DONNA SANTI
Imlay City,USA
Summary
SEEKING FULL or PART TIME EMPLOYMENT OPEN TO ALL INDUSTRIES
Ten years’ experience on EPIC Software. Experience includes; follow up division with commercial, BCBS and MVA claims. Over 30 years’ experience in all phases of physician billing. Six years as a medical coder for facility and professional claims. Able to adapt to challenging roles. Utilizes fax2mail, Microsoft, WebEx, Teams software. Ability to navigate various insurance internet sites to view and correct errors. Maintained productivity in line with department standards.
Overview
20
20
years of professional experience
Work History
Billing Specialist 2
HENRY FORD HOSPITAL
DETROIT, MI
11.2014 - 05.2024
- Worked full time remote.
- Evaluate and investigate appropriate actions to be taken in order to resolve outstanding receivables BCBS, Commercial and MVA, in accordance with department goals.
- Understand and resolves commercial rejections using the EPIC system.
- Employed in the follow up and Special Handling division resolving incorrect NPI issues for all insurances.
- Utilize sources as Insurance web portal, email, phone calls, fax2mail to manage Receivables.
- Other sources used: Microsoft Teams and Web Ex
Insurance Collector
LEE MEMORIAL HOSPITAL
CAPE CORAL, FL
01.2013 - 04.2014
- Provide follow up on unpaid physician claims to Medicare, Medicare Advantage, Blue Shield and Commercial insurance companies.
- Software used: EPIC, Relay Health.
- Maintained productivity standards as required by department manager.
- Provided information to staff on shortcuts to expedite the billing process.
- Interacted with Coding to resolve coding and billing issues.
- Assisted with patient phone calls regarding outstanding balances.
CAREGIVER for family member
10.2011 - 01.2013
Medical Coder
HENRY FORD HOSPITAL
DETROIT, MI
01.2004 - 10.2011
- Responsible for accurate procedure and diagnostic coding of physician and facility claims.
- Identified errors ensuring maximum reimbursement on submitted claims.
- Kept current on insurance regulations to ensure claims were transmitted as clean claims.
- Concentration primarily on Medicare and Blue Shield claims.
Education
Associated Degree - Business
Macomb Community College
Warren, MISkills
- EPIC system
- claim resolution
- insurance follow-up
- billing documentation
- customer relationship management
- account reconciliation
- healthcare regulations
- problem solving
- attention to detail
- effective communication
Personal Information
Total Experience: Seven years’ experience on EPIC Software. Experience includes; follow up division with commercial, BCBS and MVA claims. Over 30 years’ experience in all phases of physician billing. Six years as a medical coder for facility and professional claims. Able to adapt to challenging roles. Utilizes fax2mail, Microsoft, WebEx, Teams software. Ability to navigate various insurance internet sites to view and correct errors. Maintained productivity in line with department standards.
Timeline
Billing Specialist 2
HENRY FORD HOSPITAL
11.2014 - 05.2024
Insurance Collector
LEE MEMORIAL HOSPITAL
01.2013 - 04.2014
CAREGIVER for family member
10.2011 - 01.2013
Medical Coder
HENRY FORD HOSPITAL
01.2004 - 10.2011
Associated Degree - Business
Macomb Community College