Hi there! Thanks so much for visiting my profile. Diane Briol here! I’m an experienced Medical Billing, Claims, and Accounts Receivable Specialist with over four years of hands-on experience supporting healthcare providers, insurance companies, and medical practices.
My core expertise lies in Billing and Enrollment and Claims Follow-up, where I’ve spent years ensuring financial operations run smoothly by reconciling payments and resolving billing discrepancies. I pride myself on being the "bridge" between providers and patients, translating complex benefits into clear, actionable information. I have developed a strong ability to streamline billing workflows, resolve complex claim denials, and ensure smooth financial operations for both providers and patients.
My previous responsibilities include:
-Claims Adjudication & Follow-up: Contacting insurance providers via phone and portals for accurate status updates.
-Revenue Recovery: Monitoring and collecting payments through consistent communication to reduce aging accounts.
-Benefits Verification: Explaining member eligibility, prescription coverage, and health plan charges to patients.
-Medical Billing Support: Handling billing inquiries, processing refunds, and performing account reviews.
-Prior Authorizations: Processing medical claims and authorizations according to strict compliance standards.
-Data Management: Maintaining accurate member and provider records through precise data entry.
-Financial Documentation: Ensuring clients and providers receive copies of paid/denied claims for audit readiness.
-Appointment Scheduling: Coordinating calendars between members and healthcare providers.
-Client Communication: Resolving disputes and inquiries via email, chat, and phone.
-Administrative Support: Managing internal tasks and performing quality assurance on documentation.
I’m highly proficient with tools such as Zendesk, Freshdesk, Avaya, NICE, Microsoft Office (Excel/Word), and various CRM/Provider Portals, and I’m always quick to learn new systems.
What I really enjoy about this work is ensuring financial transparency for patients while helping healthcare practices optimize their revenue. If you’re looking for a reliable, detail-oriented professional to manage your billing and claims, I’d be happy to help! Let's talk!
By the way here is my resume
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