Erica Daniel

Bellflower

Summary

Experienced with medical billing processes, including claim submission and follow-up. Utilizes knowledge of insurance guidelines to ensure accurate and timely billing. Track record of effective communication and problem-solving, consistently supporting healthcare providers' financial goals.

Overview

years of professional experience

Work History

Direct Support Professional

Lynwood Developemental Care

09.2024 - 03.2025

Maintained clean, safe, and well-organized patient environment.
Assisted clients with daily living needs to maintain self-esteem and general wellness.
Documented progress notes thoroughly to track client achievements, concerns, or changes in behavior patterns that may need attention from the interdisciplinary team.
Enhanced quality of life for individuals with disabilities by providing compassionate and consistent direct support.
Monitored medication administration, maintaining accurate records to ensure client safety and compliance with prescribed treatment plans.
Cooked meals and assisted patients with eating tasks to support healthy nutrition.
Assisted patients with bathing, grooming, dressing, and oral hygiene care both in private residences and facilities.
Transported clients to and from medical appointments with safety and efficiency.
Monitored clients' overall health and well-being and noted significant changes.
Recorded status and duties completed in logbooks for management.

Benefits Verification Specialist

CVS Specialty Pharmacy

05.2019 - 11.2023

Full remote
Assisted clients with resolving complex benefits issues, regarding prescriptions and coverage.
Optimized the use of electronic claims submission systems to expedite claim processing times.
Initiated, obtained and/or followed- up for Prior Authorizations
Inbound and Out bound calls to patients to explain insurance benefits related to prescription,
Contact payors to request overrides, prior authorization or any addition documents
Responded to billing inquiries and question related to patients accounts in a timely manner.
Processed payment via telephone with focus on accuracy and efficiency.
Collaborated with customers to resolve disputes.
Communicated with insurance providers to resolve denied claims and resubmitted in a timely manner.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.

Medical Billing Lead

Codemed

02.2014 - 10.2017

Collaborated with healthcare providers to obtain necessary medical records for accurate claim processing.
Collaborated with medical coders to ensure proper use of CPT, ICD-10, and HCPCS codes for accurate claim submission and compliance with industry standards.
Streamlined the billing process with efficient invoice generation and timely submission to insurance companies.
Maintained strong relationships with insurance carriers, addressing any discrepancies or issues promptly for faster resolution.
Contributed to financial stability of the practice by consistently meeting monthly goals for outstanding account collections.
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Posted payments and collections on regular basis.
Collected payments and applied to patient accounts.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Responded to customer concerns and questions on daily basis.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.

Office Medical Biller

Compton Central Health

07.2007 - 02.2014

Verified insurance of patients to determine eligibility.
Communicated with insurance providers to resolve denied claims and resubmitted.
Maintained strong relationships with insurance carriers, addressing any discrepancies or issues promptly for faster resolution.
Collaborated with healthcare providers to obtain necessary medical records for accurate claim processing.
Generated monthly billing and posting reports for management review.
Audited and corrected billing and posting documents for accuracy.
Handled account payments and provided information regarding outstanding balances.
Delivered timely and accurate charge submissions.

Education

Certificate - Medical Billing And Coding

Everest College

Gardena, CA

08-2007

Skills

Time management
Medication administration
Certified in CPR/AED
HIPAA compliance awareness
Teamwork and collaboration
Data entry

Account reconciliation
Medical terminology
ICD-10 and CPT-10
Claim review
Electronic claims
Medicare and medicaid process

Timeline