Medical Billing Specialist

Yvonne Mitchell

716-***-**** ***************@*****.*** Linkedin/yvonnemitchell120

Professional Summary

Experienced Medical Billing Specialist with over 20 years in medical billing, coding, insurance verification, and claims processing. Currently pursuing a Medical Billing and Coding certification to further enhance professional qualifications. Efficient in utilizing EMR systems and navigating complex insurance regulations to maximize reimbursement and ensure compliance. Developed an attention to detail and a proven ability to independently manage accounts receivable and resolve claim denials. As a preceptor, I successfully cross-trained billing staff across multiple insurances, ensuring coverage during absences and maintaining timely submissions of insurance billings. This collaborative approach helped achieve a revenue cycle clearing over a million dollars monthly; helping reduce denial rates by 20%. Core Competencies & Technical Skills

● Medical Billing & Coding: ICD-9, ICD-10, HCPCS, CPT; claims submission, coding accuracy, denial management

● Insurance & Revenue Cycle: Insurance verification, prior authorization, self-pay billing, A/R, collections, appeals

● Regulatory & Compliance: HIPAA, payer guidelines, audit readiness

● EMR & Software: EMR platforms, Microsoft Office,Google Work Space Professional Experience

Medical Billing Specialist & Patient Financial Services Kaleida Health – VNA Homecare Services, Cheektowaga, NY February 1999 – March 2023

● Processed high-volume medical claims with consistent accuracy and full compliance with Medicare, Medicaid, and commercial insurance regulations. Maintained a 98% first-pass acceptance rate, significantly reducing rejected or delayed payments and improving overall billing cycle efficiency.

● Verified patient insurance coverage and proactively obtained prior authorizations for home healthcare services. This initiative helped decrease authorization-related denials by 35% within a 12-month period.

● Identified patterns in denied or unpaid claims, researched root causes, corrected documentation, and submitted appeals. Successfully recovered reimbursement on 85% of denied claims, contributing to a 20% improvement in departmental revenue cycle turnaround.

● Utilized EMR systems to manage and update patient billing data with precision, ensuring timely and accurate documentation for insurance claims and internal reporting. Enhanced documentation accuracy by 15%, which led to fewer billing corrections and audits.

● Reviewed provider documentation and applied accurate medical coding using ICD-9, ICD-10, and HCPCS standards. Maintained a 97% coding accuracy rate, which reduced rework and improved compliance with payer guidelines.

● Ensured all billing and patient information was handled with strict adherence to HIPAA regulations. Maintained 100% compliance during internal and external audits over multiple review periods.

● Collaborated with finance and compliance on audits and reconciliations, reducing billing discrepancies by 25% and shortening closeout timelines by two days. Education

Bryant & Stratton College

● Associate Degree – Business Administration, Buffalo, NY, September, 2002- August, 2004

● Certificate in Medical Billing and Coding – May 2026 Southside High School

● High School Diploma – Buffalo, NY, September, 1979 - June, 1983 Certifications

● Medical Billing and Coding (May, 2026)