DOMINIQUE ROWE
Halethorpe,MD
Summary
Experienced Medical Biller & Coder with 12 years of expertise in revenue cycle management , coding accuracy , and payer compliance. Proven success in reducing claim denials, optimizing reimbursement, and managing large-scale billing operations both onsite and remotely. Skilled in ICD-10, CPT, HCPCS coding. EHR/EMR systems and HIPAA compliance.
Adept at working independently in remote environments as well as team building projects. Handling multi-provider practices and delivering results with accuracy and efficiency.
Overview
17
17
years of professional experience
Work History
Remote Medical Biller And Coding Specia
Precision Healthcare Billing Contracting Company
Upper Marlboro, MD
09.2020 - Current
- Manage end to end billing and coding for multi specialty practices/ facilities
- Process and submit 200+ claims weekly through clearing houses, reducing denials by 25%
- Assigns CPT, HCPCS, ICD-10 codes
- Perform patient chart audits and providers coding feedback
- Ensure clinical education to providers as needed
- Maintain compliance , coding, regulations, and procedures
- Reviewed and corrected billing discrepancies to maintain accuracy in patient accounts.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Collected payments and applied to patient accounts.
Remote Medical Biller Contractor
All Glowd up LLC, Consulting Company
Catonsville, MD
04.2020 - Current
- Utilized EHR system (Tebra) to manage patient accounts and billing records
- Oversea patient billing , collections and AR followups
- Reducing outstanding balances by 30%
- Insurance verification
- Billing projects from providers
- Data entry entering patient information
- Maintain patient record
- Posted payments, reconciled accounts
- Processed medical claims using advanced billing software, ensuring compliance with regulations.
- Reviewed and corrected billing discrepancies, enhancing accuracy of revenue cycle management.
- Collaborated with healthcare providers to resolve patient account issues, improving service delivery.
Medical Biller Representative
Trisource Staffing (corelife)
Hanover, MD
05.2023 - 08.2023
- Account Receivable
- Payment posting
- EMR filing into patient chart
- Medical records
- Balancing patient accounts
- Resubmitted claim
- Verified accuracy of accounts payable payments, resulting in [30]% reduction in payment errors and check reissues.
- Reviewed patient accounts for discrepancies, resolving issues to maintain billing integrity.
- Analyzed reports on billing trends, providing insights that informed strategic decision-making within the department.
Billing Specialist (MCO'S, HMO'S insurance)
Kurepain Management (Randstad staffing company)
Annapolis, MD
01.2020 - 03.2020
- Submitted appeals to all MCO, HMO insurance(United healthcare,Priority Partners, MD Medicaid
- Re-billed and corrected claims
- Adjustments/write-offs
- Answered phones about Patient Accounting
- Maintained A-R reports
- Ensured 30-100 claims a day
- Corrected coding denials
- Submissions of Authorizations, Re-considerations
Reimbursement Specialist
Nu motion (Aerotek)
Baltimore, MD
04.2019 - 10.2019
- DME Billing
- Ensure order setup correctly for reimbursement
- Perform daily review of orders for billing
- Perform follow up and collections to assigned accounts
- Submit appeals and authorizations
- Recommended receivables for refunds
- Adjustments and write offs
- Respond and resolve incoming calls and emails for external and internal clients
Coordinator Skilled Nursing
MDICS
Hanover, MD
04.2016 - 11.2017
- Scan all claims
- Ensure all billing sheets are coded correctly
- Review all billing sheets
- Email Providers
- Communicates with all skilled nursing facilities
- Attend all Skilled nursing meetings
- Count all claims manually
- Ensure all information is present on a spreadsheet.
- Corrects all coding errors manually
- Research and Process all denied claims
- Process all Medicare ADRs
Account Representative/Medicaid Specialist
Med Star Cardiology Associates, LLC
Washington, DC
12.2015 - 01.2016
- Resolves outstanding Insurance claims
- Obtains and communicates essential data to Insurance companies
- Process patient insurance
- Maintains the most updated coding information
- Initiates correspondence to any rejections from insurance company
- Implements write off guidelines
- Appeals Insurance claims
Ordering Specialist
Progeny Incorporated
Clinton, MD
02.2013 - 10.2014
- Company Overview: Manufacturer and distributer of medical devices
- Answered incoming and outgoing calls
Medical Biller
Kay Cee Drugs Medical & Equipment Store
District Heights, MD
06.2010 - 05.2013
- Performed medical billing to government & private Insurance carriers
- Maintained patient files & supply orders
- Reviewed billing reports for accuracy
- Entered patient information into the company billing system
- Verified client information for billing to doctors’ offices
Medical Biller
Veterans Administration
Washington, DC
01.2009 - 06.2010
- Greeted patients
- Answered phone calls
- Filed patients billing claims
- Assisted line supervisor and administrative personnel with clerical and technical work
Medical Billing Specialist
Maxim Healthcare Services
Columbia, MD
01.2009 - 05.2009
- Prepared and submitted clean claims to various insurance companies
- Reviewed claims for claim submission and for compliance
- Edited daily billing reports for electronic claims
- Ensured claims were submitted in proper manner
Education
04.2023
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Howard Community College
Columbia, MD01.2020
Medical Coding and Billing Master Certificate program - undefined
Medix School
Baltimore, MD01.2008
Skills
- Claims Submission , A/R Follow-up
- Insurance Verification
- EHR/EMR systems ( Tebra, AdvancedMD , Epic, NextGen)
- Data entry, payment posting, insurance verification, scheduling and registration
- Knowledge of billing regulations related to commercial insurance, Medicare and Medicaid
- Strong Communication , Problem Solving & Time Management
- Coding procedures and services: knowledge of CPT, ICD-9, ICD-10, HCPCS, and coding guidelines
- Computer skills/ EMR & EHR : Medisoft billing software, Excel and Word GE Centricity, Availity, Nextgen, Brightree, Bonafide Billing software,Kaero
- HIPAA& Compliance Auditing
- Ability to work independently as well as in a team oriented environment
Timeline
Medical Biller Representative
Trisource Staffing (corelife)
05.2023 - 08.2023
Remote Medical Biller And Coding Specia
Precision Healthcare Billing Contracting Company
09.2020 - Current
Remote Medical Biller Contractor
All Glowd up LLC, Consulting Company
04.2020 - Current
Billing Specialist (MCO'S, HMO'S insurance)
Kurepain Management (Randstad staffing company)
01.2020 - 03.2020
Reimbursement Specialist
Nu motion (Aerotek)
04.2019 - 10.2019
Coordinator Skilled Nursing
MDICS
04.2016 - 11.2017
Account Representative/Medicaid Specialist
Med Star Cardiology Associates, LLC
12.2015 - 01.2016
Ordering Specialist
Progeny Incorporated
02.2013 - 10.2014
Medical Biller
Kay Cee Drugs Medical & Equipment Store
06.2010 - 05.2013
Medical Biller
Veterans Administration
01.2009 - 06.2010
Medical Billing Specialist
Maxim Healthcare Services
01.2009 - 05.2009
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Howard Community College
Medical Coding and Billing Master Certificate program - undefined
Medix School