Dianne Flinn, Mha, Cpc Email & Phone Number

Raleigh-Durham-Chapel Hill Area (Remote)

Responsibilities include:Research and content development for claims analytics software productInterpreting and implementing custom client policiesDrafting and presentation of monthly release notes document QA of clinical dataAnalyzing large volumes of dataMaintaining and updating database of medical billing and coding editsTraining and writing.

Del Mar, CA

Billing and invoicing facilities per terms of contractProcessing billing adjustments and invoice memosPerforming accounting functions in Great Plains softwareRunning and reconciling reports using ExcelAnswering questions and resolving issues for both internal and external customersCreation of several Desktop Procedures to assist the team with understanding.

Denver, CO & San Marcos, CA

• June, 2012- February, 2013CNIC HEALTH SOLUTIONS
• Processed medical, dental, and vision claims for a third party administrator
• Answered phone calls from members and providers as well as followed-up on more complicated issuesPHYSICIAN HEALTH PARTNERS
• Processed Medicare Advantage claims, UB & HCFA
• Reviewed SQL reports (via Report Manager) prior to the closing/ finalization of claimsMay, 2015-October, 2015MILLENNIUM HEALTH
• Set up new provider & payors into XIFIN Billing software (configuration)

Denver, CO

• Processing Medicare claims, both professional and institutional
• Pricing claims both manually and through claims pricer
• Validating claims and ensuring that appropriate benefits and out of pocket fees are applied
• Running and reviewing SQL reports (via Report Manager) prior to check runs
• Working customer service tickets, appeals, & re-works and reprocessing claims as needed
• Assisting in training and auditing the work of new employees

San Diego, CA

• Processed chiropractic, acupuncture, massage therapy, and naturopathy claims
• Assisted in training of new employees
• Assisted in other areas such as Eligibility and Auditing

Master'S Degree, Healthcare Administration, 3.83 Gpa

Bachelor'S Degree, Social Science, 3.95 Gpa

High School Diploma, College Preparatory & Honors Courses