Dona McCoulskey
San Angelo
Summary
Seasoned professional bringing over 20 years of experience in customer service settings. Dedicated, hardworking, with a great work ethic, and a willingness to learn. Strives to maintain a good rapport with both clients and staff, is looking to grow with an executive team.
Overview
11
11
years of professional experience
Work History
Account Benefits Clerk
MHMR Services For The Concho Valley
San Angelo
03.2024 - Current
- Assisted with insurance verification and authorization processes to ensure coverage.
- Evaluated policies and procedures related to Insurance Verification activities.
- Managed patient accounts receivable, including insurance verification, coding, collection activities and follow-up on outstanding claims.
- Provided customer service support to answer inquiries from health care providers regarding insurance verification issues.
- Assisted with insurance verification process for new and existing patients.
- Managed patient accounts, including insurance verification and collections.
- Processed payments, refunds, cancellations, adjustments, and other transactions related to commercial insurance billing.
- Conducted intake interviews with newly admitted inmates to evaluate their suitability for various programs.
- Conducted patient intake interviews to collect medical information and insurance details.
- Maintained updated knowledge through continuing education and advanced training.
Claims Technician
BCBS
San Angelo
12.2021 - 03.2024
- Processed claims accurately using BCBS software systems.
- Reviewed and verified claim documentation for compliance with policies.
- Adjusted and claims under close supervision of more experienced claims team members.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Examined claims, records and procedures to grant approval of coverage.
Call Center Representative
Performant
San Angelo
06.2019 - 12.2020
- Evaluated customer account information to assess current issues and determine potential solutions.
- Processed customer account changes.
- Consulted with customers regarding student loan needs, addressing repayment plan concerns.
- Documented conversations with customers to track requests, problems and solutions.
- Temporarily worked in the correspondence clerk dept making copies, q/a, organizing and handling health insurance claims.
Shannon Medical Center
Monitor Tech
San Angelo
11.2014 - 03.2019
- Recorded information such as blood pressure, heart rhythms, and oxygen saturation to inform diagnostic processes.
- Ensuring patient care and safety by monitoring and analyzing heart rhythms.
- Documented findings manually and with recording devices such as telemetry monitor to update medical records.
- Notifying nurses by phone on patient status.
- Daily input of admissions and discharges.
Education
High School Diploma -
Robert Lee ISD
Robert Lee, TXSkills
- Providing outstanding customer service
- Professional telephone voice
- Data entry
- System documentation
- Resolving issues
- Account updating
- Medical and Insurance terminology
- Regulatory compliance understanding
- Secure data practices
- Documentation skills
- Friendly, positive attitude
- Payment processing
- Hearth rhythm interpretation
- HIPAA regulations
- Cardiac rhythm monitoring
- Insurance verification
- Claims processing
- Billing processing
References
Blenda Aycock- professional
325-650-5280
Andrea Riggan- professional
325-725-7534
Sara Moreno- professional
325-304-8159
Timeline
Account Benefits Clerk
MHMR Services For The Concho Valley
03.2024 - Current
Claims Technician
BCBS
12.2021 - 03.2024
Call Center Representative
Performant
06.2019 - 12.2020
Shannon Medical Center
Monitor Tech
11.2014 - 03.2019
High School Diploma -
Robert Lee ISD