Doreen Reid
Woodville,AL
Summary
Efficient billing professional with twenty years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
25
25
years of professional experience
Work History
Office Manager/Biologics Coordinator/Insurance Spc
Allervie Health (formerly AAAIC)
Huntsville, AL
11.2004 - Current
- Electronic filing and paper filing of medical claims to insurance companies
- Follow-Up and appeals
- Data entry
- Processing insurance payments
- Processing insurance refunds
- Answering phone calls, messaging, and scheduling patient appointments.
- Obtaining prior authorization for Biologic therapy and IVIG infusion therapy
- Billing/collections for biologic therapy, including Xolair, Fasenra, Nucala, Dupixent, for office administered medications, to Medicare, BCBS, UHC, and most commercial insurance companies.
- Collection and posting for insurance and patient payments.
Pre-Certification Specialist
The Heart Center
08.1999 - 11.2004
- Obtaining precertification from patient's insurance companies for medical procedures
- Verifying insurance coverage
- Answering telephone calls for a fast paced medical facility consisting of 28+ providers.
Alabama Pain Center
03.2016 - 10.2016
- Research and resolve claim rejections and contract discrepancies
- Insurance billing
- Insurance verification and obtaining precertification prior to service.
Education
Associate of Applied Science - Office Administration
Northeast Alabama State Community College
Rainsville, AL1998
Skills
- Microsoft Office proficiency Professional and mature
- Meticulous attention to detail Strong problem solver
- Results-oriented Medical terminology
- Medical CPT/ICD-10 coding
- Medical Billing
- Medical Office Experience
- EMR Systems
- Medical Receptionist
- Customer service
- Insurance Verification
- Accounts Receivable
- Medical Scheduling
- Transcribing
- Medical Records
- Accounting
- Hospital Experience
- Microsoft Excel
- 10 key calculator
- Medical terminology
- Medical collection
- EHR systems
- Microsoft Office
- Medicare
- Analysis skills
- Data Entry
- HIPAA
- Phone Etiquette
- Organizational Policies
- Adding, Calculating and Billing Machines
- Collections
- Process Payments
- Administrative Support
- Billing Data Verification
- Billing Dispute Resolution
- A/P and A/R Expertise
Timeline
Alabama Pain Center
03.2016 - 10.2016
Office Manager/Biologics Coordinator/Insurance Spc
Allervie Health (formerly AAAIC)
11.2004 - Current
Pre-Certification Specialist
The Heart Center
08.1999 - 11.2004
Associate of Applied Science - Office Administration
Northeast Alabama State Community College