Data Entry Customer Service

DD DeAnna Davis

Antioch, CA ***** 925-***-**** **********@*****.***

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PROFESSIONAL

SUMMARY

Resourceful Specialist offering expertise in problem-solving, data analysis and customer service. Adept at quickly learning new technologies and processes for driving success. Proven track record of successfully managing multiple projects and developing innovative solutions.

SKILLS Patient-focused quality service

Patient engagement

Following up with patients

Patient Registration

Data Entry

Accounts receivable management

Medical terminology expert

Payment posting

A/P and A/R expertise

Payment processing

Month-end closing procedures

ICD-10 & HCPCS Knowledge

Claims reports and documentation

Coverage determination

Quality Assurance

WORK HISTORY PRE-REGISTRATION SPECIALIST 08/2022 to 11/2023 Golden State Orthopedics And Spine Walnut Creek, CA Attended training programs to deepen professional skillset and assisted in training fellow store associates on existing and new training programs. Assured timely verification of insurance benefits prior to patient procedures or appointments.

Answered telephone calls to offer office information, answer questions, and direct calls to staff.

Made contact with insurance carriers to discuss policies and individual patient benefits.

Communicated verification and authorization status updates with departments to facilitate decision-making for patient admissions and insurance coverage.

Posted payments to accounts and maintained records. Developed strong client relationships through consistent communication and attentive service.

Enhanced team productivity by streamlining processes and implementing time-saving strategies.

CLAIMS SUBSTANTIATION SPECIALIST 12/2018 to 04/2020 Nonstop Wellness

Verify eligibility and claims mailing address.

Review schedules note patient balances/copays/coinsurance/deductibles. Process clinic batches.

Post payments and prep deposits.

Claims follow up, process denials and generate appeals. Inpatient and elective surgery billing.

Work AR on a regular basis.

Generate monthly statements, implement payment plans when necessary. Identify accounts for collections in accordance with policy. Respond to Billing inquiries.

Back up phones.

PATIENT FINANCIAL COUNSELOR 08/2017 to 11/2018

Diablo Valley Oncology and Hematology

Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts. Conducted interviews with patients and their family members and answered questions regarding insurance benefits, payment options and financial assistance.

Meticulously documented all details regarding contact with patients, providers and other individuals in the system using Epic. Accurately entered procedure code and diagnosis to obtain patient costs Efficiently performed insurance verification and pre-certification functions. AUTHORIZATIONS SPECIALIST 10/2013 to 07/2017

CoolSystems, Inc

Acquired insurance authorizations for procedures and tests ordered by the attending physician.

Monitored shared email in-boxes and ensured inquiries were addressed. Accurately entered procedure codes, diagnosis codes and patient information into billing software.

Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy. Interpreted medical reports to apply appropriate ICD-10, CPT and HCPCS Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses Completed appeals and filed and submitted claims.

SENIOR INSURANCE VERIFICATION\AUTHORIZATIONS 02/2009 to 08/2013 COORDINATOR

Professional Healthcare At Home

Made contact with insurance carriers to discuss their policies and individual patient benefits.

Reached out to insurance carriers to obtain prior authorization for testing and procedures.

Ensured that every individual received a high level of service by employing dynamic communication, interpersonal and active listening skills. Inputted all patient data regarding claims and prior authorizations into the system accurately.

Completed registration quickly and cordially for all new patients E. EDUCATION Silicon Valley College, Walnut Creek, CA

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