Summary
Overview
Work History
Education
Skills
Activities
Languages
References
Timeline
Generic

Donna Banker

Lockport,NY

Summary

Dedicated and adaptable professional with a proactive attitude and the ability to learn quickly. Strong work ethic and effective communication skills. Eager to contribute to a dynamic team and support organizational goals.

Overview

16
16
years of professional experience

Work History

Medical Billing Specialist

Immco Diagnostics
Williamsville, New York
10.2023 - Current
  • Reviewed patient records for accuracy and completeness of information in medical billing system.
  • Assisted with the reconciliation of accounts receivable ledgers at month-end close process.
  • Processed credit card payments from patients in accordance with office policy.
  • Ensured HIPAA compliance by maintaining confidentiality of all patient information.
  • Developed strategies for improving collections performance while reducing bad debt write-offs.
  • Generated monthly invoices for patients based on services provided according to established fee schedules.
  • Verified the accuracy of claim data prior to submission to insurance carriers.
  • Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
  • Posted charges, payments and adjustments.
  • Organized information for past-due accounts and transferred to collection agency.

Pharmacy Billing Specialist

Woodmark Pharmacy
Williamsville, New York
04.2022 - 10.2023
  • Work closely with Pharmacy staff to ensure timely processing and payment of pharmacy claims
  • Interact with fellow co-workers to help identify any issues or concerns with my facilities in addition to my co-workers’ facilities
  • Answer phone calls from patients and insurance companies to address any issues that may arise
  • Submit and work prior authorization requests, in addition to any subsequent follow up as needed.
  • Maintained accurate records of customer interactions and feedback.
  • Displayed strong telephone etiquette, effectively handling difficult calls.

Ophthalmic Medical Technician

Fichte, Endl and Elmer Eye Care
05.2021 - 04.2022
  • Engaged positively with patients to help each patient feel comfortable during tests and procedures
  • Prepared examination rooms and treatment rooms for patients and reset stations, sanitized equipment, and readied supplies for new patient arrivals
  • Conducted diagnostic assessments such as Visual Acuity and testing equipment to the doctors make skilled assessments
  • Completed basic ophthalmic testing procedures to assess patients’ current functionality.

Ophthalmic Medical Technician

Legarreta Eye Center
08.2020 - 05.2021
  • Engaged positively with patients to help each patient feel comfortable during tests and procedures
  • Prepared examination rooms and treatment rooms for patients and reset stations, sanitized equipment, and readied supplies for new patient arrivals
  • Conducted diagnostic assessments such as Visual Acuity and testing equipment to the doctors make skilled assessments
  • Completed basic ophthalmic testing procedures to assess patients’ current functionality.

Medical Billing and Collections Specialist

Professional Ambulance Billing
Williamsville, New York
01.2019 - 07.2020
  • Managed billing for dedicated provider groups and conducted collection calls to recover payment on outstanding invoices, dedicating 8 hours daily
  • Streamlined the processing of incoming mail and faxes, expediting urgent matters with prompt attention
  • Submitted accurate and complete claims to insurance companies
  • Processed four medical bills an hour, which equals to 32 per day, in order to meet and exceed company standards.
  • Liaised between patients, insurance companies, and the billing office.
  • Resolved billing discrepancies with insurance companies and patients.
  • Followed up on unpaid or denied claims in a timely manner.
  • Protected medical office operations and integrity by keeping patient information confidential.
  • Performed insurance verification, pre-certification and pre-authorization.

Supervisor of Claims

Fidelis Care NY
08.2008 - 10.2018
  • Adjusted job assignments and schedules to keep pace with dynamic business needs, factoring in processes, employee knowledge and customer demands
  • Evaluated employee performance monthly, coached and trained accordingly increasing quality of work and employee retention
  • Maintained compliance with company policies, objectives and communication goals
  • Managed team of 14 Claims Processors in order to groom them for advancement to other positions within Fidelis Care
  • Assigned tasks to team members based on individual strengths and promoted a teamwork driven environment to meet company goals.

Education

High School Diploma -

Essex Educational Center Union High School
Essex Junction, VT
06.1999

Some College (No Degree) - Medical Billing Specialist

Bryant And Stratton College
Getzville, NY

Skills

  • ICD-9 and ICD 10
  • Microsoft Office
  • Patient Billing
  • Insurance Verification
  • Payment posting
  • Billing and Collection Procedures
  • Medical Terminology
  • Medicaid and Medicare Knowledge

Activities

Volunteered with Terry’s Corners Fire Company, Interior Volunteer Fire Fighter and EMT, 07/01/18, 07/01/20, Took down meeting minutes and typed them up for each subsequent meeting.

Languages

English
Native/ Bilingual

References

References available upon request.

Timeline

Medical Billing Specialist

Immco Diagnostics
10.2023 - Current

Pharmacy Billing Specialist

Woodmark Pharmacy
04.2022 - 10.2023

Ophthalmic Medical Technician

Fichte, Endl and Elmer Eye Care
05.2021 - 04.2022

Ophthalmic Medical Technician

Legarreta Eye Center
08.2020 - 05.2021

Medical Billing and Collections Specialist

Professional Ambulance Billing
01.2019 - 07.2020

Supervisor of Claims

Fidelis Care NY
08.2008 - 10.2018

High School Diploma -

Essex Educational Center Union High School

Some College (No Degree) - Medical Billing Specialist

Bryant And Stratton College

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