Joanie Davis
Ovalo
Summary
Dynamic Medical Billing A/R Specialist with extensive experience at Abilene Sports Medicine and Orthopedics. Proven track record in resolving claim denials and enhancing accounts receivable management. Skilled in ICD-10 coding and fostering positive patient relationships through effective communication. Committed to ensuring compliance and maximizing revenue potential.
Overview
27
27
years of professional experience
Work History
Medical Billing A/R Specialist
Abilene Sports Medicine and Orthopedics/ACOM Surgery Center
04.2019 - Current
- Process and submit claims to insurance providers, ensuring compliance with payer requirements.
- Manage accounts receivable, monitor aging reports, and reduce outstanding balances
- Resolve claim denials and discrepancies
- Post and reconcile payments, maintaining accurate financial records
- Communicate with patients regarding balances and insurance coverage, providing clear explanations
- Collaborate with providers, coders, and finance teams to streamline billing processes.
- Resolved discrepancies by collaborating with healthcare providers and insurance companies.
Cashier/Customer Service Representative
Abilene Diagnostic Clinic
02.2017 - 04.2019
- Processed patient payments and managed transactions efficiently.
- Maintained accurate cash register balances throughout shifts.
- Assisted patients with billing inquiries, ensuring clear communication.
- Trained new cashiers on operational protocols and system usage.
- Resolved customer concerns promptly, fostering positive patient experiences.
- Monitored inventory levels of office supplies, coordinating timely reorders.
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels.
- Maintained a balanced cash drawer, ensuring accurate accounting at the end of each shift.
Billing Specialist
Affordacare Urgent Care Clinic
03.2015 - 02.2017
- Processed patient billing inquiries to ensure timely resolution and customer satisfaction.
- Managed insurance claims submissions, verifying accuracy and compliance with regulations.
- Coordinated payment posting and reconciled accounts to maintain accurate financial records.
- Researched and resolved billing discrepancies to enable accurate billing.
- Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
- Maximized revenue potential by identifying and resolving under-billed accounts.
Billing Specialist
Abilene Eye Institute
12.2002 - 02.2015
- Developed streamlined billing procedures, enhancing efficiency in claim processing workflows.
- Trained new staff on billing systems and best practices to promote consistency and accuracy.
- Analyzed billing reports to identify discrepancies, implementing corrective actions as needed.
- Collaborated with healthcare providers to clarify service details for accurate billing documentation.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Enhanced customer satisfaction with timely and accurate invoice generation.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
Claims Examiner III
Blue Cross Blue Shield
08.1998 - 12.2002
- Evaluated and processed complex insurance claims in accordance with regulatory guidelines.
- Analyzed documentation for accuracy and completeness, ensuring compliance with company policies.
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
Education
Associate of Science - Health Information Technology
Texas State Technical College
Abilene, TX05-2016
Skills
- ICD-10, CPT, and HCPCS coding
- Insurance claim submission & follow-up (Medicare, Medicaid, private payers)
- Accounts receivable management & aging report analysis
- Payment posting & reconciliation
- Denial management & resolution
- Medical billing software (Aprima, Athena, Nextgen, Centricity, HST, Greenway etc)
- Electronic Health Records (EHR) navigation
- Microsoft Excel, Word, Outlook
- Patient account inquiries & customer service
- Negotiation with insurance companies
- Attention to detail & time management
- Collections management
- Payment posting
- Month-end closing
- Customer service
- HIPAA compliance
- Verbal and written communication
- Insurance verification
- Collections
- Coding proficiency
Timeline
Medical Billing A/R Specialist
Abilene Sports Medicine and Orthopedics/ACOM Surgery Center
04.2019 - Current
Cashier/Customer Service Representative
Abilene Diagnostic Clinic
02.2017 - 04.2019
Billing Specialist
Affordacare Urgent Care Clinic
03.2015 - 02.2017
Billing Specialist
Abilene Eye Institute
12.2002 - 02.2015
Claims Examiner III
Blue Cross Blue Shield
08.1998 - 12.2002
Associate of Science - Health Information Technology
Texas State Technical College
Reference Available upon Request
Available upon Request