Jessica Claire
Montgomery Street, San Francisco, CA 94105
Home: (555) 432-1000 - Cell: - - -
Seeking to obtain a full-time position with an organization where I can utilize my record management, clerical, health information and insurance expertise and customer service skills and be an ideal asset to the organization.
  • MS Word, PowerPoint, Outlook & QuickBooks.
  • Ability to perform general office duties such as filing, typing and faxing.
  • Excellent verbal and written communication skills.
  • Excellent ability in multitasking in a high-pressure work environment.
  • ICD-9, CPT-10, & medical terminology and insurance experience.
  • HIPAA compliance knowledge.
Relevant Experience
05/2016 to Present
Bickford Senior Living Muscatine, IA,
  • Responsible for posting large deposits from commercial insurances in electronic and paper EOB formats in a timely and accurate manner.
  • Knowledge with prior authorizations and cash posting.
  • Able to read and interpret EOB's.
  • Assist patient's with insurance and payment questions.
  • Verify accuracy of billing data and ability to process and correct denial claims with proper information to resubmit for payment.
  • Follow up and conduct collections on outstanding balance and accounts receivable.
  • Work with insurance company's on 'problem claims' that have trouble getting paid.
05/2015 to 11/2015
Medical Billing Coordinator New York Institute Of Technology New York, NY,
  • Daily posting a variety of health service charges to patients' accounts.
  • Following up on unpaid accounts or denials and reconciling when practical.
  • Corrected claims via written appeals, unbundling codes, attaching records and more to complete the billing process to ensure clean claims and maximum reimbursement.
  • Processing new patient demographics.
  • Reviewing patients encounter forms to ensure accuracy and completeness prior to performing charges.
  • Taking the necessary actions to correct the encounter forms by contacting the provider of services, medical records department or the patient.
  • Provide excellent customer service to health care facilities and patients.
  • Current on HIPAA regulations.
  • Knowledgeable in timely filing restrictions.
04/2010 to 04/2015
Bickford Senior Living Okemos, MI,
  • Respond to all requests for medical record information from various appeals.
  • Coordinated with health care providers, patients, attorneys, third party payers, disability and subpoenas.
  • Ensured that all release of information are in accordance with HIPAA federal and state regulations.
  • Interacted with patients in person and by telephone, obtained appropriate authorization before release of information.
  • Maintained, filed and retrieved medical records from storage when requested.
  • Coordinated with other departments and assisted them.
  • Process invoices for patients, attorneys and various other billable requestors as per hospital policy and state regulations.
  • Assisted patients in finding their way in and around the hospital as well as assisting disabled persons to their destination by wheel chair.
06/2005 to 04/2010
Medical Billing Specialist Hca Payson, UT,
  • Post and reconcile insurance and patient payments.
  • Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.
  • Assign ICD-9 to physician's diagnosis and ensure correct level of service and various other CPT codes.
  • Accurately apply payments to patient accounts.
  • Ensure accuracy of insurance claims.
  • Verify and correct ICD-9 and CPT codes for a variety of specialties.
  • Set up new patient accounts.
  • Send secondary claims upon processing of primary insurance.
  • Monthly processing of patient statements.
  • Answer and resolve patient billing inquires.
  • Insure office practices are in compliance with HIPAA regulations.
Education and Training
Expected in 2005
HS Diploma:
Brick Township High School - , NJ
Activities and Honors
Work History

Reimbursement Dept. ,
accounts receivable, balance, billing, interpersonal, CPT, excellent customer service, data entry, diagnosis, faxing, filing, forms, general office duties, HIPAA regulations, ICD-9, insurance, Process invoices, medical terminology, office, Outlook, PowerPoint, MS Word, multitasking, Assist patient, QuickBooks, read, reconciling, maintain records, Research, telephone, phone skills, typing, written, written communication skills

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