Diane R. Efaw
Washington, PA 15301
Email: *****.****@*****.***
Experience:
Physicians Immediate Care 01/04/2016 to present Third Party Collections Specialist
Duties: All insurance follow up on billing and collection procedures for Urgent Care Facilities. Make phones calls to Insurances, patients, and all concerning doctors/hospitals to obtain payment on claims.
I do all follow up on claims from making sure claim was paid out correctly to denials and their reconsiderations/appeals.
Apria HealthCare: 12/20/12 – 12/2015
Medicare Collection/Billing Rep
Duties: All Medicare follow up on billing and collection procedures for DME. Make phones calls to Medicare, patients, and all concerning doctors/hospitals to appeal Medicare denials on DME.
Progressive Mobility and Medical: 7/2011 – 12/2012
Billing/ Accounts Receivable Clerk
Duties: All billing and follow up procedures for DME. Collections of insurance and patient payments. Post payments, make financial arrangements, answer phones, customers store interaction, and all general office procedures.
Universal Smart Comp: 8/2009 – 7/2011
Collection Specialist I/Customer Service Rep.
Duties: Took phone calls, faxes, and emails from Doctor’s offices for their scripts and procedures performed. Coded and billed out to insurances. Followed up on all claims, denials, and payments. Data entry, phones, customer service, and all general office procedures.
Credit Management Co: 8/2008 – 8/2009
Billing Clerk
Duties: AR, patient/Insurance phone calls, insurance verifications, and all billing procedures and follow ups. Set up financial arrangements and all collection procedures. All general office duties.
NCO: 5/2005 – 7/2008
Team Lead/Customer Service Rep
Duties: In bound call center. Lead agents to provide correct/accurate info to all callers. Took in bound calls and assisted customers with all problems and concerns including making financial arrangements.
Allegheny General Hospital: 1/2000 – 4/2005
Patient Access Rep/Customer Service Rep
Duties: Registration of patients. Insurance verifications & updates. All AR, ICD-9 coding, CPT coding, patient demos, insurance billing and all follow up.
Pro-Med Billing Services: 12/1998 – 5/2002
Billing Clerk/Customer Service Rep
Duties: All insurance billing from coding to follow with insurances and patients.
Education:
CCAC: 4/2004-4/2005
Allegheny County Campuses
STUDIED:
Math/English
I just took some refresher courses and was considering becoming a nuclear med-tech.
GPA: 4.0
Bradford Business School 6/1982-6/1983
Pittsburgh, PA
STUDIED:
Accounting
I took their 1 year accounting class
GPA: 3.8
Diploma received
Trinity High School 9/1978-6/1982
Washington, PA
STUDIED:
Academic/Business
GPA: 3.7
Diploma received