Donna Kovas
Grand Junction,CO
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy and is a quick learner and a good problem solver.
Overview
24
24
years of professional experience
Work History
Medical Billing Specialist
Vail Summit Orthopaedics
11.2019 - Current
- Located errors and promptly refiled rejected claims.
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
- Evaluated patients' financial status and established appropriate payment plans.
- Posted and adjusted payments from insurance companies.
- Printed and reviewed monthly insurance aging reports.
- Precisely evaluated and verified benefits and eligibility.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Accurately posted and sent out all medical claims.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Submitted electronic and paper claims to insurance companies.
- Collected payments and applied to patient accounts.
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
- Managed billing calendar and scheduled claims for payments.
- Communicated with insurance providers to resolve any denied claims and resubmit.
- Researched and followed up on denied insurance claims.
Kitchen Manager
Mesa Valley School District 51
09.2016 - 11.2019
- Checked and tested foods to verify quality and temperature.
- Scheduled and received food and beverage deliveries, adhering to food cost and budget.
- Inspected stock to identify shortages, replenish supply and maintain consistent inventory.
- Kept facility compliant with health codes, sanitation requirements and license regulations, alleviating potentially heavy fines.
- Conducted daily checks of refrigerators and freezers to verify proper food storage, container labeling, and surface cleaning.
Small Business Owner
Tuck Communication Services
02.2002 - 06.2015
- Maintained payroll and benefits for employees
- Calculated deductions and processed payroll for employees.
- Prepared and filed accurate and timely payroll tax returns and other related reports to comply with tax laws and regulations.
- Responded to employee inquiries to provide assistance with payroll-related questions.
- Coordinated new hire and termination processes to facilitate smooth operations.
- Developed and implemented payroll procedures and policies to determine compliance with regulations.
- Prepared internal and regulatory financial reports, balance sheets and income statements.
- Performed banking, business administration and financial tasks
- Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
Medical Office Assistant
Dr. Maryann Wall
06.2002 - 08.2004
- Received and processed patient and insurance payments by check, cash, and credit card.
- Answered telephone calls and scheduled appointments
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Directed patients to exam rooms, fielded questions, and prepared for physician examinations.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Updated patient information and insurance details for accurate electronic medical records.
- Prepared patient charts by gathering and organizing medical records ahead of appointments.
- Processed medical insurance claims
- Assisted with medical coding and billing tasks.
Medical Office Assistant
Steamboat Medical Clinic
02.2000 - 06.2002
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Updated patient information and insurance details for accurate claims processing
- Provided prompt, polite and professional in-person and telephone customer service.
- Performed various administrative tasks by filing, copying and faxing documents.
- Assisted with medical coding and billing tasks.
Education
CPC -
AAPC
Online01.2024
High School Diploma -
Palm Springs High School
Palm Springs, CA05.1994
Skills
- CPT and ICD-10 Coding
- Insurance Knowledge
- Account Reconciliation
- Medical Billing Process
- Payment Processing
- Claims Adjustments
- Revenue Cycle Management
- Organizational Abilities
- Insurance Verification
- Insurance Claims Analysis
- Experienced Medicare Biller
- Medical Claims Coding
Timeline
Medical Billing Specialist
Vail Summit Orthopaedics
11.2019 - Current
Kitchen Manager
Mesa Valley School District 51
09.2016 - 11.2019
Medical Office Assistant
Dr. Maryann Wall
06.2002 - 08.2004
Small Business Owner
Tuck Communication Services
02.2002 - 06.2015
Medical Office Assistant
Steamboat Medical Clinic
02.2000 - 06.2002
CPC -
AAPC
High School Diploma -
Palm Springs High School
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