LiveCareer-Resume
Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary
  • Efficient Administrative Assistant, skilled in tackling administrative and patient-oriented tasks in a fast-paced environment.
  • Organized Records Clerk with the ability to readily adapt to changing environments and demands.
  • Experienced with billing and collections procedures including charge entry, payment posting, customer service, and follow-up on unpaid claims.
  • Excellent verbal and written communication in Spanish and English.
  • Able to make effective decisions that positively impact team and business success.
  • Seeking a new position with room for growth and advancement.
Skills
  • Dermatology, DME and GI coding, billing and collections specialist
  • Organization and special attention to details
  • Work well independently
  • Patient referrals and authorizations expert
  • Skilled with commercial insurances, Medicare and Medicare Advantage plans, supplemental
  • Data analysis
  • Customer and client relations
  • Staff education and training
  • Recruitment
Work History
06/2021 to Current
Subject Matter Expert Afterpay Touch , , Michigan
  • Acted as DME subject matter expert, answering internal and external questions and inquiries from providers.
  • Addressed an average of 350 provider claim-related inquiries each week.
  • Collaborated with senior management and business line management to identify and prioritize new concepts for development and launch.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Processed and recorded new policies and claims.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Modified, updated, and processed existing policies.
  • Coordinated with contracting department to resolve payer issues.
  • Communicated effectively with staff members of operations, finance, and clinical departments.
  • Collected information about rejected claims and developed effective solutions.
  • Processed online and paper appeal submissions and refund requests.
  • Trained and mentored new team members on accounts payable and receivables systems and policies to build cohesive groups and promote operational performance.
  • Utilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries and accruals.
  • Achieved specific team objectives and collection activity.
01/2020 to 06/2021
Accounts Receivable Specialist National Orthotics , ,
  • Handle all aspects of accounts receivables for (2) internal medicine practices
  • Follow up with insurance companies to ensure timely adjudication of (high dollar) submitted claims
  • Strong attention to accounts at 90, 120 and 180+ days delinquent
  • Apply cash receipts to open receivables, conduct collection calls and performed account analysis for payment discrepancy
  • Handle denials received from insurance companies and maintained proper documentation
  • Provide answers to customer service inquiries regarding accounts receivables, and health insurance-related issues
  • Audit claims for accuracy in coding and billing for mayor disbursement
  • Assist with month closing report of accounts receivables
08/2017 to 10/2019
A/R , A/P - Office Manager Assistant Guidance Medical Billing & More , ,
  • Accurately performed medical billing to improve current billing procedures and reduce A/R days
  • Audited commercial and Medicare billing for DME to verify that proper procedures were followed
  • Developed and implemented improvements to the billing system to maximize efficiency, reduce delinquency and increase accuracy
  • Accurately posted payments and adjustments both electronically and manually
  • Assisted Office Manager in generating financial statements and facilitated account closing procedures each month
  • Contacted customers to collect outstanding payments via one-time or negotiated installment methods
  • Identified overpayments and processed refunds for insurance carriers and patients
  • Assisted HR with new hiring process and HR documentation
04/2016 to 07/2017
Biller, Poster and Collector GCA Services Group , ,
  • Experienced billing and coding for Dermatology
  • Inputted all charges related to the assigned physician's professional services into the practice management system
  • Submitted electronic/paper claims
  • Posted all payments, by line-item, received for physician's professional services into the practice management system including co-payments, insurance payments, and patient payments
  • Researched and resolved incorrect payments, EOB rejections, and other issues with outstanding accounts including insurance verification
  • Set up new patient accounts
  • Assign ICD-10 to the physician's diagnosis and ensure the correct level of service and various other CPT codes
  • Monthly processing of Patient statements
  • Answered and resolved patient billing inquiries
  • Sent secondary claims upon processing of primary insurance
  • Knowledgeable in timely filing restrictions for insurance payers
  • Processed referrals and authorizations with follow up
  • Responded to correspondence from insurance companies
01/2011 to 01/2015
HR/Payroll Administrative Assistant Madeline's Fashion , ,
  • Welcomed new staff, assisting the account manager and the HR with orientations, preparing the new hire packet for an estimate of 30+ people per orientation and assisted throughout the hiring process
  • Coached new employees on administrative procedures, company policies, and performance standards
  • Supervised and trained other clerical staff and arrange for employee training by scheduling training or organizing training material
  • Processed payroll information for 400+ employees
  • Supported efficient meetings by organizing spaces and materials, documenting discussions and distributing meeting notes
  • Prepared invoices, reports, memos, letters, financial statements, and other documents, using word processing, spreadsheet or database
  • Answered phone calls and direct calls to appropriate parties or take messages
  • Sorted and distributed office mail and recorded incoming shipments for corporate records
09/1997 to 10/2010
Business Owner Company Name , ,
  • Bought merchandise or commodities for resale to wholesale or retail consumers
  • Obtained information about customer needs or preferences by conferring with sales or purchasing personnel
  • Determined which products should be featured in advertising, the advertising medium to be used, or when the ads should be run
  • Analyzed environmental aspects of competing merchandise when making buying decisions
  • Collaborated with vendors to obtain or develop desired products
  • Communicated with customers, competitors, suppliers, professional organizations, or others to stay abreast of industry or business trends
  • Consulted with company officials, sales departments, and advertising agencies to develop promotional plans
  • Obtained and study information about clients' products, needs, problems, advertising history, and business practices to offer effective sales presentations and appropriate product assistance
Education
Expected in 2016
Diploma:
Florida Technical College - ,
GPA:
Medical Billing and Coding

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Resume Overview

School Attended

  • Florida Technical College

Job Titles Held:

  • Subject Matter Expert
  • Accounts Receivable Specialist
  • A/R , A/P - Office Manager Assistant
  • Biller, Poster and Collector
  • HR/Payroll Administrative Assistant
  • Business Owner

Degrees

  • Diploma

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