Dewanda Clark
**+ years of experience in medical billing, staffing and case management
Atlanta,GA
(404) 914 - 6208
ad5t2l@r.postjobfree.com
EXPERIENCE
Entegrity Homecare Solutions, Jonesboro, GA — Account Manager January 2013 - May 2022
● Oversaw daily operations of the intake and maintenance of new and existing client referrals.
● Managed the scheduling of 30+ caregivers to ensure quality and timely care was performed
● Maintained and audited new home charts to ensure all documents were there for caregivers
● Conducted insurance verification and submitted over 1k+ bill reports to third party vendors
Secure Medical Management, Stn. Mountain, GA — Administrator December 2012 - January 2013
● Conducted meetings to introduce new clients (10+ in a given month) to the billing process and outlined their expectations and responsibilities to ensure accurate billing.
● Managed all billing and collection duties for medical offices including maintaining correspondences, batch billing, evaluating Explanation of Benefits (EOB) and processing payments received.
● Network in the community to generate new business for the practice.
● Ensured that all matters regarding Protected Information (PI) were processed efficiently with Attorneys.
Perimeter Spine Rehab Center, Atlanta, GA — Collection/Billing Specialist August 2009 - July 2011
● Efficiently filed electronic and paper claims (including MVA cases) and notes to private insurance companies, Medicaid and Medicare.
● Reviewed Explanation of Benefits (EOB) for correct payments, adjustments and denials.
● Submitted medical records to insurance companies as requested for audits and processing.
● Conducted follow up contacts on outstanding and denied claims. Verified patients’ insurance and demographic information for proper medical treatment. Emory Healthcare, Decatur, GA — Billing Recovery Specialist October 2008 - December 2008
● Ensured the timely resolution of medical insurance claims filed with insurance carriers and agencies.
● Worked commercial accounts that had multi-million dollar amounts to get claims paid through insurance or patients.
● Succeeded in follow—up of all nonresponsive insurance companies approaching the 30-day limit for payment.
● Improved practice’s collections/cash flow and reduced bad-debt write-offs.
● Effectively processed returned mail on high-dollar accounts and correspondences from third party payer sources.
SKILLS
ICD-9, CPT Coding
UB92s, HCFA 1500
Electronic Claim Filing
Medical Record Management
Customer Service and Support
Explanation of benefits
Medisoft
EDUCATION
Career Education Institute
Marietta,GA
Medical Administrative
Assistant, Certification
May 2005