Donna Clark
Greenwood,AR
Summary
Experienced Billing Analyst with a demonstrated history of working in the hospice industry. Skilled in Billing Process, Medicare/Medicaid Reimbursement, Billing Systems, Medical Records, and Accounts Receivable (AR).
Overview
18
18
years of professional experience
Work History
Billing Specialist
Vital Caring Group
12.2022 - Current
- Upon being hired, worked diligently with Provider Reps to resolve claims issues over 120 days.
- Researched and resolved billing discrepancies to enable accurate billing.
- Supported 7 Branches in verifying coverage and benefits as well as obtaining authorizations.
- Insured all Room & Board invoices were sent to the Nursing Home by the 3rd of each month.
- Strived to provide the best customer service for Nursing Home clients and BOMs, which included coordinating Nursing Home payments with the A/P department
- Updated Medicaid quarterly room and board rates in HCHB.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Ensured timely submission of claims to Commercial insurance, Medicaid routine as well as Nursing Home patient resulting in prompt payment for services rendered.
Revenue Cycle Associate II
SimiTree Revenue Outsourse
09.2020 - 10.2022
- Complete Medical Billing and collection for all third-party payer types, with experience in Medicare, Medicaid, and Commercial Insurance; tasks included generate and edit claims, documented billing and collection activity within client system, performed patient account analysis, problem-solved, and focus and attention to denial management.
- A/R Management included constant follow up of A/R aging over 90 days
- Programs: HCHB, Epremis, Electronic Medical Record (EMR) and multiple provider web portals for various states.
Accounts Receivable Specialist III
Aseracare Hospice
04.2006 - 09.2020
- Revenue Billing Cycle Auditing and Account Reconciliation, A/R adjustments and or write offs, identified and corrected causes of denials, communicated with management/team members to discuss, update and resolve issues.
- Responsible for all billing and collections for 8 Branches from 3 different states (TN, NE, PA)
- Identify and Correct Root Causes of Denials to Improve Clean-Claims Rate.
- Communicated with interested parties to update and resolve issues.
Skills
- ICD-10-CM
- Medicaid Managed Care
- Billing systems and software
- Insurance Verification
- Billing and Invoicing
- 10-Key Data Entry
- Account Reconciliation
- A/R Collections
- Follow Directions
- Teamwork
Education
High School Diploma -
Alma High School
Alma, AR 05.1987 - 05.1987
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeWork Location
RemoteImportant To Me
Work from home optionWork-life balanceSimilar Profiles
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