to ensure adequate stock is available.
  • Acted as liaison between physicians, nurses, patients, visitors regarding questions or concerns.
  • Greeted patients, obtained registration information and verified insurance coverage.
  • Answered phone calls, scheduled patient appointments, and provided customer service support.
  • Adhered to HIPAA requirements to safeguard patient confidentiality.
  • Answered telephones and directed calls to appropriate medical or adminstrative staff.
  • Communicated with patients with compassion while keeping medical information private.
  • Greeted patients, determined purpose of visit and directed to appropriate staff.
  • Transmitted medical records and other correspondence by mail, e-mail, or fax.
  • Provided administrative support to the office manager and other staff members.
  • Greeted visitors in a professional manner and directed them to appropriate personnel or offices.
  • Answered incoming phone calls, responded to inquiries and transferred calls as needed.

OFFICE MANAGER/Medical Biller and Coder

Back Bay Allergy Associates,Inc
Brookline, MA
07.2012 - 04.2024
  • Submit all insurance claims through Athenanet systems Overlook all patient Completed bills by collecting clinical and laboratory testing information for inclusion
  • Answered questions from patients regarding billing charges by explaining services and clinical duties performed.
  • Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
  • Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
  • Compiled and processed data for billing purposes utilizing billing software programs.
  • Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
  • Generated reports in order to track payments due from insurance companies or other third party payers.
  • Submitted electronic claims to various insurance carriers.
  • Answered incoming calls regarding billing inquiries from patients and and or providers in a professional manner.
  • Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
  • Performed daily reconciliation of accounts receivable with payment postings on the computer system.
  • Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
  • Provided training and support to new staff members regarding billing processes.
  • Ensured compliance with HIPAA guidelines when handling confidential patient information.

  • Applied HIPAA privacy and security regulations while handling patient information.
  • Submitted appeals using provider portals and phone communication.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Coordinated communications between patients, billing personnel and insurance carriers.
  • Reviewed claims for coding accuracy.
  • Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
  • Input details into accounts and tracked payments.
  • Handled billing, waivers and claims for private and commercial clients.
  • Leveraged EMR software to post payments received for medical services.
  • Organized information for past-due accounts and transferred to collection agency.
  • Interpreted medical terminology and pharmacological information to translate information into coding system.
  • Submitted claims to insurance companies.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Collected, posted and managed patient account payments.
  • Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
  • Managed all payments processing, invoicing and collections tasks.
  • Answered customer questions to maintain high satisfaction levels.
  • Monitored past due accounts and pursued collections on outstanding invoices.
  • Assessed billing statements for correct diagnostic codes and identified problems with coding.
  • Maintained accounting ledgers by verifying and posting account transactions.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
  • Reconciled codes against services rendered.
  • Executed account updates and noted account information in company data systems.
  • Reconciled financial accounts using ATHENAONE software.
  • Trained new team members on company policies and accounting systems to keep team operations productive and efficient.
  • Enforced compliance with organizational policies and federal requirements regarding confidentiality.
  • Weighed envelopes containing statements to determine correct postage and affix postage.
  • Developed and implemented office policies and procedures.
  • Ordered supplies and equipment to maintain adequate inventory levels.
  • Answered phone calls, responded to emails, routed mail and coordinated courier services.
  • Resolved customer inquiries in a timely manner while maintaining positive relationships with clients.
  • Tracked invoices and payments to ensure accuracy of accounts receivable and payable information.
  • Managed office inventory and placed new supply orders.
  • Monitored payments due from clients and promptly contacted clients with past due payments.
  • Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
  • Verified accuracy of patient information and insurance data in billing system.
  • Submitted claims to insurance companies electronically or by mail.
  • Resolved denied claims by researching payer requirements and preparing appeals.
  • Reconciled accounts receivable to ensure accuracy of payments received.
  • Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
  • Performed daily audits on all bills submitted for accuracy and completeness.
  • Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
  • Provided customer service support to patients regarding billing inquiries.
  • Processed corrections and adjustments as needed to ensure accurate payment from third party payers.
  • Worked closely with physicians to obtain additional clinical information when needed for accurate coding assignments.
  • Tracked details such as authorizations, pre-certifications or referrals required prior to service delivery.
  • Reviewed received payments for accuracy and applied to intended patient accounts.
  • Reviewed medical records to meet insurance company requirements.
  • Assessed medical codes on patient records for accuracy.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.

ADMINITSTRATIVE ASSISTANT LL

Beth Israel Deaconess Medical Center, Gastroenterology
Boston, MA
04.2005 - 09.2008
  • Schedule specialty procedures
  • Translate for Spanish speaking patients
  • Give out results to primary care doctors and patients
  • Plan the doctors Calendar for the year.

PRACTICE ASSISTANT

Beth Israel Deaconess Medical Center, Gastroenterology
Boston, MA
07.2004 - 04.2005
  • Check-In
  • Check-out
  • Schedule procedures and office appointments
  • Switchboard
  • File
  • Prepare charts for next day appointments
  • Translate for Spanish speaking patients.

SALES AUDIT SR. CLERK

Filene's
Boston, MA
11.1998 - 01.2001
  • Correct errors
  • Review documents
  • Billing process management
  • Maintain records
  • Regulatory compliance
  • Process payments
  • Customer service
  • Prepare statements
  • Accounting and financial management
  • Payment processing
  • Verify data
  • Client billing
  • Manage schedules
  • Customer relations.

Education

MEDICAL ADMINISTRATIVE/MEDICAL BILLER -

Bryman Institute

SECRETARIAL/MICROSOFT OFFICE MANAGEMENT CERTIFICATION -

The Hickox School

MA ACCOUNTING SUPPORT CERTIFICATE -

Mission Church High School

Skills

  • Medical insurance billing
  • Basic accounting
  • Office procedures
  • Invoicing and billing
  • Financial data entry
  • Administrative support
  • Records research
  • Account reconciliation
  • Payment collection
  • Collections processing
  • Paperwork and documentation
  • Accounting support
  • HIPAA Compliance
  • Teamwork and Collaboration

Timeline

ED Secretary

Mass General Brigham Faulkner Hospital
10.2021 - Current

OFFICE MANAGER/Medical Biller and Coder

Back Bay Allergy Associates,Inc
07.2012 - 04.2024

ADMINITSTRATIVE ASSISTANT LL

Beth Israel Deaconess Medical Center, Gastroenterology
04.2005 - 09.2008

PRACTICE ASSISTANT

Beth Israel Deaconess Medical Center, Gastroenterology
07.2004 - 04.2005

SALES AUDIT SR. CLERK

Filene's
11.1998 - 01.2001

MEDICAL ADMINISTRATIVE/MEDICAL BILLER -

Bryman Institute

SECRETARIAL/MICROSOFT OFFICE MANAGEMENT CERTIFICATION -

The Hickox School

MA ACCOUNTING SUPPORT CERTIFICATE -

Mission Church High School

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Diane Everett