Donna Newby
Nampa,ID
Summary
Organized Medical Biller boasts 13-year career performing difficult multitasking and claims-processing tasks. Works quickly with insurance companies to resolve problematic disputes and handle patient inquiries. Brings can-do attitude to collaborating with medical professionals, insurance providers and clients to handle invoicing within high-traffic office environment.
Overview
13
13
years of professional experience
Work History
Medical Billing Specialist
Gem State Developmental Center
Meridian, ID
10.2009 - 08.2022
- Collected, verified, processed and submitted medical claims according to government regulations with a 99.6% success rate consistently.
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Researched complex billing issues involving multiple providers or services rendered over a period of time.
- Provided customer service support to patients who had questions about their bills or payments due.
- Generated monthly invoices for patients based on services provided according to established fee schedules.
- Generated and provided weekly account status reports to the President and Administrator of the company.
- Responsible for implementing changes to government policies, code changes and reimbursement changes accurately.
Administrative Assistant
Gem State Developmental Center
Meridian, ID
10.2009 - 08.2022
- Provided administrative support to the executive team including processing reports as requested, travel arrangements and any additional requests.
- Onboarding of new employees, processing and maintaining personnel files to insure compliance with all required regulations.
- Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
- Greeted visitors in a professional manner, responding to inquiries and directing them to appropriate personnel.
- Maintained office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies.
- Entered data into spreadsheets using Microsoft Excel or other similar programs.
- Answered phone calls and emails to provide information, resulting in effective business correspondence.
Education
High School Diploma -
Evergreen High School
Vancouver, WA05-1975
Some College (No Degree) - Psychology
Clark County Community College
Vancouver, WASkills
- Quality-oriented team player
- Generally Accepted Accounting Principles (GAAP)
- Files and records management
- Microsoft Office software applications proficiency
- Insurance Verification
- HIPAA Compliance
- Records Management
- Claims review
- Billing and Collection Procedures
- Multitasking and Organization
- Claims Processing
- Work Prioritization
- Worker's Compensation Knowledge
- Medical coding understanding ICD-9 and ICD-10
- Medicaid and Medicare Knowledge
- Medical Terminology
- Knowledgeable in Medical Billing Software
- CMS-1500 Billing Forms
- Data Analysis
- Insurance collections
- Critical Thinking
Timeline
Medical Billing Specialist
Gem State Developmental Center
10.2009 - 08.2022
Administrative Assistant
Gem State Developmental Center
10.2009 - 08.2022
High School Diploma -
Evergreen High School
Some College (No Degree) - Psychology
Clark County Community College
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