SAMANTHA DONER

• Manage 50+ patient accounts daily in a high-volume remote work environment

• Consistently exceed productivity and quality performance benchmarks

• Perform detailed follow-up on denied, pending, and underpaid claims for Medicare, Medicaid, and commercial payers

• Analyze EOBs and remittance advices to identify underpayments and billing discrepancies

• Submit and track appeals to recover disputed balances and maximize reimbursement

• Work aging reports to reduce AR days and prevent timely filing losses

• Train and mentor new team members on AR processes, payer guidelines, and workflow systems

• Maintain strict HIPAA compliance and regulatory standards

• • Conducted AR follow-up across multiple specialties including Mental Health, Orthopedics, Podiatry, and Vascular
• • Investigated and successfully appealed denied claims to increase reimbursement
• • Posted payments and reconciled accounts with strong attention to detail
• • Communicated directly with insurance representatives and provider offices to resolve complex claim issues
• • Maintained organized tracking systems to ensure timely resubmissions and appeals

• Verified insurance eligibility and benefits

• Submitted claims and processed patient payments

• Resolved denied claims and ensured accurate documentation

• Generated billing reports and maintained HIPAA compliance

• Analyzed customer interactions to identify needs, provide resources and promote excellent service. Offered direction and gave constructive feedback to motivate team members. Built and maintained effective relationships with peers and upper management. Kept the showroom clean and maintained neat orderly product displays.

• Assists with the general maintenance of party areas. Educated customers on product and service offerings. Assisted customers with sales transactions in a timely manner to guarantee high level of customer service.