Dyonna Powell

Seasoned healthcare billing and revenue cycle professional with 8 years of experience in medical billing, accounts receivable management, and patient financial coordination across hospital, skilled nursing, and assisted living settings. Adept at building cross‑functional relationships, optimizing billing workflows, and ensuring strict compliance with payer and regulatory requirements. Demonstrated success in streamlining claims, denials, and appeals processes while supporting discharge planning, vendor coordination, and patient financial counseling.

Highly proficient in preparing and submitting UB‑04 and CMS‑1500 claims, managing Medicare and managed care coinsurance billing, and overseeing vaccination reimbursement. Also known for my accuracy, efficiency, and commitment to improving both operational performance in the patient financial experience.

Senior Billing Specialist - Saber Healthcare Group (SNF/ AL Facility)

(2021-07)

• Lead the managed care coordination team, overseeing daily operations for benefits verification, claims submission, and reimbursement follow‑up.
• Perform payment posting and account reconciliation, maintaining accurate patient ledgers and resolving posting discrepancies.
• Prepare and submit UB‑04 and CMS‑1500 claims with precision and compliance.
• Utilize Matrix and other claims management systems to ensure accurate billing, reimbursement tracking, and audit readiness.
• Manage billing for Skilled Nursing Facilities (SNFs) and Assisted Living Facilities (ALFs), ensuring adherence to payer policies and regulatory standards.
• Apply advanced knowledge of Medicare and managed care coinsurance billing, including vaccination reimbursement processes.
• Oversee invoice management, account adjustments, and ledger corrections to maintain financial accuracy.
• Manage the full claims lifecycle, including submissions, denial tracking, appeals, and follow-ups to reduce AR days and maximize collections.
• Coordinate with insurance payers to verify benefits, allocate payments, and communicate pay-policy details to patients.
• Conduct point‑of‑service collections, review financial policies with patients, and support discharge planning through accurate intake processes.
• Implement process improvements that enhance case management workflows and cross‑departmental coordination.
• Maintain strong vendor relationships to support patient care needs and timely service delivery.
• Perform bookkeeping tasks and maintain documentation to support AR reporting and audit compliance.
• Leverage multiple systems, including Epic, QAD, Salesforce, PCC, Waystar, Raintree, Availity, UHC, and Optum portals, to manage claims, payments, and patient data.

Lead Revenue Cycle Specialist, Emergency Department - University Hospitals

(2018-10 - 2021-07)

• Managed patient accounts for emergency department encounters, overseeing billing, collections, and account reconciliation.
• Processed insurance claims, posted payments, and performed accurate insurance allocation to patient ledgers.
• Investigated denials, prepared appeals, and conducted payer follow‑ups to recover outstanding revenue.
• Secured insurance authorizations and verified benefits to reduce claim rejections and improve reimbursement outcomes.
• Ensured compliance with HIPAA and evolving revenue cycle regulations.
• Collaborated with clinical and administrative teams to resolve billing issues and support efficient patient throughput.

Diploma - Saint Martin De Porres High School (2021)

Bachelor of Business Administration - Finance Management (Minor) - Notre Dame College / Cleveland State University (2026)