Medical Billing/Denials/Payment Posting
Resume:
Dawn Minich
Parma Ohio *****
*******@*****.***
Professional Summary
Experienced professional providing timely follow up of unpaid and underpaid insurance claims. Strong performer adept at following and enhancing processes/ procedures, achieving and exceeding quotas and goals. Learn and adapt quickly to new regulations, software, and processes. Consistent follow up on outstanding or aging requests.
Skills
-Experience in government agencies’ policies and procedures.
-Client relationship management
-Familiar with several billing systems.
-Ability to learn, work, and adapt in a fast paced environment.
-Very strong data entry skills (13,000 ksph 99.4% accuracy).
-Consistently exceed goals set by management
-Strong attention to detail
-Subscribe to industry publications to enhance knowledge and skills
-Experienced in various office tools such as MS Office, MS Teams, SharePoint, Email, Phone, Instant Message tools, and others
Work Experience
Self Employed – June 2023-October 2024
Home remodeling – Cleveland Ohio
General home remodeling for numerous investors in the Cleveland area. Demo, drywall, painting, tile and flooring. Minor electrical and plumbing. Experienced in working with investors, homeowners, and city inspectors.
Senior Process Executive – Data: Sept 2019-June 2023
Cognizant Technology Solutions (Formerly Bolder Healthcare and Receivables Outsourcing Inc.)-Warrensville Hts, Ohio
Follow up of outstanding medical insurance accounts to resolve unpaid and underpaid claims. Contact insurance providers, hospitals, and coworkers via phone, chat, and email to address questions, resolve obstacles, and ensure compliance to federal, hospital, and insurance rules and regulations. Consistently record all contacts, activities, and follow ups in internal as well as client’s systems. Follow established process to ensure excellent customer service. Respond to annual insurance audit results and address as necessary.
-Consistently exceed work queue goals
-Act as an escalation point for coworkers and challenging accounts
Patient Account Representative: Nov 2017 – Aug 2018
Team Health - Fairlawn, Ohio
Payment posting, both electronic and manual. Problem solving, balancing batches. Insurance contact to resolve payment problems. Resolving problems with insurance takebacks and other payment issues. Consistently record all contacts, activities, and follow ups in internal as well as client’s systems. Follow established process to ensure excellent customer service. Respond to annual insurance audit results and address as necessary.
-Became the single point of escalation for Anthem Electronic Remittance Advice due to the complexity and nuances of these accounts
-Took on a special project to audit all Blue Cross and Blue Shield Electronic Remittance Advices for compliance and accuracy of posting. Project resulted in multiple errors identified and resolved.
Merchandiser: Mar 2017 – Nov 2017
O'Reilly Auto Parts - Cleveland, Ohio
Merchandising, stock, and inventory for my assigned store. Monthly and annual inventory for several stores. Project Management, organization, and customer service.
-My store was chosen by corporate to be photographed for a cover photo on our company magazine because of the neatness and organization of the store.
Merchandiser: Mar 2016 – Mar 2017
TNG, Inc. - Cleveland, Ohio
Merchandising, stock, and inventory for my assigned store. Project management, organization, and customer service.
Billing Specialist: Mar 2012 – Feb 2015
Robert M. Stern MD, Inc. - Westlake, Ohio
Patient registration, data entry of professional optometry and ophthalmology charges, billing of professional charges to insurance companies, billing of optical merchandise. Patient billing, helping patients understand their bills. Consistently record all contacts, activities, and follow ups in internal systems. Follow established process to ensure excellent customer service. Responsible for protection of Private Health Information and confidentiality requirements. Respond to annual insurance audit results and address as necessary.
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