Dorothy Wheeler
Chicago,IL
Summary
Dynamic Insurance Verification Specialist with extensive experience at RUSH Surgi Center, excelling in verification processes and claims analysis. Proven track record in maximizing reimbursements and efficiently managing authorizations. Skilled in medical coding and adept at problem-solving, ensuring timely resolution of complex accounts while delivering exceptional patient service.
Overview
19
19
years of professional experience
Work History
Insurance Verification Specialist/Business Office Rep
RUSH surgi center
01.2019 - Current
- Verify insurance information using Avality, Way star & Clariti for up to 400 cases a month.
- Calculate and inform patients of their out-of-pocket responsibility.
- Collect payments at time of service.
- Ensure that all authorizations are received from Surgeon’s office in a timely manner.
- Escalate problem accounts to management appropriately in a timely manner.
- Follow up on accounts that require further evaluation.
- Assist with answering high volume of calls insurance verification.
- Assist with check-ins.
- Multi-Specialty Ambulatory Surgical Center
Billing Assistant
Horwitz, Horwitz & Associates
01.2014 - 01.2019
- Analyzed and respond to claims denials and other written correspondence from third party payers.
- Inputting data onto a spreadsheet.
- Follow-up with provider for outstanding balances.
- Contacted collection agencies regarding claim status/liens.
Account Billing Analyst
St. Mary & Elizabeth Medical Center
01.2007 - 01.2013
- Submitted claims and statements.
- Follow-up on accounts receivable to maximize reimbursement.
- Requested additional information from medical or other department to adjudicate accounts.
- Contacted payers and patient as needed.
- Processed daily deposits and co-pays.
Education
ASSOCIATE degree -
kennedy king college
06.1992
Skills
- Verification processes
- Claims analysis
- Medical coding
- Data entry
- Authorization management
- Billing procedures
References
References available upon request.
Timeline
Insurance Verification Specialist/Business Office Rep
RUSH surgi center
01.2019 - Current
Billing Assistant
Horwitz, Horwitz & Associates
01.2014 - 01.2019
Account Billing Analyst
St. Mary & Elizabeth Medical Center
01.2007 - 01.2013
ASSOCIATE degree -
kennedy king college