Ana S. Donis

***** ****** ***, ********** *******, MD 20886

adzln1@r.postjobfree.com – Cell: 240-***-****

Objective

To secure the position of an office environment to where I can utilize my knowledge and experience of ten years in medical billing to its high potential that will allow me to grow and perfect my skills

Employment

November 2019 - Present: Billing Specialist Shady Grove Fertility

● Verifying eligibility and benefits.

● Verifying claims accuracy and completeness prior to submission.

● Researching claims data using account history.

● Researching, correcting, analyzing and resubmitting denied and rejected claims.

● Follow up on account receivable authorizations and referrals.

● Process electronic EOBs including insurance allowable, patient portions, denials, recoups.

● Transmitting claims electronically daily.

● Reporting productivity measures daily.

● Working system processing reports.

● Payer website fluency and IVR.

● Maintain accuracy of work and compliance with rules and regulations.

● Appealing medical claim denial for commercial insurance. September 2015 - November 2019: Billing Specialist, Alteon Health, Germantown

● Verifying eligibility and benefits.

● Verifying claims accuracy and completeness prior to submission.

● Researching claims data using account history.

● Researching, correcting, analyzing and resubmitting denied and rejected claims.

● Fulfilling medical records requests.

● Transmitting claims electronically daily.

● Reporting productivity measures daily.

● Working system processing reports.

Education

● 1998: High School Diploma, Gaithersburg High School, Gaithersburg

● 2004: Montgomery College- General Studies

● 2015: Montgomery College- billing and coding

Skills

● Athena Health, NextGen, Navicure, Viatrak

● Microsoft Office, Microsoft Word, Excel, Outlook, google platform

● 60 WPM

● Ability to access, input, and retrieve information from a computer

● Familiar with insurance websites (Linkhealth, MD Caid, Palmetto, Navinet, Cigna,) Languages

● Spanish and English (read, written & spoken)

References

● Professional and personal references available upon request

Contact this candidate