SAMANTHA DONER
LOMITA,USA
Summary
Detail-focused medical billing specialist with several years of experience in patient billing, insurance verification, and efficient payment processing. Committed to streamlining billing systems for improved financial accuracy and patient satisfaction. Well-developed communication, time management and problem-solving abilities.
Overview
1
1
year of professional experience
Work History
PATIENT ACCOUNT REPRESENTATIVE
Conifer Health Solutions
05.2023 - Current
- Expedited resolution of patient accounts, boosting productivity
- Leveraged understanding of Revenue Cycle to facilitate payments
- Led claim submissions and remittance reviews, enhancing collections
- Resolved disputed balances with various entities, ensuring financial accuracy
- Spearheaded claim resolution for HMO, PPO, and Medicare.
- Connected directly with third-party administrators to resolve billing issues.
- Assisted in resolving patient complaints related to account balances, insurance coverage, and payment plans.
- Researched discrepancies in patient accounts to determine appropriate resolution.
- Maintained up-to-date documentation, including patient records and physician orders.
- Led billing and collection for pediatric and adult patients across various medical fields.
- Ensured accurate preparation of statements and bills.
- Worked closely with insurance companies to obtain authorization for services rendered.
- Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
ACCOUNT MANAGER
On-Line Billing
Lomita, USA
05.2023 - 05.2023
- Managed multiple accounts simultaneously while meeting deadlines.
- Resolved customer complaints in a timely manner.
- Developed strategies to increase revenue from existing accounts.
- Managed account receivables for assigned accounts, ensuring timely payments and minimizing bad debts.
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Verified the accuracy of claim data prior to submission to insurance carriers.
- Prepared daily reports summarizing payments received from insurers or other sources.
WAREHOUSE ASSOCIATE
Amazon
Vernon, USA
- Efficiently prepared, packaged, and labeled food products
- Effectively identified and resolved task completion barriers
- Leveraged technology for proficient order and shipment management
SECURITY OFFICER
Securitas
Long Beach, USA
- Ensured personnel and property safety through vigilant patrolling and surveillance
- Authored comprehensive reports on property irregularities and theft incidents
- Identified and reported safety hazards to maintenance promptly
- Managed vehicular and pedestrian traffic effectively
- Maintained a professional, welcoming environment for guests, prioritizing safety
BILLING CLERK
Orthopedic Specialties
Torrance, USA
- Managed daily medical billing and insurance verifications
- Enhanced office productivity by handling high volume of callers
- Resolved insurance claim denials by liaising with providers
CASHIER
The Home Depot
Long Beach, USA
- Analyzed customer interactions, driving service improvement
- Enhanced team motivation through constructive feedback
- Fostered lasting relationships with upper management
- Ensured showroom cleanliness and product display order
PARTY HOST
Gable House Bowl
Torrance, USA
- Improved party area maintenance through innovative strategies
- Increased product knowledge among customers, enhancing service quality
- Expedited sales transactions, ensuring high customer service standards
Education
CPR/AED CERTIFICATE -
CPR SELECT
08.2024
Medical Billing Certification
US Career Institute
05-2023
Skills
- EHR Software
- Billing Software
- Data Entry
- Insurance Verification
- Patient Billing
- Medical Billing
- Claim Appeals
- Revenue Cycle
- Hospital operations
- Patient Care
- Collections experience
- Team Collaboration
- Insurance Billing
- HIPAA understanding
- Payment Processing
Timeline
PATIENT ACCOUNT REPRESENTATIVE
Conifer Health Solutions
05.2023 - Current
ACCOUNT MANAGER
On-Line Billing
05.2023 - 05.2023
WAREHOUSE ASSOCIATE
Amazon
SECURITY OFFICER
Securitas
BILLING CLERK
Orthopedic Specialties
CASHIER
The Home Depot
PARTY HOST
Gable House Bowl
CPR/AED CERTIFICATE -
CPR SELECT
Medical Billing Certification
US Career Institute
Similar Profiles
Liz LaraLiz Lara
Lead Patient Advocate at Conifer Health Solutions LLCLead Patient Advocate at Conifer Health Solutions LLC
BRITTNEY BROWNBRITTNEY BROWN
Patient Care Coordinator | Team Lead at Conifer Health SolutionsPatient Care Coordinator | Team Lead at Conifer Health Solutions
CHRISTINA SULLIVANCHRISTINA SULLIVAN
PATIENT ACCESS MANAGER II at Conifer Health SolutionsPATIENT ACCESS MANAGER II at Conifer Health Solutions
Tiyada G. TaylorTiyada G. Taylor
Patient Account Representative at Conifer Health Solutions LLCPatient Account Representative at Conifer Health Solutions LLC
Dylan FarrokhsiarDylan Farrokhsiar
Store Leader + Wholesale Ambassador at Faherty BrandStore Leader + Wholesale Ambassador at Faherty Brand