Insurance Verification Health Information

Donna R Brockway-Andreini, MHL RHIT PAHM

*****.********@*****.*** Peoria, Arizona

linkedin.com/in/donnarba 623-***-****

Summary

Health Information Management specialist with billing, insurance verification, EDI and EHR training experience. I am currently seeking challenge in the Health Information Management field.

Education

Doctorate, Health Administration, Capella University February 2020 – Present

Masters, Health Leadership, Western Governor’s University 2019

Bachelor’s Science, Healthcare Information Management 2018

Associates of Applied Science, Health Information Technology, Rasmussen College 2016

Work Experience

APX Mobile Medical LLC, Phoenix, Arizona

Insurance Verification Manager/Billing Manager 2023-2024

Responsible for management of coding, billing, and insurance verification for a small mobile medical group. Responsibilities include completing all tasks as well as managing the data entry and scheduling team. Insurance verification was turned around in 24 hours, billing in 72 hours.

Vituity, HonorHealth Deer Valley Hospital, Phoenix, Arizona (Per Diem) 2023

Practice Administrator

Responsible for scheduling hospitalists to see patients in the hospital as well as physician payroll.

Pathways Community Services, Pico Rivera, California

Southern California Billing Manager 2021 – 2023

Responsibilities include management of four county’s billing including Medicare, MediCal and all commercial payers. Ran various reports such as Aging, Payment and reports from the clearinghouse showing rejections, denials and payments. Responsible for four county Billing Administrators and over 25 program’s billing practices using both Avatar and Cerner.

TotalMD, Mesa, Arizona 2020 – 2021

Training Specialist

Responsible for on-boarding and training new medical software clients including physicians, office staff and billing agencies. Compiled documentation to create an on-line knowledge base and YouTube videos for product instruction. Wrote blogs on current medical issues. Demonstrated program to prospective clients.

Caring Hands Medical Labs Services, Durham, North Carolina 2019 – 2021

Billing Manager

Managed all billing, coding and collections for +$750K annual billing for phlebotomy company. Responsible for full-cycle billing and HIPAA compliance. Recouped more than $10K of funds denied and rejected in error by Medicare after taking charge of all medical billing processes.

Axiom Systems, Phoenix, Arizona 2015 – 2020

Client Support Analyst

Support of billing software including remote installation and support of program. Provided detailed initial training and on-going training as necessary for the usage of product. Knowledge of billing and coding vital to customer satisfaction. Read and interpreted ANSI reports for resolution of errors and rejections. Trained clients on working with clearinghouses. Responsible for daily metrics of rejections from insurance companies and finding the resolution for the errors.

Dignity Health/CommonSpirit, Phoenix, Arizona 1999 – 2015

Worked in various positions within the Accounts Payable department including administrative functions and helping the department move to a strictly digital filing system. Responsible for daily metrics.

Skills

Medicare, Medicaid, MediCal and Commercial Insurance Billing Experience

Familiar with CPT and ICD-10 Coding

EHR Training Experience (SolAce, TotalMD, Avatar)

Highly Proficient with Microsoft Suite

Medical Terminology

EDI

Clearinghouse Collaboration

EPIC and Cerner EHR experience

Physician Payroll

Physician Scheduling

Insurance Verification

Phlebotomy, Mental and DME Billing

Sales Scheduling

ANSI Interpretation

Certifications

RHIT

CompTiA Project+ Certified

PAHM

Contact this candidate