Seattle, WA *****
***********@*****.***
https://ueiedge.com/Dana-Munson
Profile
Detail-oriented Medical Billing and Coding Specialist with a strong foundation in complex government and commercial healthcare plans, seeking to leverage expertise within the Hospital NICU department. Proficient in navigating intricate Medicaid eligibility rules, managed care organizations (MCOs), and state-specific billing portals. Proven track record of maintaining high clean-claim rates by accurately applying specialized pediatric and neonatal codes. Committed to reducing administrative burdens for families and maximizing hospital reimbursement through meticulous claims management and rapid appeals resolution.
Communicated with third-party payers regarding claim issues, patient benefits, preauthorizations and referrals
Checked eligibility and benefit verification
Checked each insurance payment for accuracy and compliance with contract discount
Certificate of HIPAA rules
Called insurance companies regarding any discrepancy in payments if necessary
Adhered to regulatory/payor guidelines and policies & procedures
Acquainted with Medicare rules and regulations
Comprehension of CPT, ICD-10-CM, HCPCS/Modifiers and Auditing
Comprehensive knowledge of ICD-9 and ICD-10 Diagnostic and Procedural Coding, Current Procedural Terminology Coding, HCPCS Level II Coding and Coding Compliance
Experienced with a variety of Medical Practice Management Software, as well as Electronic Health Records
Familiar with CMS-1500, EOB, SOAP Notes and office procedures
Followed up on unpaid claims within standard billing cycle timeframe
Handled patient or insurance telephone inquiries pertaining to assigned accounts
Identified and billed secondary or tertiary insurances
Identified any overpayments and/or duplicate payments, and investigated and resolved issues
Initiated write-off and adjustments in accordance with policies and procedures
Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
Obtained referrals and pre-authorizations as required for procedures
Prepared, reviewed, and transmitted claims using billing software, including electronic and paper claim processing
Produced and maintained office procedure and policy manuals
Proficient in Microsoft Office Suite, Medisoft
Proficient in other general medical administrative duties as required
Researched and appealed denied claims
Responsible for assuring day sheet balances supported documented patient load, procedures, charges and diagnoses
Responsible for insurance aging, patient account aging follow-up and resolution
Reviewed accounts for insurance or patient follow up
Reviewed patient bills for accuracy and completeness and obtained any missing information
Set up patient payment plans and worked collection accounts
Understanding of Medical Insurance, Billing, Collections and Reimbursement
Education
February 2026
Uei
Medical Billing & Insurance Coding - Tacoma
Work Experience
June 2023 - April 2024
Seattle Conservation Corps-Seattle, WA
Laborer - Seattle WA
Safety & Regulatory Compliance: Strictly adhered to OSHA and municipal safety guidelines, utilizing proper Personal Protective Equipment (PPE) and maintaining zero safety incidents across diverse, fast-paced work environments.
Logistics & Inventory Management: Managed the secure loading, transport, and unloading of high-volume materials using city fleet vehicles, including dump trucks, ensuring materials arrived on time and undamaged.
Project Completion & Technical Skill: Executed complex structural projects from start to finish, including concrete installation, precise grading, and landscaping, demonstrating strong problem-solving abilities and adherence to strict project blueprints.
Facilities Maintenance & Security: Directed the removal of hazardous debris and secured vacant properties, protecting public spaces and maintaining meticulous documentation of completed city work orders.
October 2021 - March 2023
Hartung Glass Industries
Data Specialist / Lead Expeditor - Renton WA
Data Entry & Accuracy: Managed high-volume data entry within complex database tracking systems, ensuring pristine accuracy under tight daily turnaround deadlines.Claims Backlog & Aging Analogs: Monitored and audited data tracking sheets to identify and resolve "stagnant" files unmoved for 24+ hours, actively practicing the meticulous attention to detail required to manage an Aging Accounts Receivable (A/R) report or claims backlogs.Time-Sensitive Reporting: Compiled and analyzed productivity data summaries every 2 hours for supervisor review, proving the ability to maintain pace with strict hourly clinic quotas and productivity metrics.
Records Management: Directed the final filing, organization, and documentation of detailed technical diagrams post-processing, building strong foundations in record-retention, documentation compliance, and audit readiness.System Updates: Updated daily metric communications boards to facilitate clean, cross-departmental operations and clear pipeline visibility.
Strategic Promotion & Role Innovation: Hand-selected by executive management to step into a newly created Data Specialist role—the first in the company’s history—specifically designed to centralize and streamline plant-wide operational data tracking.
Data Entry & Accuracy: Managed high-volume data entry within complex database tracking systems, ensuring pristine accuracy under tight daily turnaround deadlines.
Claims Backlog & Aging Analogs: Monitored and audited data tracking sheets to identify and resolve "stagnant" files unmoved for 24+ hours, actively practicing the meticulous attention to detail required to manage an Aging Accounts Receivable (A/R) report or clinic backlogs.
Time-Sensitive Reporting: Compiled and analyzed productivity data summaries every 2 hours for supervisor review, proving the ability to maintain pace with strict hourly billing quotas.
Records Management: Directed the final filing and documentation of detailed technical diagrams post-processing, building strong foundations in record-retention, documentation compliance, and audit readiness.
June 2021 - October 2021
Weld Works
Temp Worker - Seattle WA
Quality Control & Precision: Executed precise technical measurements and structural modifications, including utilizing specialized saws to custom-fit fixtures within exact tolerances.
Environmental Safety & Sanitation: Maintained rigorous cleanliness and safety standards across high-volume commercial construction sites and high-end residential properties, ensuring code compliance and debris-free environments.
Adaptability & Fast-Paced Operations: Successfully pivoted across diverse, short-term assignments including demolition, unit remodeling, painting, and facility prep, demonstrating rapid onboarding and versatility.
Client Relations & Presentation: Prepared real estate units for market readiness through pressure washing, caulking, and detailed aesthetic staging, focusing on high-quality presentation and client satisfaction.
Strategic Promotion & Role Innovation: Hand-selected by executive management to step into a newly created Data Specialist role—the first in the company’s history—specifically designed to centralize and streamline plant-wide operational data tracking.
VOLUNTEERING
September 2026 - November 2026
Dana Munson, Seattle WA Medicaid Enrollment or Benefit Outreach Programs: Non-profits and community action centers often use volunteers to help low-income families navigate state benefit paperwork. Since a massive percentage of NICU babies utilize Medicaid or state assistance, this directly proves your knowledge of the eligibility rules you just studied.
August 2026 - October 2026
Dana Munson, Seattle WA Ronald McDonald House Charities (RMHC): These houses specifically host families with severely ill children, many of whom are in the NICU. Volunteering here shows immense empathy and gives you exposure to the exact demographic of families you will be helping through billing.
June 2026 - August 2026
Dana Munson, Seattle WA NICU Family Support Volunteer: Many hospitals utilize volunteers to restock supplies, tidy family waiting areas, or greet parents entering the NICU. This shows you are comfortable in a high-stress neonatal environment and understand the sensitivity required for NICU operations.
CERTIFICATIONS
April 2026 - August 2026
(Alison Academy), Online Key Skills Covered:Distinguishing between major alphanumeric code structures: CPT, HCPCS Level II, and ICD-10-CM.Mastering the exact steps for completing and verifying CMS-1500 claim forms for insurance reimbursement.Navigating compliance guidelines, ethical standards, and techniques for reducing insurance claim denials
March 2026 - July 2026
Essential Medical Terminology (Alison Academy), Online Key Skills Covered:Breaking down medical jargon using anatomical roots, prefixes, and suffixes.Interpreting standard medical abbreviations, acronyms, and directional terminology found in physical health charts.Developing strong cross-departmental communication skills to converse comfortably with clinical professionals and doctors.
February 2026 - January 2026
3. Basics of Medical Billing & Coding Certificate (Alison Academy), Online Key Skills Covered:Translating patient encounters into appropriate coding levels based on medical decision-making (MDM) and clinical complexity.Differentiating between distinct health insurance plans (PPO, HMO, Medicare, Medicaid) and their specific billing rules.Developing core administrative habits, such as data integrity, observation of detail, and strict electronic data privacy.
January 2026 - February 2026
2. Guide to ICD-10: Classifying Medical Data (Alison Academy, Online Key Skills Covered:Analyzing the three core dimensions of coding accuracy and general documentation standards.Navigating medical records to match complex physician diagnostic notes with accurate alphanumeric diagnosis codes.Key Skills Covered:Analyzing the three core dimensions of coding accuracy and general documentation standards.Navigating medical records to match complex physician diagnostic notes with accurate alphanumeric diagnosis codes. Understanding electronic data mapping, disease classification hierarchies, and clinical documentation specificity.
November 2025 - January 2026
Caregiving Certification (Alison Academy), Online Implementing high standards for patient safety, infection control, and sanitation in a clinical environment.Demonstrating empathy, interpersonal ethics, and communication strategies for interacting with diverse patient demographics.Managing meticulous observation habits to track changes in patient status or clinical needs.
Dana Munson