Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Additional Information - Notary Public
Timeline
Generic

Denisia Pratt

Nashville,TN

Summary

Experienced billing professional with a proven track record of efficiency and productivity. Known for meticulous attention to detail and creative problem-solving skills in resolving discrepancies. Committed to upholding company values with a strong work ethic and unwavering drive.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Dental Billing Specialist

Meharry Medical College School of Dentistry
05.2023 - Current
  • Monitors and improves productivity and other key performance indicators.
  • Conducted regular audits of accounts receivable to identify and resolve inconsistencies.
  • Prepare and submit dental insurance claims (both electronic and paper), and following up on unpaid or denied claims.
  • Verify patient insurance coverage, understanding insurance policies, and accurately applying dental billing codes.
  • Posting, and managing patient and insurance payments.
  • Responding to patient billing inquiries, providing statements, and explaining billing procedures.
  • Maintaining accurate and organized patient records, including treatment plans, insurance information, and payment details.
  • Maintained compliance with HIPAA regulations while managing sensitive patient data.
  • Working to maximize revenue by ensuring timely and accurate billing and payment collection.
  • Correct account set up errors (guarantor, demographics, insurances, etc.).
  • Performs other position related duties as assigned.
  • Collaborated with providers to ensure accurate billing and streamline patient flow.
  • Participated in departmental meetings and training sessions, reporting directly to the Billing Manager on workflow improvements.
  • Verified accuracy of accounts payable payments, resulting in 96% reduction in payment errors and check reissues.

Billing Manager

Inner Vision Womens Ultrasound
03.2021 - 05.2023
  • Calls patents with existing balance and accepting payment and adequately record those payment
  • Managed approximately 25 incoming calls, emails and faxes per day from customers
  • Assist with billing and coding duties with compliance with rules and regulations to minimize insurance rejections.
  • Conducts billing and coding internal audits to produce feedback on daily operations. Provides coding education and training to technicians and physicians.
  • Assists in referrals and authorizations for certain insurances and studies. Assists in resolving problems related to denials and queries, contacting patients to verify eligibility and benefits for upcoming visits
  • Reviews insurance payments to ensure that they are in compliance with existing contracts, periodically reviewing these contracts with insurances to negotiate improved revenue; keeping up-to-date on insurance change in policies

Lead Account Reimbursement Specialist

OIA Staffing
03.2020 - 03.2021
  • Communicate denials with supervisors to resolve issues
  • Follow up on all claims from billing through final resolution.
  • Identify and resolve any claim delay issues that impact billing and collections to conclusion.
  • Resolve credit balances and account issues.
  • Follow up on payment errors, low reimbursement and denials.
  • Accurately interpret EOB and collection reports.
  • Initiate and track appeals as necessary.
  • Verified accuracy of accounts payable payments, resulting in 98% reduction in payment errors and check reissues.
  • Built proactive, client-specific edits into system to prevent future denials.

Sr. Acct Reimbursement Spec-Registration Denials

Vanderbilt University Medical Center
05.2018 - 02.2020
  • Processes claims, payments, adjustments, refunds, denials, and unpaid patient and insurance balances.
  • Managed approximately 15 incoming calls, emails and faxes per day from customers
  • Reviews denials and works with third party payers to ensure accurate reimbursement.
  • Accesses and corrects, if needed, demographic, insurance and financial information.
  • Provides accurate account maintenance and documentation.
  • Coordinates the billing and follow up process between the organization, payers and patients with occasional guidance.
  • Print letters and claims to be mailed out.
  • Applied effective time management techniques to meet tight deadlines.

Education

Bachelor of Science - Finance

University of Phoenix
Tempe, AZ
05-2027

Certification in Coding -

Elite Medical Coding, LLC
Murfreesboro, TN
01.2022

Associate in Science (AS) - Healthcare Management

Ultimate Medical Academy-Tampa
Tampa, FL
01.2019

Associates in Medical Assistant -

Draughon's Junior College
Nashville, TN
01.2004

Skills

  • Proficient in Microsoft Office
  • Effective customer support
  • Proficient in HIPAA regulations
  • Medicare DDE expertise
  • Management accounting
  • Financial statement analysis
  • Debt management
  • Collections processing
  • Billing process management
  • Account updating
  • Billing systems
  • Time management
  • Customer service
  • Insurance claims handling
  • Payment processing
  • Discrepancy reconciliation

Accomplishments

  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Resolved product issue through consumer testing.

Certification

  • Medical Coding Certification, 01/01/22
  • CPR Certification, 01/01/22

Additional Information - Notary Public

03/03/26

Timeline

Dental Billing Specialist

Meharry Medical College School of Dentistry
05.2023 - Current

Billing Manager

Inner Vision Womens Ultrasound
03.2021 - 05.2023

Lead Account Reimbursement Specialist

OIA Staffing
03.2020 - 03.2021

Sr. Acct Reimbursement Spec-Registration Denials

Vanderbilt University Medical Center
05.2018 - 02.2020

Associate in Science (AS) - Healthcare Management

Ultimate Medical Academy-Tampa

Bachelor of Science - Finance

University of Phoenix

Certification in Coding -

Elite Medical Coding, LLC

Associates in Medical Assistant -

Draughon's Junior College

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Denisia Pratt