Medical Biller Billing
Resume:
DeLaina Deck
Glendale, AZ *****
*******@*****.***
Seasoned Medical Biller/Collector has ability to organize, prioritize and work under extreme pressure, self-motivated, excellent people skills and problem solving. Skill Summary
Initiative-taking, maintains a high level of energy. Experienced with CMS 1500 / HCFA claims for multiple specialties. Knowledgeable of commercial, government and AHCCCS payors. Work Experience
Insurance Follow Up Representative
Acclivity Health/HOPCo – Phoenix, AZ October 2024 to Feb 2025
• Productivity of 50 claims daily
• Review EOB’s
• Verify patient demographic information and Insurance eligibility.
• Research all information needed to complete billing processing.
• Identify and communicate trends.
• Contract assignment
Hybrid Medical Billing Specialist,
Denova Collaborative Health – Phoenix, AZ June 2024 to Sept 2024
• Productivity of 75 claims daily
• Processing payments on behalf of a customer
• Investigating and appealing denied claims
• Submit billing data and medical claims to insurance companies
• Ensuring the patient’s medical information is accurate and up to date Remote Medical Billing and Collections Specialist
Therapy Tree, LLC-Glendale, AZ January 2019 to April 2024
• Productivity of 75 CMS 1500 claims daily
• Billing and timely processing of electronic claims
• Submit insurance appeals.
• Review and resolve delinquent patient accounts.
• Review EOB's and communicate effectively to patients. Medical Collector
nThrive-Phoenix, AZ February 2018 to December 2018
• Productivity of 50 claims daily
• Billing and timely processing of electronic claims
• Researched denied claims.
• Follow up with Insurance Companies for unpaid claims.
• Process primary and secondary UB04 Facility Claims
• Identify terminated insurance and affected payer change.
• Assigned Blue Cross Blue Shield accounts.
• Contract assignment
Medical Biller/Collector
Vincent Benjamin Staffing-Phoenix, AZ July 2017 to January 2018
• Billing and timely processing of electronics claims.
• Researched denied claims.
• Follow up with Insurance Companies for unpaid claims.
• Process primary and secondary HCFA / CMS 1500 and electronic claims.
• Identify terminated insurance and affected payer change.
• Contract assignment
Medical Biller/Collector
Robert Half Staffing-Phoenix, AZ February 2017 to March 2017
• Responsible for timely processing and billing of scheduled services and electronic records
• Processed Primary and secondary CMS1500 electronic claims.
• Identify terminated insurance and affected payer change.
• Bill Medicare, AHCCCS, and Commercial plan payors.
• Contract assignment
Medical Biller/Collections Specialist
Ajilon Staffing-Phoenix, AZ February 2016 to
September 2016
• Responsible for timely processing and billing of scheduled services and electronic records into submission of clean claims
• Timely and accurate electronic & hardcopy submission of HCFA 1500 claims
• Timely and accurate loading of Explanation of Benefits and related reports
• Responsible for thorough understanding of RBHA, AHCCCS, Medicare and other payer billing requirements and procedures.
• Responsible for claims billing to third party insurance
• Researched denied claims and resubmit with corrected information and codes.
• Followed up with insurance for unpaid claims.
• Analyzed EOB's, balance insurance and patient payments.
• Documented all interactions on the patient’s profile.
• Answered inbound patient and insurance company telephone calls regarding billing statements.
• Resolved customer billing issues.
• Verified Patient Eligibility and Insurance Coverage
• Informed therapist team of non-authorized patients
• Maintained complete and accurate documentation of all approvals and denials in a timely manner.
• Contract assignment
Medical Biller/ Collection Specialist
UCP of Central Arizona Phoenix AZ-Phoenix, AZ September 2014 to September 2015
• Researched denied claims and resubmit with corrected information and codes
• Identified terminated insurance and affected payer change.
• Submit medical records requests to insurance companies.
• Followed up with insurance for unpaid claims.
• Analyzed EOB's, balance insurance and patient payments.
• Documented all interactions on the patient’s profile.
• Answered inbound patient and insurance company telephone calls regarding billing statements.
• Resolved customer billing issues.
• Verified Patient Eligibility and Insurance Coverage Education
GED, Three Rivers High School - Adult Education, Michigan Medical Billing Diploma
Skills
HCFA, CMS 1500, UB04, ICD-10, ICD-9, Medical Billing, Medical Collections, Accounts Receivable, claims, Excel, Medical Terminology, Medical billing, Medical coding, HCPCS, Medical office experience, Revenue cycle management, anatomy knowledge, EMR systems, medical terminology, Customer service, Medical records, HIPAA, CPT coding, Excellent people skills, eClinical Works, Claim Trak, Epic, Collections EOB ICD-9, ICD-10, Billing Payment Processing, Athena, Centricity, Nextgen, AMD, Kareo, Appeals, Denials Eligibility, Verification, CPT Problem Resolution, CMS 1500, HCFA, HIPAA
References available upon request.
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