Summary
Overview
Work History
Education
Skills
Timeline
Generic

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
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
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)
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)
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)
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
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
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
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
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
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
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, MD
01.2020

Medical Coding and Billing Master Certificate program - undefined

Medix School
Baltimore, MD
01.2008

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

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