Donna F. Coleman
Mount Juliet,TN
Summary
Seeking a professional environment to advance skills and be fully committed to a team oriented atmosphere that offers continuous growth and advancement. Enthusiastic and eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Motivated to learn, grow and excel in healthcare.
Overview
32
32
years of professional experience
1
1
Certification
Work History
Cosmetologist/Sole Proprietor
Treasured Looks Hair Studio
Brentwood, TN
01.2012 - Current
- Consults, educate & Provides professional customer service for hair services
- Used business software packages to maintain files and administrative records
- Promoted business via social media to generate leads and maximize brand identity
Coding Specialist
CleanSlate Centers
Nashville , TN
04.2019 - 07.2021
- Audit, Review, and correct claims that included HCC categories, ICD-10, CPT and HCPCS to maximize accurate and appropriate coding
- Investigated any coding-related audits/denials in AR and Single Case agreements with Payer Contracting
- Maintaining track of medical record requests from payers and government entities in event queue
- Reviewed medical record information with knowledge of medical terminology to identify all appropriate coding
- Payment posting, refund process, eligibility, claim rejections and appeals
Medicare Patient Account Rep
Fresenius Medical Care
Franklin, TN
01.2014 - 12.2017
- Maintained, Reviewed and Follow up on claims submitted to Medicare to identify all appropriate coding based on CMS HCC categories for any type of updated corrections for billing
- Performed daily/weekly reports for re-bills of late charges of ICD-9/ICD-10, CPT & HCPCS as needed to comply with Government Guidelines from CMS
- Work accounts for High Dollar and other aging reports for proper collection activity
Patient Account Representative
DaVita
Brentwood , TN
01.2001 - 12.2011
- Maintain working relationship with assigned dialysis clinics to ensure proper billing for ICD-9, CPT and HCPCS codes
- Research and Resolve underpayments, denials and appeals medical claims with knowledge of medical terminology
- Print and mail outgoing claims (1500 and UB04’s)
- Contact insurance companies for claim status and other unresolved issues
- Maintain high collection rate for accounts receivable
- Worked aging reports to reduce AR for assigned Dialysis clinics
Senior Claims Analyst
AIM Healthcare Services
Franklin, TN
01.1998 - 12.2001
- Audit medical claims and reviewed for duplicate or errors payment that resulted for recovery for clients
- Process overpayments for claims for commercial, private or government entities and verified with insurance companies
- Supervised and trained specific teams on clients database for special projects
- Travel to clients to ensure proper training of their systems and specific needs related to AR recovery
- Interacted with clients and employees, which helped cultivate positive working relationships
Education
License - Cosmetology
Paul Mitchell-The School of Nashville
Nashville, TN2009
Associates Degree - Health Information Management, Insurance and Coding
Draughon’s/Daymar Junior College
1997
Some College (No Degree) - Nursing
Attended Tennessee State University, School of Nursing
Nashville, TNSkills
- Communication (oral & written)
- Team work
- Problem solving
- Attention to Detail
- Organization
- Motivated
EMR Knowledge: eClinicalWorks, EPIC, Athenahealth & Cerner
Certification
CPC-A (AAPC) 2022 -Active member
Affiliations
Williamson County Chamber of Commerce -member/Ambassador
2013-2014
Timeline
Coding Specialist
CleanSlate Centers
04.2019 - 07.2021
Medicare Patient Account Rep
Fresenius Medical Care
01.2014 - 12.2017
Cosmetologist/Sole Proprietor
Treasured Looks Hair Studio
01.2012 - Current
Patient Account Representative
DaVita
01.2001 - 12.2011
Senior Claims Analyst
AIM Healthcare Services
01.1998 - 12.2001
License - Cosmetology
Paul Mitchell-The School of Nashville
Associates Degree - Health Information Management, Insurance and Coding
Draughon’s/Daymar Junior College
Some College (No Degree) - Nursing
Attended Tennessee State University, School of Nursing
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