Makayla Davis
Florence,SC
Summary
Successful at efficiently handling client inquiries, billing and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements and business correspondence. Experienced with healthcare administration, proven to deliver exemplary level of healthcare service delivery to patients. Have strong organizational skills, superb understanding of data collection and performance metrics.
Overview
4
4
years of professional experience
Work History
Billing Specialist (Remote)
Sharecare Inc.
09.2020 - Current
- Follow up with denied/unpaid claims utilizing various research methods including, online research, and telephone calls to payers surrounding claims status
- Enter/verify/correct patient demographics and insurance information, respond to emails and phone calls from patients
- Create, review and approve patient invoices to be sent for clinics, hospitals, offices
- Screen claims for errors, analyze missing/incorrect data, recoding charge data
- Collecting and reviewing referrals, appeals, and pre-authorizations
- Generated accounts payable reports for management review to aid in financial and business decision making.
- Preparing and submitting billing data and medical claims to insurance companies
- Process claim payments and documenting amounts due for medical procedures and services.
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Provided excellent customer service, developing and maintaining client relationships.
- Monitored customer accounts to identify and rectify billing issues.
- Worked with multiple departments to check proper billing information.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Used data entry skills to accurately document and input statements.
- Audited and corrected billing and posting documents for accuracy.
- Verified accuracy of accounts payable payments, resulting in 100% reduction in payment errors and check reissues
Business Office Associate
Lexington Medical Center
04.2020 - 07.2020
- Created new patient charts and verified all legal paperwork
- Obtained payments by completing and posting bills to medical insurance providers
- Prepared daily shift close reports and balanced cash register to accurately reflect transactions
- Maintaining billing software by updating rate change, cash spreadsheets, and current collection reports
- Scheduled follow up appointments
- Applied core knowledge to effectively communicate sensitive or technical information while adhering to regulatory guidelines.
- Reviewed invoices, payment requests, advance requests, expense reimbursements, and proper coding, prior to approval.
- Provided clerical support to company employees by copying, faxing, and filing documents.
- Researched, analyzed, and projected market data for potential markets.
- Supported creation of detailed, technical financial models to value potential acquisition targets.
- Provided reporting for forecast analysis and ad-hoc reporting in support of decision-making.
Patient Advocate
BlueCross BlueShield
10.2019 - 04.2020
- Scheduled appointments for patients through South Carolina Health Dept
- Provides feedback to management regarding customer problems, questions and needs.
- Maintained patient records and updated electronic health systems to safeguard data.
- Advocated for patient rights and access to support resources in healthcare settings.
- Collected and analyzed patient feedback to evaluate quality of care.
- Educated patients and families on healthcare options and financial support resources.
- Facilitated communication between patients, families and healthcare providers to support comprehension.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Verified patient insurance eligibility and entered patient information into system.
- Answered incoming calls, scheduled appointments and filed medical records.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Managed over 60 customer calls per day.
Education
Bachelor's Degree - Healthcare Administration
Francis Marion University
Florence, SC05.2020
High School Diploma -
Mayo High School for MST
Darlington, SC06.2015
Skills
- CRM/Epic Software
- 10-Key Data Entry
- Billing Document Creation
- Claims Processing
- Invoice Processing
- Account Reconciliation
- Payment Posting
- Fiscal Reporting
- Eligibility Determination
- Caseload Management
- Database Coordination
- Audit Procedures
Timeline
Billing Specialist (Remote)
Sharecare Inc.
09.2020 - Current
Business Office Associate
Lexington Medical Center
04.2020 - 07.2020
Patient Advocate
BlueCross BlueShield
10.2019 - 04.2020
Bachelor's Degree - Healthcare Administration
Francis Marion University
High School Diploma -
Mayo High School for MST
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