Dyna Wawrzynkiewicz
Bellevue,USA
Summary
Results-driven medical billing professional with a strong background at Bryan Medical Center, specializing in accounts receivable management and compliance. Demonstrated analytical skills and exceptional customer service have facilitated the resolution of complex billing issues. Expertise in ICD-10 coding ensures accurate claim submissions, contributing to enhanced operational efficiency. By leveraging these skills, we aim to drive improvements in billing processes and client satisfaction.
Overview
14
14
years of professional experience
Work History
Insurance Follow-up Representative
Bryan Medical Center
Lincoln, NE
01.2024 - Current
- Managed a high volume of medical billing accounts receivable, ensuring accurate and timely submission of claims
- Performed thorough analysis and reconciliation of patient accounts to identify and resolve billing discrepancies
- Utilized electronic health record (EHR) systems to accurately document patient information and billing details
- Maintained up-to-date knowledge of medical coding guidelines (CPT, ICD-10) to ensure proper claim submission
- Resolved complex billing issues by researching payer policies and appealing denied claims when necessary
- Participated in regular meetings with billing team to discuss challenges, share best practices, and identify areas for improvement
Lead Claims Specialist
Physicians Laboratory, LLC
Omaha, NE
08.2022 - 01.2024
- Daily review and correction of rejected and denied claims from claim clearinghouse and insurance providers
- Making corrections and resubmitting claims for contractual payment
- Working with physicians to bill with correct CPT and ICD10 codes
- Training of staff on policy and procedures and billing system, Telcor
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements
- Performed thorough analysis and reconciliation of patient accounts to identify and resolve billing discrepancies
- Managed a high volume of medical billing accounts receivable, ensuring accurate and timely submission of claims
- Maintained up-to-date knowledge of medical coding guidelines (CPT, ICD-10) to ensure proper claim submission
- Trained new team members on medical billing procedures, software systems, and industry regulations
- Maintained confidentiality of sensitive patient information according to HIPAA guidelines
Account Manager
Midwest Medical Billing Services Inc
05.2022 - 08.2022
- Daily account management for 6 Mental Health providers
- Daily billing, payment posting/ verification and accounts receivable
- Working in InSync and Theranest
Billing Specialist
Midwest Regional Health Services
11.2019 - 04.2022
- Payment posting of electronic and manual insurance payments to patient accounts
- Took payments over the phone from patients and explained patient benefits when necessary.
Medical Billing Specialist
Amblitel, LLC
10.2016 - 10.2019
- Daily Accounts Receivable, payment posting and claim billing for 1 ASC in New Jersey
- Took all patient calls and provided benefit information and took patient payments
- Handled all appeals, payer reconsideration and corrected claims.
- Communicated with insurance providers to resolve denied claims and resubmitted
- Located errors and promptly refiled rejected claims
- Identified and resolved patient billing and payment issues
- Processed and submitted medical claims to insurance companies, ensuring accuracy and adherence to billing guidelines
- Verified patient information, including demographics and insurance coverage, to ensure proper billing procedures
- Reviewed medical documentation and coding to identify any discrepancies or errors that could impact reimbursement
- Followed up on unpaid or denied claims, working with insurance companies to resolve issues and secure payment
- Maintained updated knowledge of medical coding systems (e.g., ICD-10, CPT) and insurance regulations
- Collaborated with healthcare providers to obtain necessary documentation for claim submission
- Utilized electronic health record (EHR) systems and specialized software for accurate data entry and claim processing
Lead Account Specialist
SCA / OAIC
08.2011 - 09.2016
- ASC procedure billing, payment posting and account receivables for 5 facilities in Nebraska
- Handled month end accounting for all 5 Nebraska facilities.
- Resolved complex billing and payment issues for balanced, accurate accounts
- Completed routine and complex account updates to resolve problems
- Adhered to standards of quality and service as well as all compliance requirements
- Built strong relationships with clients, vendors and stakeholders for loyal, profitable accounts.
- Delivered accurate billing and timely payments across high-volume client accounts.
Education
High school diploma -
Millard South High School
Omaha, NE05.1985
Skills
- Strong ability to prioritize tasks
- Cross-functional teamwork
- Billing Process
- Coverage Assessments
- Analytical Skills
- Compliance Management
- Documentation Review
- Customer Service
- Insurance Verification
- Medical Terminology
- Accounts Receivable
- Laboratory Experience
- Medical Records
- Anatomy Knowledge
- Clerical Experience
- Account Management
- HIPAA
- Professional phone communication
- Transcription
- Medical Office Experience
- Auditing
- ICD-10
- Negotiation
- Analysis skills
- Office management
- Accounting
- Microsoft Office
- Typing
- Administrative experience
- Organizational skills
- Accounts payable
- Communication skills
- Data entry
- Microsoft Excel
- Office experience
- Medical billing
- Microsoft Word
- Computer skills
- CPT coding
Timeline
Insurance Follow-up Representative
Bryan Medical Center
01.2024 - Current
Lead Claims Specialist
Physicians Laboratory, LLC
08.2022 - 01.2024
Account Manager
Midwest Medical Billing Services Inc
05.2022 - 08.2022
Billing Specialist
Midwest Regional Health Services
11.2019 - 04.2022
Medical Billing Specialist
Amblitel, LLC
10.2016 - 10.2019
Lead Account Specialist
SCA / OAIC
08.2011 - 09.2016
High school diploma -
Millard South High School
Similar Profiles
Rhonda BeckerRhonda Becker
Clinical Exercise Physiologist at Bryan Medical CenterClinical Exercise Physiologist at Bryan Medical Center
Sandra DelpSandra Delp
Medical Laboratory Scientist at Bryan Medical CenterMedical Laboratory Scientist at Bryan Medical Center
Shantel NosalShantel Nosal
Release of Information Specialist at Bryan Medical CenterRelease of Information Specialist at Bryan Medical Center
Dinesh SinghDinesh Singh
Senior Technical Program Manager at Gameshlok StudioSenior Technical Program Manager at Gameshlok Studio
Ozgur Cihan OzcanOzgur Cihan Ozcan
Area Sales Manager at AKO GROUPArea Sales Manager at AKO GROUP