Diane Reynolds
Bunker Hill,WV
Summary
Dynamic and detail-oriented professional with extensive experience at The Eye Center, excelling in medical billing and patient relations. Proven ability to enhance patient satisfaction through effective communication and accurate data entry. Recognized for improving claims processing efficiency, demonstrating strong organizational skills and a commitment to quality care.
Overview
19
19
years of professional experience
Work History
Receptionist
The Eye Center
10.2024 - Current
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Answered phone promptly and directed incoming calls to correct offices.
- Kept reception area clean and neat to give visitors positive first impression.
Medical Billing/ A/R Specialist
The Eye Center
07.2022 - Current
- Account Receivable Follow ups
- Responsible for calling insurance carriers regarding all unpaid claims
- Responsible for working and following up on all denied claims
- Responsible for writing appeal letters for claims processed/paid incorrectly
- Responsible for submitting paper and electronic claim
- Submit secondary insurance claims with proper documentation as required
- Follow up on all patients account balances
- Make collection calls to patients on all delinquent account balances
- Prepare delinquent account for collection agency
Medical Billing Specialist
ESM Billing
06.2014 - 06.2015
- 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.
- 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.
- Corrected Patient addresses and other patient information
- Explained patient balances
- Ran reports of insurance claims for primary and secondary that have not been paid
- Getting claims paid for timely filing
Administrative Assistance
Mid Atlantic Pathology
08.2011 - 10.2011
- Data Entry pf pathology reports, grossing entered, demographicfs
- Mailed out statements and HCFA's, sorted mail to give to the appropriate office staff
- Faxed reports, Labeled Slides, mailed slides that were requested
- Pulled pathology slides that were requested by the doctor
- Helped with billing calls
- Posted patient payments
- Transferred calls to the pathologist when a provider called
Reinsurance Analyst
CQI Staffing Service
05.2011 - 06.2011
- Data entry of patient's demographics, double checking the data that was previously entered
Reimbursement Analyst
NRI Staffing
02.2010 - 06.2011
- Calling insurance companies to follow up with medication
- Called the provider's office to inform them that the insurance needs to get some more information from them to proceed
- Helped other employees that need to be assisted
Medical Assistant/Receptionist
Dulles Urgent Care
03.2008 - 12.2010
- Checked patient insurance, demographic, and health history to keep information current.
- Maintained current and accurate medical records for patients.
- Helped patients complete necessary medical forms and documentation.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Managed multi-line phone system and pleasantly greeted patients.
- Responded to correspondence from insurance companies to verify patient's coverage.
- gave injections, drew blood
- Certified in drug screening
- Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
- Transcribed phone messages and relayed to appropriate personnel.
- Managed billing processes accurately, minimizing discrepancies and improving revenue collection rates for the practice.
- Enhanced patient experience by managing front desk operations and providing exceptional customer service.
- Maintained a clean and organized reception area, contributing to a professional, efficient, and welcoming environment for patients and visitors.
- Improved office organization by maintaining accurate patient records and filing systems.
- Contributed to a welcoming atmosphere, greeting patients upon arrival and addressing their needs promptly.
- Supported clinical team during emergencies by assisting with first aid measures or coordinating additional help when necessary.
- Provided compassionate support to patients during challenging circumstances, ensuring they felt heard and understood.
- Expedited lab results retrieval process by establishing strong relationships with external laboratory facilities.
- Organized insurance claims processing, reducing errors and ensuring timely payments for services rendered.
- Assisted in inventory management, ordering supplies when necessary to maintain adequate stock levels for clinical operations.
- Coordinated referral processes, effectively liaising between patients, providers, and specialists for seamless care transitions.
- Assisted with medical procedures as needed, ensuring a smooth flow of daily operations in the clinic.
- Prepared and processed patient referrals and transfer requests.
- Conducted patient intake interviews, recording and documenting relevant information.
Medical Assistant
Herndon Family Medicine
12.2006 - 02.2008
- Sanitized, restocked, and organized exam rooms and medical equipment.
- Obtained client medical history, medication information, symptoms, and allergies.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Performed medical records management, including filing, organizing and scanning documents.
- Built strong relationships with patients through effective communication skills that foster trust in the clinic''s commitment to quality care.
- Maintained a safe and clean clinical environment by adhering to infection control guidelines and disposing of biohazardous waste properly.
- Facilitated seamless patient care with thorough and accurate documentation of medical histories, vital signs, and medications.
- Assisted physicians with minor surgeries, including preparing operating room and sterilizing instruments.
- Kept medical supplies in sufficient stock by monitoring levels and submitting replenishment orders before depleted.
- Boosted patient satisfaction by providing compassionate care and promptly addressing needs during visits.
- Performed phlebotomy tasks efficiently while ensuring minimal discomfort for patients during blood collection procedures.
- Enhanced clinic efficiency by assisting physicians with routine procedures and diagnostic tests.
- Coordinated patient referrals to specialists or other healthcare providers as needed for comprehensive care management plans.
- Maintained strict adherence to infection control protocols by following proper sterilization techniques for medical equipment.
- Contributed to positive health outcomes by educating patients on preventative measures, treatment plans, and follow-up care instructions.
Medical Assistant
Northern Virginia Center of Arthritis
05.2006 - 12.2006
- Ensured patient safety and comfort during examinations, effectively addressing concerns and answering questions.
- Improved patient experiences by efficiently managing appointments and maintaining organized medical records.
- File charts, schedule appointments, prepare and pre authorize medications
- Drew blood for particular testing
- Verify insurance's, collect copays, and arrange financial counseling for self pay patient's
- complete all lab work, and maintain correspondence with out sources. Stock and clean rooms
- Gave injections
- Counseled patient's on how to give injections to themselfs
Education
No Degree - Medical Billing And Coding
Everest College
Tysons Corner, VA09-2008
Medical Assistant
Everest College
Tysons Corner, VA03-2005
High School Diploma -
Park View High School
Sterling, VA08-1994
Skills
- Effective organization skills
- Effective time management
- Effective communication skills
- Accurate data entry
Timeline
Receptionist
The Eye Center
10.2024 - Current
Medical Billing/ A/R Specialist
The Eye Center
07.2022 - Current
Medical Billing Specialist
ESM Billing
06.2014 - 06.2015
Administrative Assistance
Mid Atlantic Pathology
08.2011 - 10.2011
Reinsurance Analyst
CQI Staffing Service
05.2011 - 06.2011
Reimbursement Analyst
NRI Staffing
02.2010 - 06.2011
Medical Assistant/Receptionist
Dulles Urgent Care
03.2008 - 12.2010
Medical Assistant
Herndon Family Medicine
12.2006 - 02.2008
Medical Assistant
Northern Virginia Center of Arthritis
05.2006 - 12.2006
No Degree - Medical Billing And Coding
Everest College
Medical Assistant
Everest College
High School Diploma -
Park View High School
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