Rebecca Doughty
Franklin,TN
Summary
Detail-oriented Senior Skilled Biller with extensive experience in claims processing, coding accuracy, and patient account management. Proven ability to ensure compliance and resolve discrepancies, contributing to efficient revenue cycle management.
Overview
21
21
years of professional experience
Work History
Senior Skilled Biller
Diversicare Management Company
Brentwood, Tennessee
07.2010 - 07.2026
- Processed billing statements for services rendered at senior living facility.
- Utilized billing software to track payments and ensure accurate financial records.
- Coordinated with healthcare providers to gather documentation, ensuring billing accuracy and compliance.
- Resolved discrepancies in patient accounts through thorough investigation and follow-up.
- Performed daily follow-up on outstanding claims to ensure prompt payment from payers.
- Maintained up-to-date records of billing activities, facilitating accurate tracking of charges, adjustments, denials, and collections.
- Prepared detailed claims for submission to insurance companies according to policy guidelines.
- Verified insurance eligibility for patients by calling appropriate parties.
- Collected, posted and managed patient account payments.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Investigated past due invoices and delinquent accounts, supporting revenue generation and minimizing unpaid accounts.
- Ensured invoices were coded correctly according to patient services and medical records.
- Processed and monitored invoices, payments, and adjustments to ensure timely payment from insurance companies.
- Coordinated with third-party payers concerning authorization requests, coding changes, and payment disputes.
- Participated in training sessions related to new policies and procedures as well as updates on existing ones.
- Assisted in training new staff on billing procedures and company policies.
- Collaborated with other departments such as the clinical staff to obtain necessary documentation for processing claims accurately.
- Maintained confidentiality on all patient record data.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
- Coded invoices properly based upon patient services and medical records.
- Processed and monitored invoices, payments, and adjustments to ensure timely payment from insurance companies.
Front Desk Receptionist
Diversicare Management Services
Brentwood, Tennessee
05.2008 - 07.2010
- Answered incoming calls, redirected callers to the appropriate personnel or department, and took messages.
- Answered multi-line telephone with polite tone of voice to provide general information and answer inquiries.
- Handled phone inquiries and directed calls to appropriate departments efficiently.
- Maintained a clean and organized reception area for welcoming guests effectively.
- Processed incoming mail and packages, distributing them to relevant personnel.
- Assisted with administrative tasks, including filing documents and data entry.
Front Desk Agent
Marriott
Nashville, Tennessee
10.2007 - 05.2009
- Managed check-in and check-out processes efficiently and accurately.
- Greeted guests warmly and provided exceptional customer service at all times.
- Assisted guests with inquiries and resolved issues promptly to ensure satisfaction.
- Handled reservations using property management software to maintain accurate bookings.
- Processed payments and maintained accurate cash handling procedures daily.
- Provided information about local attractions and services to enhance guest experience.
- Answered phones, assisting callers with inquiries and providing information.
- Managed cash drawer accurately during each shift to ensure financial integrity.
Customer Service Representative
Verizon Wireless
Murfreesboro, Tennessee
01.2006 - 05.2007
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Assisted customers with inquiries and technical issues for wireless services.
- Educated customers on product features and service plans effectively.
- Resolved billing disputes and clarified account details efficiently.
- Maintained detailed records of customer interactions, transactions and comments for future reference.
Education
Middle Tennessee State University
Murfreesboro, TNSkills
- Claim submissions
- Accurate coding
- Billing compliance
- Insurance verification
- Patient accounts
- Billing systems
- Revenue management
Timeline
Senior Skilled Biller
Diversicare Management Company
07.2010 - 07.2026
Front Desk Receptionist
Diversicare Management Services
05.2008 - 07.2010
Front Desk Agent
Marriott
10.2007 - 05.2009
Customer Service Representative
Verizon Wireless
01.2006 - 05.2007
Middle Tennessee State University