Summary
Overview
Work History
Education
Skills
Certification
Education
Timeline
Generic

Dynika Bilbo

Douglasville

Summary

10 + years of healthcare customer service experience. 3 + years of medical records experience as Health Information Clerk. 2 seasons of HEDIS Clerk experience Very effective written and verbal communication skills. Solid administrative experience in front office, collections, marketing, and also back office work. Strong computer skills in Microsoft Word, Access, Excel, PowerPoint, and Data entry. Knowledge of Medical terminology, Medical Billing & Coding, and HIPAA guidelines. Excellent skills in handling high volume of phone calls using multiple phone lines. Authorized to work in the US for any employer

Overview

19
19
years of professional experience
1
1
Certification

Work History

HEDIS/Quality Coordinator II

Rose International Inc. - Aetna/CVS Health
Sandy Springs
10.2023 - Current
  • Investigated non-conforming materials reported by customers or vendors and took appropriate corrective action.
  • Monitored the performance of suppliers to ensure quality standards are met.
  • Coordinated with external agencies such as FDA inspectors during routine visits or special investigations.

HEDIS Coordinator

UHG
01.2023 - 04.2023
  • Conducted claims research, determining correct service location or verifying member history
  • Performed provider outreach, verified and confirmed provider demographics & medical record requests, both by telephone and in writing
  • Requested medical records and performed follow up of requests within database tools
  • Heavy inbound and outbound calls
  • Maintained HIPAA standards and confidentiality of protected health information.

Operations Coordinator

Dekalb Empire Office
12.2021 - 06.2022
  • Answered multiple phone lines
  • Scheduled appointments
  • Assisted with the management of daily operational activities
  • Performed administrative tasks, such as making travel arrangements, answering phones, scheduling meetings, etc
  • Managed office supplies and the maintenance of office equipment
  • Coordinated the proper allocation of human resources
  • Arranged and assisted with the onboarding of new employees
  • Assisted with project management by creating assignments, tracking progress, and resolving issues.

Data Entry Specialist

Boston Scientific
11.2020 - 12.2021
  • Created cases utilizing data sent into facility via UPS/FedEx by entering new and updated customer, facility and account information
  • Entered and updated ICD-10 codes
  • Prepared and processed data for computer entry by compiling and sorting information, maintains data entry requirements by following data techniques and procedures
  • Verified data by reviewing, correcting, deleting, or reentering data
  • Maintained confidentiality and protects operations by keeping information safeguarded
  • Completed all data entry within a 24-hour metric.

Medical Records Specialist

Change Healthcare
12.2019 - 04.2020
  • Reviewed and split medical charts based on pre-defined criteria
  • Met production goals and accuracy standards, and remain HIPPA compliant in the process of handling medical records.

Client Relations Coordinator

Revolution Sports
04.2018 - 08.2019
  • Coordinated regular meetings, teleconferences, and office visits between the agent and clients
  • Informed clients about company service, address client concerns promptly and professionally
  • Booked all out-of-town travels for the agent.

Utility Clerk

City of Ocean Springs
11.2017 - 02.2018
  • Maintenance of customer account records
  • Compilation and entry of meter reading information into billing system
  • Completion and filing of quarterly City Sewerage District reports
  • Processed and mailed customer bills
  • Collected and posted customer payments
  • Posted late penalties and related notices
  • Reconciled delinquent payments onto tax roll at year end
  • Processed billing registers, trial balances and payment audit reports
  • Maintained accounts receivable related invoice processing
  • Assisted in the maintenance of the tax database
  • Performed general clerical duties such as typing, filing, word processing, spreadsheets, and data entry and data retrieval in the Clerk-Treasurer's Office
  • Performed other miscellaneous tasks at the discretion of the City-Treasurer.

PCA Personal Care Assistant

Nursing Management Inc
05.2012 - 10.2017
  • Consistently cared for Alzheimer’s & Dementia patients
  • Assisted with meal prep, light laundry, running errands, medication reminders, and coordinating activities.

Tax Associate

H&R Block
01.2012 - 04.2017
  • Answered multiple phone lines
  • Scheduled tax appts, accurately prepared tax returns, posted tax prep fees, and filed tax documents.

Health Information Clerk

MS Dept of Health
11.2008 - 07.2011
  • Answered multiple phone lines at the switchboard
  • Scheduled appointments
  • Billed patient accounts
  • Mailed bill statements and appointment letters
  • Worked up shot records/121 forms
  • Filed patient charts.

CSR - Customer Service Representative

Express Check Advance
09.2007 - 01.2008
  • Answering multiple phone lines
  • Setup new accounts for potential customers
  • Collected on delinquent accounts
  • Managed daily bank runs, monthly marketing, filing, and end of shift closing procedures.

Recovery Specialist

Singing River Health System
01.2006 - 04.2007
  • Answered multiple phone lines, mailed out bill statements
  • Took credit card payments via phone
  • Assisted customers with getting the proper assistance with their bill balances.

Education

Associate's degree - Medical Billing & Coding

Virginia College
Biloxi, MS
07.2010

Bachelor's - Clinical Psychology

CTU Online
Colorado Springs, CO

Skills

  • Collections (7 years)
  • Tax Preparation (5 years)
  • Customer Service Experience (20 years)
  • Time Management (2 years)
  • Microsoft Office (5 years)
  • Client Service (3 years)
  • Cash Handling(7 years)
  • Medical Office Experience
  • Data Entry
  • Administrative Experience
  • 10 Key Calculator
  • Documentation Review
  • Medical Terminology
  • Medical Coding
  • Medical Billing
  • Medical Records
  • Multi-line Phone Systems
  • HIPAA Compliance
  • Clerical Experience
  • Insurance Verification
  • Medical Scheduling
  • Hospital Experience
  • Office Management
  • Phone Etiquette
  • Databases
  • Medicaid/Medicare
  • Transcription
  • Front desk
  • Google Docs
  • Operations management
  • Hospitality
  • ICD-9
  • Patient Scheduling
  • Appointment Coordination
  • Microsoft Excel
  • Microsoft Outlook
  • Schedule Management
  • Medical Procedure Coding Software
  • Microsoft PowerPoint
  • Microsoft Word
  • Microsoft Windows
  • Microsoft Internet Explorer
  • Microsoft Access
  • Patient Flow Coordination
  • Verbal and Written Communication
  • Department Coordination

Certification

CPR Certification First Aid Certification Medical Billing Certification

Education

true

Timeline

HEDIS/Quality Coordinator II

Rose International Inc. - Aetna/CVS Health
10.2023 - Current

HEDIS Coordinator

UHG
01.2023 - 04.2023

Operations Coordinator

Dekalb Empire Office
12.2021 - 06.2022

Data Entry Specialist

Boston Scientific
11.2020 - 12.2021

Medical Records Specialist

Change Healthcare
12.2019 - 04.2020

Client Relations Coordinator

Revolution Sports
04.2018 - 08.2019

Utility Clerk

City of Ocean Springs
11.2017 - 02.2018

PCA Personal Care Assistant

Nursing Management Inc
05.2012 - 10.2017

Tax Associate

H&R Block
01.2012 - 04.2017

Health Information Clerk

MS Dept of Health
11.2008 - 07.2011

CSR - Customer Service Representative

Express Check Advance
09.2007 - 01.2008

Recovery Specialist

Singing River Health System
01.2006 - 04.2007

Associate's degree - Medical Billing & Coding

Virginia College

Bachelor's - Clinical Psychology

CTU Online
Dynika Bilbo