Dianna Marie Ortega

I am a Healthcare Revenue Cycle Specialist with over 4 years of experience supporting US healthcare providers in Medical Billing, Accounts Receivable (AR), and Claims & Appeals. I specialize in resolving denied and unpaid claims, reducing AR aging, and ensuring accurate and timely reimbursements.

My experience includes insurance verification, prior authorization, medical intake, payment posting, and post-payment audits (PPA). I am skilled in analyzing EOBs, identifying denial root causes, and preparing effective appeal letters based on payer guidelines and medical documentation.

I have hands-on experience using systems such as MEDITECH, DrChrono, and Epic Systems, Cerner, Next Gen, along with payer portals like Availity Essentials, UnitedHealthcare, Aetna, Cigna Healthcare, and Blue Cross Blue Shield. I also use clearinghouses such as Change Healthcare and Office Ally for claims submission and tracking.

I am detail-oriented, reliable, and comfortable handling high-volume workloads while maintaining accuracy and HIPAA compliance. I am committed to helping healthcare providers improve revenue cycle performance and streamline operations.