Donna Hayes

• Adhered to HIPAA regulations when handling confidential patient information.
• Created and processed claims to third-party payers using specific coding guidelines.
• Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
• Reviewed and verified benefits and eligibility with speed and precision.
• Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
• Verified the accuracy of claim data prior to submission to insurance carriers.
• Reviewed engine assigned codes and modifiers to update and verify accuracy.
• Precisely completed appropriate paperwork and system entry regarding claims.
• Researched complex billing issues involving multiple providers or services rendered over a period of time.
• Prepared and attached referrals, treatment plans or other required correspondence to reduce incidence of denials.
• Entered procedure codes, diagnosis codes and patient information into Brightree
• Handled billing, waivers and claims for private and commercial clients.
• Reconciled codes against services rendered.
• Checked claims coding for accuracy with ICD-10 standards.
• Reviewed account information to confirm patient and insurance information is accurate and complete.
• Reviewed claims for coding accuracy.
• Reviewed purchase orders, sales tickets and charge slips to compute fees or charges due.
• Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date invoices.
• Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.

Verify DME orders, process all insurance as well as obtain authorization for equipment.

Process hospital discharge orders for DME expedite all equipment to the patient.

Answer multiple phone lines and handle all patient and customers in a timely manner for the well being of the patient.

Handle patients and customer that come into the store for DME needs.

Code orders with proper ICD-10 codes according to the medical records for the patient to receive the proper DME equipment.

Properly handle and protect patients medical records.

• General Office Procedures: Handled Medicare and Medicare HMO billing for multiple satellite offices that American Anesthesiology provided services for.
• Able to handle multiple phone lines, have extensive experience in handling difficult accounts concerning patient billing and insurance issues concerning Commercial Insurance as well and Medicare and Medicare HMO insurance policies.
• Extensive experience in ICD9 and ICD10 billing codes.
• Accounts Payable and Receivable, Workload Prioritization.( HIPPA) Confidentiality Assurance and Transaction Processing.

• Take down finale bid for merchandise being auctioned off for collecting payment.
• Payment processing.
• Responsible for accurate count of large sums of cash at end of auction.
• Setting up and organizing mobile office and packing up afterwards keeping everything organized for next setup .

• Medical office receptionist with additional duties that are up to but including Billing and Accounts Receivable, Billing deadlines, scheduling, customer service, and compilation of reports to assist in the direction of the continued growth of company objectives.
• Proficient in Group Management, All Scripts, and Company systems/programs.
• Verified compiled data from insurance Explanation of Benefits to ensure accuracy.
• Revised and/or appealed billing data with insurance carriers when errors were identified.
• Proficient with ICD-9 coding terms, billing language, and insurance billing requirements.
• Created top end reports such as general accounting, accounts receivable, sales, expenses and inventory for management to drive forecasts and decision making.
• Handling of billing questions and disputes, outgoing and incoming patient or customer calls, and data entry.

• Organization of patient files, compilation of reports/records, Group Management, Scripts, and managing complex company systems and programs.
• Record keeping of invoices and the supporting documentation.
• Compiled and delivered reports.
• Sorted and classified information, according to content, purpose, and user criteria.
• Methods utilized for classification included chronological, alphabetical, and numerical order.
• Provided sensitive patient files upon request from authorized users.
• Destroyed out dated materials in accordance with file maintenance schedules and legal requirements.
• Inspected and examined materials to be filed for accuracy, legibility, and damage.
• Read, Scan and Filing of incoming mail to appropriate locations on system network, as required.