VERNONIA DAVIS
Mobile,AL
Summary
With over 10 years of experience in customer service, I have honed my expertise in medical billing and insurance processes. I have developed proficiency in HCPCS, LJB-04 forms, CPT, and HIPAA compliance, reflecting my strong organizational and schedule management skills. Additionally, I am highly skilled in handling insurance follow-ups, appeals, and payment postings. Throughout my career, I have maintained a team-oriented and customer-focused approach.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Remote Reimbursement Specialist
Unified Health Services
04.2023 - 03.2024
- Facilitated seamless communication between providers and insurers, resulting in a 15% increase in successful claim resolutions
- Provided exceptional customer service when responding to patient inquiries about reimbursement status and procedures.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
A/R Medical Billing Analyst
Occupational Health Center
12.2021 - 11.2022
- Handled Workers' Compensation claims, ensuring accurate processing and timely follow-up with insurers
- Submitted reconciliation claims and appeals, improving claim approval rates and reducing denials
- Conducted insurance follow-ups, resolving outstanding issues and enhancing revenue collection
Remote Billing Specialist
TruBridge Solutions
09.2020 - 08.2021
- Processed payments accurately and efficiently, ensuring timely billing and collections
- Resolved billing discrepancies, enhancing customer satisfaction and reducing payment delays
- Utilized billing software to manage accounts, improving workflow and data accuracy
Financial Planner
AltaPointe Health System
06.2019 - 02.2020
- Verified insurance and obtained prior authorization, ensuring seamless hospital admissions
- Led a team to ensure accurate insurance verification and timely prior authorizations, enhancing patient admission efficiency
- Worked closely with healthcare providers to verify insurance and secure prior authorizations, ensuring seamless hospital admissions
Insurance Clerk
AltaPointe Health System
10.2018 - 06.2019
- Verified Medicaid coverage and obtained prior authorizations for outpatient admissions, ensuring timely patient care
- Streamlined Medicaid coverage verification and authorization, reducing processing time by 20%
- Conducted detailed insurance follow-ups, improving claim resolution efficiency
- Implemented a new system for processing Medicaid corrected claims, enhancing accuracy and compliance
Education
Bachelor of Science - Human Resource Management
Canterbury University
AS - Human Resource Management
Ashworth College
Norcross, GAPharmacy Technology
Ashworth College
08-2013
Skills
- Analytical and Organizational Skills
- Proficient with Microsoft Office Suite
- AR Medical Billing and Processing
- HIPAA Compliance
- UB-04 Forms and Revenue
- HCPCS coding
- HIPAA compliance
- EOB
- ICD-10 coding
- Schedule Management
- Appeals handling
Certification
- CPR/AED, 2024
- ICD-10 CODING/MEDICAL BILLING, 2024
Timeline
Remote Reimbursement Specialist
Unified Health Services
04.2023 - 03.2024
A/R Medical Billing Analyst
Occupational Health Center
12.2021 - 11.2022
Remote Billing Specialist
TruBridge Solutions
09.2020 - 08.2021
Financial Planner
AltaPointe Health System
06.2019 - 02.2020
Insurance Clerk
AltaPointe Health System
10.2018 - 06.2019
- CPR/AED, 2024
- ICD-10 CODING/MEDICAL BILLING, 2024
Bachelor of Science - Human Resource Management
Canterbury University
AS - Human Resource Management
Ashworth College
Pharmacy Technology
Ashworth College
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