Donald Holder
Toledo,OH
Summary
Detail-oriented Medical Billing and Coding Specialist with expertise in healthcare revenue cycle management, insurance claim processing, and medical record documentation. Proficient in ICD-10, CPT, and HCPCS coding systems with strong knowledge of Medicare, Medicaid, and commercial insurance requirements. Skilled in electronic health records (EHR) systems, claims submission, denial management, and accounts receivable follow-up. Demonstrated ability to ensure accurate coding compliance, maximize reimbursement, and maintain patient confidentiality while supporting healthcare providers in delivering quality patient care. Strong analytical skills with attention to detail and commitment to staying current with healthcare regulations and coding updates.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Billing Specialist
Vital Health
Maumee, Ohio
03.2022 - 12.2024
- Facilitated prompt handling of daily claim submissions through streamlined processing.
- Maintained accurate records by tracking claims status and providing regular updates.
- Addressed rejections and denials to improve overall claims management.
- pt. Data entry as new information arrived
- Posting all transactions
Payment Poster
Skypoint Recovery
Akron, Ohio
03.2024 - 10.2024
- Processed and posted payments accurately to patient accounts daily.
- Maintained detailed records of payment transactions in company software systems.
- Processed incoming payments from patients and insurance companies in a timely manner.
- Procedural Coding
Credentialing Assistant
Brookfield Recovery
Brookfield, Ohio
03.2024 - 06.2024
- Medicaid provider credentialing
- Assisted in verifying credentials for healthcare professionals and staff members.
- Maintained accurate records in credentialing databases and tracking systems.
- Scheduled interviews and meetings for credentialing review processes efficiently.
- Supported onboarding processes by preparing necessary credentialing documentation.
Medicaid Billing Specialist
A Better Life to Embrace
Maumee, OH
06.2018 - 07.2020
- Implemented billing system (Simple Practice)
- Implemented EMR system (Icannotes)
- Ongoing billing
- Aging Claims
- Eligibility Check
- Credentialing (Medicaid)
- Procedural Coding (Mental Health & Substance Abuse)
Billing Specialist (Consultant)
St. Paul's Community Center
Toledo, OH
03.2020 - 03.2020
- Assist with Medicaid and Medicare credentialing
- Implementation of EMR system
- Medicaid billing training
Medicaid Billing Specialist
Absolute Better Care
Toledo, OH
02.2019 - 03.2020
- Implement EMR system (Simple Practice)
- Aging Claims
- Patient Data Entry
- Posting Payments
- Weekly reports
- Tracking Productivity
Medicaid Billing Specialist (Consultant)
Sarah Outreach Center
Toledo, OH
04.2018 - 08.2018
- Implemented EMR system
- Aging Claims
- Eligibility Check
- Patient Data Entry
- Weekly Reports
Medicaid Billing Specialist (Consultant)
Helping Young People Excel
Toledo, OH
04.2018 - 07.2018
- Implement EMR system
- Work effectively with medical payers such as Medicaid Medicare and commercial insurance.
- Ongoing Billing
- Procedural Coding
- Posting payments
- Weekly reports
Medicaid Specialist
Empowered For Excellence
Toledo, OH
02.2015 - 06.2017
- Aging Claims.
- Ongoing Billing.
- Analyzed medical records to satisfy insurance company mandates.
- Research and follow up on denied claims.
- Oversaw all billing for Medicaid PCA, commercial insurance and private pay clients.
- Trainer for new billers.
Education
Medical Billing Coding Specialist -
Professional Skills Institute
Toledo, OH07.2021
GED -
ABLE Adult
Toledo, OH07.2007
Skills
- Windows 10
- Office
- Word
- Excel
- PowerPoint
- ICD-9 training
- ICD-10 training
- CPT training
- HCPCS training
- Outlook
- Procedural coding
- Medical coding
- PNM (Medicaid portal)
- Availity (clearinghouse)
- Kipu Health (EMR)
- Collaborate MD (clearinghouse)
- Advanced MD (EMR)
- Simple Practice (EMR)
- Icannotes (EMR)
- Best Notes (EMR)
- SunWave (EMR)
Certification
Certified Billing and Coding Specialist (CBCS)
Accomplishments
Was awarded the Allied Health Professionalism Award for providing safe care through understanding and following policies and procedures, working effectively with other members of the health care team and exhibiting honesty to both co-workers and patients.
References
References available upon request.
Timeline
Payment Poster
Skypoint Recovery
03.2024 - 10.2024
Credentialing Assistant
Brookfield Recovery
03.2024 - 06.2024
Billing Specialist
Vital Health
03.2022 - 12.2024
Billing Specialist (Consultant)
St. Paul's Community Center
03.2020 - 03.2020
Medicaid Billing Specialist
Absolute Better Care
02.2019 - 03.2020
Medicaid Billing Specialist
A Better Life to Embrace
06.2018 - 07.2020
Medicaid Billing Specialist (Consultant)
Sarah Outreach Center
04.2018 - 08.2018
Medicaid Billing Specialist (Consultant)
Helping Young People Excel
04.2018 - 07.2018
Medicaid Specialist
Empowered For Excellence
02.2015 - 06.2017
Medical Billing Coding Specialist -
Professional Skills Institute
GED -
ABLE Adult