Enjoli Patton-Davis
Grandville,MI
Summary
Professional with proven expertise in insurance reimbursement processes and medical billing. Strong analytical skills, adept at navigating complex claims, and ensuring accurate, timely reimbursements. Collaborative team player focused on achieving results and adapting to changing needs. Proficient in claims processing, coding, and regulatory compliance, with keen eye for detail and problem-solving.
Overview
23
23
years of professional experience
Work History
Insurance Reimbursement Specialist
Advanced Radiology Services
03.2015 - 03.2025
- Improved claim processing efficiency by streamlining workflows and implementing best practices.
- Provided exceptional customer service to clients throughout the claims process, addressing inquiries promptly and professionally while keeping them updated on claim status progressions at all stages of the process.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Created documents in accordance with payer guidelines and submitted to appropriate parties.
- Prevented delays and claim denials by correcting information prior to submission.
- Review and process correspondence from assigned insurance companies regarding diagnostic and procedure code denials
- Work rejections for insurance companies regarding diagnostic and procedure code denials
- Contact insurance companies for verification of claim status and clarification of denials
- Conduct necessary claim appeals to insurance companies, adhering to the appeals process of the assigned insurance companies
- Work delinquent claims that have aged
Payment Specialist
Advanced Radiology Services
03.2005 - 03.2010
- Performed various administrative tasks related to payments, including generating reports, updating records, and maintaining accurate documentation.
- Enhanced payment processing efficiency by streamlining procedures and implementing automation tools.
- Submitted cash and check deposits and generated cash receipts to record money received. Balanced all electronic, cash and check payments to deposits.
- Maintained strict compliance with HIPAA, CMS, and payer-specific guidelines during payment posting activities.
- Identified trends in payer denials and collaborated with other departments to resolve recurring issues proactively.
- Reduced manual data entry errors with accurate payment postings and account reconciliations.
- Achieved high levels of data accuracy during payment batching, ensuring smooth bank deposits and financial reporting processes.
- Worked with multiple departments to check proper billing information.
- Post patient and insurance checks to patients accounts, post deductibles and copays on insurance payment voucher
- Create or match insurance checks with billing software for electronic posting
- Expedited month-end close procedures through efficient coordination with billing and finance teams.
Collection Specialist
Advanced Radiology Services
10.2001 - 03.2005
- Provided exceptional customer service while resolving disputes, resulting in improved customer satisfaction ratings for the department.
- Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
- Negotiated payment plans with customers, prioritizing account resolution and maintaining professionalism throughout interactions.
- Maintained high volume of calls and met demands of busy and productive group.
- Achieved timely resolution of delinquent accounts by maintaining open communication lines with clients and diligently following up on payment promises.
- Developed strong relationships with external agencies to facilitate efficient coordination during escalated collection efforts or legal proceedings involving delinquent accounts.
- Monitored accounts receivable aging reports, proactively initiating collection efforts on past-due accounts to minimize losses.
- Acted as a liaison between clients and internal departments, coordinating efforts to resolve billing discrepancies and expedite payment processing.
- Resolved customer disputes and disagreements through professional, calm communication to find mutually beneficial solutions.
- Identified and contacted customers with overdue accounts to address payment status.
- Documented customer payment interactions and account statuses for future reference.
- Contacted customers to discuss past-due accounts and negotiated payment plans.
- Monitored customer accounts for payment delinquency and initiated collection efforts.
Education
High School Diploma -
Jones Metropolitan of Business And Commerce
Chicago, IL06-1997
Skills
- Appeals handling
- HIPAA compliance
- Claims processing
- Insurance verification
- Denial management
- Policy interpretation
- Medical billing
- Medicaid, Medicare,Commercial Insurance
- Billing software: Trimed, Healthpac, Imagine
- Microsoft office
- Eligibility verification
- Attention to detail
- Time management
- Problem-solving
Timeline
Insurance Reimbursement Specialist
Advanced Radiology Services
03.2015 - 03.2025
Payment Specialist
Advanced Radiology Services
03.2005 - 03.2010
Collection Specialist
Advanced Radiology Services
10.2001 - 03.2005
High School Diploma -
Jones Metropolitan of Business And Commerce
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