Demonie Artis
Summary
Healthcare Professional with comprehensive experience in medical coding and billing, ensuring accurate and timely processing of claims. Successfully facilitated claim approvals and minimized billing errors, contributing to improved revenue cycles. Demonstrated expertise in ICD-10, CPT, and HCPCS coding, and effective communication with insurance companies and healthcare providers.
Overview
9
9
years of professional experience
Work History
Provider Experience Representative
Signature Performance
10.2025 - 01.2026
- Handle inbound calls from healthcare providers, veterans, and caregivers regarding VA Community Care authorizations, claims status, eligibility, billing, and EOB inquiries.
- Verify authorizations, diagnosis codes, dates of service, and referral requirements across multiple VA systems and payer portals (including TriWest and Optum).
- Research and resolve claim denials, payment discrepancies, and billing issues while ensuring compliance with VA policies and HIPAA regulations.
- Document detailed call notes, actions taken, and resolutions in CRM systems while maintaining accuracy and productivity standards.
- Coordinate with provider offices, VA facilities, and internal departments to resolve complex cases and ensure timely follow-up.
- De-escalate frustrated callers using empathy and clear explanations while maintaining professionalism and service quality metrics.
- Meet performance expectations for call handling, quality assurance, and adherence to standard operating procedures in a high-volume environment.
Medical Billing and Coding Specialist
Maximus
08.2021 - 09.2025
- Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
- Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
- Reduced claim denials by diligently reviewing patient records for correct coding and billing information.
- Prevented unnecessary loss of revenue due to late or incomplete billing by meticulously tracking all accounts and ensuring timely submission of accurate claim forms.
- Remote
Medical Record Analyst
ADP
07.2019 - 08.2021
- Developed a streamlined approach to query resolution that expedited the clarification process between coders and clinical staff members.
- Maximized reimbursement potential by staying up-to-date with industry regulations, coding guidelines, and payer policies.
- Assisted in the development of new guidelines for medical record reviewers, promoting consistency across the team.
Medical Coder
Sutherland Global Services
01.2017 - 06.2019
- Reduced claim denials by consistently ensuring accurate and compliant coding practices in line with regulatory standards.
- Collaborated with healthcare providers to clarify ambiguous or incomplete documentation, resulting in more precise medical codes.
- Increased productivity by creating efficient filing systems for easy access to critical document.
- Prepared detailed reports on account activity for management review identifying areas for improvement or concern.
- Facilitated timely billing processes by providing accurate coding and record management services, reducing delays in reimbursement.
Education
Advanced High School Diploma - undefined
Oscar F. Smith High School
Skills
- Medical Appeals Handling
- Inbound and Outbound Calling
- Insurance Verification
- Typing Proficiency 65 WPM
- Claims Analysis
- Clinical Documentation
- ICD-10 proficiency
- Claim Denial Resolution
- Medical Records Management
- Claims Processing
- HCPCS coding
- Medical Billing Software
Timeline
Provider Experience Representative
Signature Performance
10.2025 - 01.2026
Medical Billing and Coding Specialist
Maximus
08.2021 - 09.2025
Medical Record Analyst
ADP
07.2019 - 08.2021
Medical Coder
Sutherland Global Services
01.2017 - 06.2019
Advanced High School Diploma - undefined
Oscar F. Smith High School