Donielle Gleaton
Jacksonville
Summary
Certified Medical Assistant with experience in Ambulatory Care. Equipped with organizational, communication and problem solving skills with experience in Athena & Epic EMR systems. Currently working as a Medical Claims Adjustment Specialist.
Overview
8
8
years of professional experience
Work History
Claims Adjustment Specialist
Florida Blue - Blue Cross Blue Shield Of Florida
Jacksonville
12.2022 - Current
- Reviewed medical claims for accuracy and compliance with policies.
- Assessed claim denials to determine if appeals are appropriate.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Reviewed and analyzed claims for accuracy and compliance with company policies.
- Utilized claims management software to track and manage claim workflows effectively.
- Tracked and monitored pending claims to ensure timely closure.
- Implemented best practices to improve turnaround time on claim resolutions.
Medical Assistant
Baptist Health
09.2021 - 11.2022
- Assisted healthcare providers with patient examinations and procedures.
- Managed patient records using electronic health record systems.
- Administered medications and vaccinations under physician supervision.
- Educated patients on treatment plans and wellness practices.
- Collected vital signs and documented patient information accurately.
Medical Assistant
Ascension St Vincent’s
01.2018 - 09.2021
- Verifying insurance
- Scheduling patient appointments
- Performing data entry task
Education
Medical Assistant Certification - Certified Medical Assistant
Concorde Career College
01.2017 - 07/2017
Associate of Applied Science - Health Care Date Technology
Northwest Mississippi Community College
Senatobia, MS 08.2013 - 05/2015
Skills
- Athena & Epic EMR
- BLS/CPR Certified
- Insurance verification
- Claims processing
- Healthcare administration
- Medication administration
Timeline
Claims Adjustment Specialist
Florida Blue - Blue Cross Blue Shield Of Florida
12.2022 - Current
Medical Assistant
Baptist Health
09.2021 - 11.2022
Medical Assistant
Ascension St Vincent’s
01.2018 - 09.2021
Medical Assistant Certification - Certified Medical Assistant
Concorde Career College
01.2017 - 07/2017
Associate of Applied Science - Health Care Date Technology
Northwest Mississippi Community College
08.2013 - 05/2015