Dianna Davis MCBC – Medical Billing Specialist
Lula, GA 30554 678-***-**** ad1grk@r.postjobfree.com
PROFESSIONAL SUMMARY
Dedicated and seasoned professional with a proven track record encompassing 14 years as a successful business owner and an additional 9 years of comprehensive experience as a general manager. Transitioning into a Medical Billing Specialist role, leveraging a robust foundation in business operations, financial acumen, and adept leadership. Possesses a strong understanding of diverse business facets, including operations management, financial administration, and strategic decision-making. Committed to delivering exceptional medical billing expertise, integrating entrepreneurial insight with managerial proficiency to ensure meticulous and efficient billing processes within the medical industry.
PROFESSIONAL SKILLS
Identify major laws, regulations and guidelines related to medical billing
Understand various insurance types, carriers and plans and appropriate rules for coverage determination
Recognize ICD-10-CM, CPT, HCPCS and modifiers and how to utilize them for billing
Accurately complete and submit heal insurance claims for reimbursement
Comprehend payment adjudication, various claim statuses and the resubmission process
Gather, review, and verify crucial patient information and documentation
Audit medical billing and prevent fraud and abuse assigning diagnostic and procedure codes and how to submit clean claims for reimbursement
Submit reimbursement claims to insurers and optimize healthcare providers maximum payment for medical procedures performed
EDUCATION
MedCerts Livonia, MI February 2023 – May 2023
Medical Billing Specialist Program: AMCA: MCBC Certified
PROFESSIONAL EXPERIENCE
Emergency Billing LLC Gainesville, GA August 2023 – October 2023
Patient Aging & Collections
Proficiently managed patient accounts, monitored aging reports, implemented effective collection strategies to ensure timely payments, reduced outstanding balances, and improved overall revenue cycle management
Navigated various portals such as Gammis, Palmetto, Inovalon, and Availity, conducted thorough insurance verifications for specific service dates, confirmed coverage details, ensured accurate billing, resolved discrepancies, and facilitated seamless reimbursement processes
Utilized the Medisoft program to locate patient information, communicated effectively with patients regarding billing matters, successfully employed a system to facilitate patient outreach, addressed inquiries, and provided necessary information related to billing and financial aspects to patients for healthcare services received
Clipper Petroleum Gainesville, GA December 2014 – March 2023
General Manager
Implemented strategies that resulted in a 5% increase in quarterly sales and showcased a proactive approach that positively impacted revenue
Instituted measures that effectively lowered annual turnover by 10% and demonstrated an ability to enhance employee retention and organizational stability
Consistently maintained precise data entry, delivered exceptional customer service, emphasized attention to detail, and committed to customer satisfaction
CPC Services Buford, GA January 2000 – November 2014
Owner / Operator
Spearheaded the creation and development of the company, showcased entrepreneurial initiative and leadership, and established a successful business from its inception
Acquired and managed multiple builders and contractors and exhibited strong negotiation and relationship-building skills crucial for successful project execution and expansion
Oversaw Accounts Receivable (AR), Accounts Payable (AP), Human Resources (HR), Payroll, and Billing functions, sustained the growth trajectory of construction cleaning services, delivered consistently high-quality services, and contributed to the company's upward trajectory