Shiela D.

I’m a healthcare insurance verification specialist and medical biller with over 7 years of experience supporting US-based hospitals, providers, insurance companies, and specialty clinics. I specialize in insurance verification, eligibility and benefits checks, prior authorizations, billing through AMD, EOB reviews, and payment posting. I’ve worked directly with insurance companies, assisting providers with inquiries on eligibility, benefits, authorizations, claims status, and appeals. I also have experience with provider enrollment tasks and indexing faxes related to DME (durable medical equipment) orders, such as oxygen therapy and respiratory equipment. This includes reviewing and organizing faxed documents for order processing, authorizations, and billing, ensuring all data is accurately linked to patient records. I've supported DME suppliers, laboratory clinics, and skin grafting clinics—helping with claim follow-ups, benefit checks, and accurate billing. I'm skilled in using Epic/EHR, AMD, Availity, and payer portals, and in managing fax workflows for documentation. With experience as a Quality Analyst, I’m recognized for my accuracy, compliance awareness, and ability to optimize billing workflows. I’m currently looking for a remote opportunity where I can apply my broad knowledge of the healthcare revenue cycle and deliver quality support to both providers and patients.