Teasa Donaldson
Bentonville
Summary
Excellent Organizational Skills: Finely-Honed, Analytical Ability, Able to Prioritize and Successfully Manage Multiple tasks Simultaneously. Outstanding Communication/Interpersonal Skills; Enhancing Customer satisfaction by Assessing needs and Successfully solving issues. Attributes: Excel in High-pressure situations; Quickly grasps new ideas; Possesses Enthusiasm, Dependability, Loyalty and Integrity; a Detail- Oriented Team player who is highly adaptable to given situations. Proficiencies: 10-key by touch; type 45-50 WPM; Microsoft Office, Excel.
Overview
39
39
years of professional experience
Work History
Medical Billing Specialist
CareMetx, LLC
Frisco
12.2021 - Current
- Managed high-volume customer service operations involving inbound and outbound calls.
- Conducted eligibility verification and addressed rejections to ensure compliance.
- Processed refunds, overpayments, and underpayments efficiently.
- Performed precertification and authorization tasks to streamline patient care.
- Identified payer trends and resolved complex issues proactively.
- Maintained accurate records using ICD-10, HCPCS, EMR, EFTs, ERAs, UB04, and HCFA 1500 formats.
- Facilitated communication with patients, insurance companies, and attorneys through verbal and written correspondence.
- Complied with Medicare guidelines, policies, and procedures in all activities.
Anesthesia medical billing specialist
Envision Physician Services
Overland Park
06.2019 - 01.2021
- Medicare, Medicaid, Medi-Cal, Commercial, Work Comp Claims.
- Authorizations Referrals, Coding Errors Rejections, Concurrences.
- Verbal and Written Correspondence.
- Comply with Medicare Guidelines, Policy's and Procedures.
Remote Senior Medical Billing Specialist
Excite Health Partners
Los Angeles
10.2018 - 12.2019
- Medicare, Medicaid, Medi-Cal, Commercial, Work Comp Claims.
- COB, Follow up, Appeals, Adjustments.
- Refunds, Over payments, Authorizations, Referrals.
- Rejections, Eligibility verification.
- ICD-10, HCPCS, EMR, EFTs, ERAs, UB04, HCFA 1500.
- Payer websites, online billing.
- Patient, insurance, and attorney contact. Inbound and outbound Patient, Insurance and Attorney contact.
- Identify payer trends and complex issues.
- Fee Schedules, Contracts.
- Verbal and Written Correspondence.
- Comply with Medicare Guidelines, Policy's and Procedures.
Medical Billing Specialist III Hospital and Acute Care
Cerner Corporation
Kansas City
03.2016 - 09.2018
- Processed Medicare, Medicaid, and commercial claims, ensuring accurate charge entry and follow-up.
- Managed appeals and adjustments for overpayments and refunds while verifying eligibility.
- Handled crossover claims and rejections, streamlining resolution through effective correspondence.
- Utilized ICD-10 and HCPCS codes for billing on UB04 and HCFA 1500 forms.
- Posted payments accurately using payer websites and online billing systems for efficiency.
- Maintained communication with patients, insurance providers, and attorneys regarding claims status.
- Identified payer trends and complex issues to enhance claims processing strategies.
- Ensured compliance with Medicare guidelines, policies, and procedures throughout all operations.
Revenue Cycle Manager
In2itive Business Solutions
Overland Park
05.2013 - 09.2015
- Configured Surgery Center accounts to ensure billing accuracy and compliance.
- Managed high volumes of inbound and outbound calls with patients, Medicare, Medicaid, and commercial carriers.
- Executed charge entry and COB processes for timely claim resolution.
- Processed appeals, adjustments, refunds, authorizations, and referrals efficiently.
- Evaluated crossover claims and rejections while verifying patient eligibility.
- Applied ICD-9 codes and utilized documentation formats for effective claim management.
- Conducted payment postings and month-end closing reconciliations.
- Compiled monthly reporting data and facilitated conference calls with providers for insights.
Medical Billing Specialist
Apria Healthcare
Overland Park
10.2012 - 04.2013
- Managed high volume of inbound and outbound calls efficiently.
- Processed CPT-4, HCFA-1500, and UB-04 forms electronically and on paper.
- Handled billing for Medicare, Medicaid, managed care, and commercial accounts.
- Conducted verbal and written correspondence to address client inquiries.
- Executed payment posting, adjustments, authorizations, refunds, and eligibility checks.
- Resolved overpayments and managed ERA, EFT, EMR, and 5010 updates.
Payer Change Coordinator
Apria Healthcare
Overland Park
08.2010 - 03.2012
- Electronic Billing and Rejections follow up.
- ICD9 and CPT coding Payment posting, Adjustments.
- Medicare, Medicaid, HMO, PPO, POS, Indemnity.
- Benefit verification, Customer and Payer contact.
- Contracts and Fee schedules.
- Handled high volume of Customer service calls.
- Resolve Contract issues, Verbal and Written Correspondence.
- Authorizations and Referrals.
Patient Account Representative
HCA
Kansas City
06.2008 - 05.2010
- Managed high volume of customer service calls to enhance client satisfaction.
- Conducted medical billing and follow-up for Medicare, Medicaid, and commercial plans.
- Entered accurate ICD9 and CPT 4 codes on HCFA 1500 and UB04 forms.
- Drafted written correspondence and processed adjustments for billing inquiries.
- Handled collections and appeals to recover outstanding payments.
- Identified payer trends and resolved complex issues through effective communication.
- Processed credit card payments and ensured accurate payment posting.
Medical Biller/Front Office
Endoscopic Imaging Center
Overland Park
06.2008 - 05.2010
- Checked in patients for surgery and entered demographic information efficiently.
- Verified insurance and coded using ICD-9 and CPT-4 standards.
- Managed claims for Medicare, Medicaid, commercial, HMO, and PPO plans.
- Collected copays, coinsurance, and deductibles to ensure accurate payments.
- Handled referrals, precertifications, billing, and follow-up tasks effectively.
Medical Billing Supervisor
Urgent Care Of KC
Independence
02.2005 - 02.2008
- Identified and resolved insurance payer trends to enhance operational efficiency.
- Managed high volume of customer service inquiries, ensuring prompt resolutions.
- Completed daily and monthly reports while monitoring productivity metrics.
- Conducted contract negotiations and credentialing for optimal provider relations.
- Generated monthly Emdeon patient statements to improve billing accuracy.
- Utilized ICD-9 and CPT-4 coding for electronic billing processes.
- Handled medical billing, collections, and reimbursements for Medicare, Medicaid, and commercial payers.
- Approved refunds for both payers and patients while maintaining compliance.
Senior Medical Claim Examiner
Principal Health Care
Kansas City
02.1987 - 01.2005
- Processed high volumes of HMO medical claims, referrals, and precertifications efficiently.
- Conducted COB and Pre-X investigations to ensure compliance with regulations.
- Executed refund checks promptly and accurately.
- Managed medical claims processing in accordance with group contracts.
- Drafted written correspondence to enhance customer service experience.
- Achieved and surpassed quality and productivity standards consistently.
Education
High School Diploma -
East High
Kansas City, MO05-1984
Skills
- Hospital
- Physician office
- Medical Insurance
- Medical billing
- Anesthesia, Behavioral Health, Endocrinology, Nephrology, Neurology, Oncology, Orthopedics, Radiology, Gynecology, Family Medicine, Pulmonary, Neurology, Pediatrics, Surgery, Inpatient, Outpatient
- Refund management
- Customer relationship management
- Healthcare regulations
- ICD-10 proficiency
- Software applications proficiency-Athena, Cerner, Citrix, Epic, Medi tech, N thrive, Waystar
- ICD-10
- Insurance Verification
- Medical Collection
- EMR Systems
- HIPAA
- Medical terminology
- Customer Service
- Verbal and Written Communication
- Commercial, Medicaid, Medicare, and Third party
- Payer contracts
- Insurance claims processing
- Electronic claims
- Patient billing
- Denial management
- Revenue cycle management
- Eligibility verification
Timeline
Medical Billing Specialist
CareMetx, LLC
12.2021 - Current
Anesthesia medical billing specialist
Envision Physician Services
06.2019 - 01.2021
Remote Senior Medical Billing Specialist
Excite Health Partners
10.2018 - 12.2019
Medical Billing Specialist III Hospital and Acute Care
Cerner Corporation
03.2016 - 09.2018
Revenue Cycle Manager
In2itive Business Solutions
05.2013 - 09.2015
Medical Billing Specialist
Apria Healthcare
10.2012 - 04.2013
Payer Change Coordinator
Apria Healthcare
08.2010 - 03.2012
Patient Account Representative
HCA
06.2008 - 05.2010
Medical Biller/Front Office
Endoscopic Imaging Center
06.2008 - 05.2010
Medical Billing Supervisor
Urgent Care Of KC
02.2005 - 02.2008
Senior Medical Claim Examiner
Principal Health Care
02.1987 - 01.2005
High School Diploma -
East High
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