DUSTI KAPITZA
Empire Management Group
Ardmore,OK
1
Certification
23
years of professional experience
Detail-oriented Medical Billing Account Representative with experience in patient billing, insurance verification, and claims management. Skilled in ICD-10 and CPT coding, EHR/billing systems, and HIPAA compliance. Known for accuracy, organization, and effective communication with patients, providers, and insurance companies to ensure timely reimbursements and account resolution.
Work History
Medical Billing Account Representative
9 Years 1 Month- Submitted, tracked, and followed up on insurance claims to reduce denials and delays
- Managed patient and insurance accounts to ensure accurate billing and timely payment processing
- Submitted, tracked, and followed up on insurance claims, minimizing denials and processing delays
- Resolved billing discrepancies and account issues, enhancing patient satisfaction and ensuring timely payments
- Posted payments, adjustments, and refunds accurately to patient accounts
- Maintained compliance with HIPAA and healthcare regulations
- Communicated professionally with patients about billing inquiries and payment plans, fostering clear understanding and compliance
Account Representative
13 Years 11 Months- Managed client accounts to ensure satisfaction and retention through proactive communication, leading to stronger client relationships.
- Processed and submitted medical claims to ensure timely reimbursement from insurance providers.
- Reviewed patient records for accuracy, completeness, and compliance with billing regulations.
- Collaborated with healthcare staff to resolve billing discrepancies and improve claim approvals.
- Verified insurance of patients to determine eligibility.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Posted payments and collections on a regular basis.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
Education
High School Diploma
Skills
Claims Submission & Follow-Up
Denials management
Insurance Verification & Eligibility
Payment reconciliation
ICD-10 & CPT Coding
EHR & Medical Billing Software
Lytec Software
HIPAA Compliance
Patient communication
Attention to Detail & Accuracy
Office administration
Medical Billing & Accounts Management
Administrative support
Accomplishments
- Documented and resolved insurance denils which led to being paid.
Certification
OSHA Certification, Blood Pathogens Certified
Timeline
Medical Billing Account Representative
Empire Management Group
01.2017 - 02.2026Read More
Account Representative
CVMB
02.2003 - 01.2017Read More
Foothill High School
High School Diploma
Read More
Personal Information
Title: Medical Billing Account Representative