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Deidra Howe
Cowden,IL
Summary
Results-driven professional with over 20 years in reimbursement and medical billing. Skilled in effective communication and problem-solving, consistently resolving discrepancies and enhancing compliance to improve revenue cycle operations.
Overview
26
26
years of professional experience
Work History
Reimbursement Specialist
Sarah Bush Lincoln Health Center
Mattoon, IL
03.2004 - Current
- Processed insurance claims accurately and efficiently, ensuring timely reimbursement for services rendered.
- Reviewed patient accounts to identify discrepancies and resolved billing issues collaboratively with healthcare teams.
- Maintained comprehensive knowledge of insurance policies and regulations to enhance reimbursement processes.
- Trained new staff on reimbursement procedures, fostering a culture of accuracy and compliance within the team.
- Implemented streamlined workflows for claim submissions, reducing processing times and increasing efficiency.
- Ensured timely payment of claims by promptly addressing and resolving any discrepancies or issues with insurance providers.
- Prevented delays and claim denials by correcting information prior to submission.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
Medical Biller
Memorial Medical Center
Springfield, IL
01.2000 - 03.2004
- Oversaw billing processes to ensure accuracy and compliance with healthcare regulations.
- Mentored junior staff on coding practices and billing software utilization.
- Streamlined revenue cycle operations, enhancing efficiency in claims processing.
- Analyzed billing discrepancies to improve resolution times and minimize denials.
- Managed accounts receivable aging reports, ensuring timely follow-up on outstanding claims.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Trained new team members in medical billing software, increasing efficiency within the department.
- Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Education
High School Diploma -
Stewardson-Strasburg
Strasburg, IL05.1995
Skills
- Teamwork
- Customer service
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking
- Reliability
- Organizational skills
- Decision-making
- Teamwork skills
Interests
Timeline
Reimbursement Specialist
Sarah Bush Lincoln Health Center
03.2004 - Current
Medical Biller
Memorial Medical Center
01.2000 - 03.2004
High School Diploma -
Stewardson-Strasburg