Danielle McIver
Malden
Summary
To obtain a position with growth and opportunity Successful at efficiently handling client inquiries, billing and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements and business correspondence.
Efficient billing professional with 30+ years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
33
33
years of professional experience
Work History
Billing Specialist
TJB Consulting
06.2023 - Current
- Improved billing accuracy by implementing a streamlined invoicing process.
- Enhanced customer satisfaction with timely and accurate invoice generation.
- Ensured compliance with industry regulations by staying up-to-date on changes in billing rules and guidelines.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
- Researched and resolved billing discrepancies to enable accurate billing.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Processed and verified invoices to secure accuracy of billing information.
- Developed and maintained billing procedures to make timely payments.
- Responded to customer concerns and questions on daily basis.
- Handled account payments and provided information regarding outstanding balances.
Billing Specialist/Accounts Receivable
North Shore Pain Management
08.2018 - 04.2023
- Sort mail, to different departments, prepare the daily deposits, print the payment remittances from the Waystar clearinghouse so that they can be posted
- The computer software that I have worked on is the EPIC system, I worked with the AR work queues, worked the insurances denials, and appeals
- Worked with insurance companies to get claims paid
- Worked with patients to set up payment plans if needed
- Worked on a lot of the insurance websites, understanding how to do claim reconsiderations/appeals online and over the phone.
Medical Billing Specialist
McCall Ambulance
10.2017 - 07.2018
- Ambulance billing, posting payments, collections, insurance verification, patient payments, phone calls, claim reviews and appeals.
MEDICAL BILLER ASSOCIATE
MEDICAL DATA SERVICES
09.2014 - 09.2017
- Medical billing for two doctors, inputting charges, working with ICD-9 and ICD-10 codes, CPT Coding, Hospital billing, posting payments
BILLING MANAGER
LYONS AMBULANCE SERVICE
11.2008 - 06.2012
- Billing all claims to all insurances electronically and paper claims, Medicare appeals, and Medicaid appeals
- Trained new billers, attended medical billing/ambulance conferences
- Posted payments, would work follow up and help resolve issues with and for patients or the insurance companies.
BILLING ASSOCIATE
THE OUTSOURCE GROUP
05.2008 - 10.2008
- Processed motor vehicle and worker's compensation claims for Beverly Hospital, worked with patient's and liability insurance companies for payments.
BILLING MANAGER
CATALDO AMBULANCE COMPANY
01.1999 - 04.2008
- Responsibilities were billing ambulance transports and chair car transports, training new billers, keeping track of all ambulance trips that came into the office, delegating work among the billers that were in the department
- File claims to all insurance companies electronically and paper
- Medicare appeals as well helped with those at first
- Made sure we had the correct back up we needed for the non-emergency transports.
THIRD PARTY BILLING SPECIALIST
MGH Professional Billing
09.1993 - 07.1995
- Medicare third party billing, reviewed accounts for appeal and adjustments, fair hearing appeals with Medicare
- The specialty groups were radiation medicine as well as Cardiac and Pulmonary groups
- The objective was to appeal to Medicare for payments
- Would provide all the necessary paperwork and backup for payment.
BOOKKEEPER
MGH Professional Billing
12.1990 - 09.1993
- Payment posting of all insurance payments as well as patient payments
- Insurance research when payments received with no patient or account information.
Education
MALDEN HIGH SCHOOL
Malden, MASkills
- Medical Billing
- ICD-10
- ICD-9
- Medical Records
- Accounts Receivable
- Insurance Verification
- Epic
- Workers' Compensation
- Accounting
- CPT Coding
- Medicare (10 years)
- Medical collection (10 years)
- Charge Entry (10 years)
- Medicaid (10 years)
- Claims Processing
- Invoice Processing
- Payment Posting
- Contract Preparation
- Procedure Development
Additional Information
Computer skills, typing 120 wpm, medical billing software AS400, Right Cad, Lytec, Micro soft office, excel, accounts payable and receivables. Epic billing system
Personal Information
Title: MEDICAL BILLING SPECIALIST
Timeline
Billing Specialist
TJB Consulting
06.2023 - Current
Billing Specialist/Accounts Receivable
North Shore Pain Management
08.2018 - 04.2023
Medical Billing Specialist
McCall Ambulance
10.2017 - 07.2018
MEDICAL BILLER ASSOCIATE
MEDICAL DATA SERVICES
09.2014 - 09.2017
BILLING MANAGER
LYONS AMBULANCE SERVICE
11.2008 - 06.2012
BILLING ASSOCIATE
THE OUTSOURCE GROUP
05.2008 - 10.2008
BILLING MANAGER
CATALDO AMBULANCE COMPANY
01.1999 - 04.2008
THIRD PARTY BILLING SPECIALIST
MGH Professional Billing
09.1993 - 07.1995
BOOKKEEPER
MGH Professional Billing
12.1990 - 09.1993
MALDEN HIGH SCHOOL
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