Heather Dobbs

• Conducts root cause analysis of all assigned insurance payer claims and denials to determine appropriate actions required to resolve claim / denial into a paid status.
• Communicates effectively over phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements.
• Corrects identified billing errors and resubmits claims with necessary information through paper or electronic methods.
• Anticipates potential areas of concern within claims denial function
• Recognizes when additional assistance is needed to resolve claim denials
• Resolves work queues according to prescribed priority
• Assists with unusual, complex or escalated issues as necessary.
• Documents all activities and findings in accordance with established policies and procedures; ensures the integrity of all account documentation; maintains confidentiality of medical records.
• Uses critical thinking skills and payer knowledge to recommend system edits to reduce denials and result in prompt and accurate payment.
• Keeps management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding.
• Communicates with supervisor and staff regarding insurance carrier contractual and regulatory requirements that impact payment and denials.
• Meets quality assurance and productivity standards for timely and accurate claim / denial resolution in accordance with organizational policies and procedures.
• Maintains current knowledge of internal, industry, and government regulations as applicable to assigned function. Understands detailed billing requirements, denial reason codes, and insurance follow-up practices.
• Understands government and commercial insurance reimbursement terms, contract language, and appropriate reimbursement amounts.
• Has knowledge of, and is compliant with, government regulations including "signature on file" requirements, compliance program, HIPAA, etc.
• Works collaboratively with payers and revenue cycle staff to explain denial or underpayment issues.
• Promotes an atmosphere of collaboration so peers feel comfortable approaching with issues and challenges specific to their payer or specialty.
• Performs related duties as required.

• Greeted patients at front desk and engaged in pleasant conversations while managing check-in process.
• Answered multi-line phone system for 20 providers to respond to inquiries and transfer calls to correct departments and personnel.
• Resolved patient issues quickly and notified supervisor immediately when problems escalated.
• Maintained files and records by implementing effective filing systems that boosted efficiency and organization.
• Transcribed phone messages and relayed to appropriate personnel.
• Used internal software to process appointments, check-ins and check-outs.
• Collected surgery/procedure deposits, fees and payments.
• Used quick response and dynamic service skills to build relationships with patients, improving patient retention rate.
• Kept accounts in balance and ran daily reports to verify totals.
• Retrieved mail, packages and documents on behalf of Doctors, promptly verifying receipt and arranging for pickup or transmittal.
• Calculated billings and posted charges to patient accounts, reviewing charges with patients at checkout.

• Kept accurate log of requests for medical information and records.
• Monitored legal and financial statuses of various offices.
• Followed up with patients about medical and healthcare processes.
• Processed medical records requests from outside providers according to facility, state and federal law.
• Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
• Maintained patient charts and accurately recorded new information.
• Communicated effectively with staff, patients and insurance companies by email and telephone.
• Maintained patient records in compliance with security regulations.
• Maintained patient confidence by keeping patient records information confidential.
• Uploaded physician progress notes, history and physicals into electronic medical records.

• Identified plans and resources required to meet project goals and objectives.
• Managed projects from procurement to commission.
• Developed and initiated projects, managed costs, and monitored performance.
• Achieved project deadlines by coordinating with contractors to manage performance.
• Supervised group of 4 through Arizona, Texas, New Mexico, Louisiana, Arkansas, and Oklahoma.
• Our goal was to bring awareness to the humanitarian crisis in North Korea by arranging speaking presentations to collages, high schools, middle schools and independent venues

• Greeted clients, showed apartments, and prepared leases.
• Responded to requests and scheduled appointments for property showings.
• Assisted prospective tenants in paperwork completion and other logistics to facilitate smooth move-in processes.
• Distributed and followed up on tenant renewal notices.
• Collected monthly rent payments and other fees, always properly recording and processing money.

Completed Freshman and Softmore year of College then moved to California for an Internship with LiNK