Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • H: (555) 432-1000
  • C:
  • Date of Birth:
  • India:
  • :
  • single:

Medical Professional versed in many aspects of the healthcare process. Hoping to obtain a full time position as a Financial Navigational Supervisior at Kings Daughters Medical Center. My experience in Oncology and Long term care of the crititcally Ill would be a great asset to the KDMC Medical Administaion team.

  • Regulatory compliance
  • Medical records management
  • Direct patient care
  • Team Building Skills
  • Time Management
  • Interpersonal Communication Skills
  • Clinical training
  • Speaking clearly
  • Claims analysis and review specialist
  • Speech comprehension
  • Filing mastery
  • Charting
  • Healthcare billing proficiency
  • Inpatient and outpatient care
  • Computerized charting specialist
Medical Billing Specialist, 06/2019 - Current
Regions Hospital Maplewood, MN,
  • Performed full-cycle medical billing for fast-paced company, reducing errors.
  • Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
  • Determined prior authorizations for medication and outpatient procedures.
  • Identified errors correctly and re-filed denied or rejected claims promptly when received from Patient Account Representative.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Posted and adjusted payments from insurance companies.
  • Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
  • Applied payments, adjustments and denials into medical manager system.
  • Performed quality control of data entry system to verify proper posting of claims and payments.
  • Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Consistently informed patients of financial responsibilities prior to services being rendered.
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Precisely completed appropriate paperwork and system entry regarding claims.
Referral Specialist/Front Office Receptionist, 11/2018 - 06/2019
Ashland Bellefonte Cancer Center City, STATE,
  • Supported administrative and healthcare staff with skilled clerical assistance such as ordering supplies and organizing office inventories.
  • Updated patient financial information to ensure accuracy.
  • Managed front office activities, including customer service, patient appointment management, billing and collections, and office administration.
  • Managed physician calendar, including scheduling patient appointments and procedures.
  • Interviewed patients to collect medical information and insurance details.
  • Called patients to schedule appointments, consistently double-checking information and availability.
  • Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
  • Addressed, documented, and responded to incoming and outgoing calls and correspondence.
  • Received and scheduled new referrals according to diagnosis under constant supervision of attending Physician.
KMA, SRNA, 11/2007 - 11/2018
Oakmont Manor Nursing And Rehabilitation City, STATE,
  • Documented patient intake and dietary requirements and assisted with feeding.
  • Examined and addressed lacerations, contusions and other physical symptoms in need of further attention.
  • Collected specimens, monitored vitals and maximized patient comfort.
  • Cleaned and sanitized rooms and equipment using aseptic technique to prevent infection and cross-contamination.
  • Managed supplies and restocked inventory to ensure optimal availability for patient care.
  • Documented information in patient charts and communicated status updates to interdisciplinary care team.
  • Conducted routine checks on standard patient vitals, including blood pressure, blood sugar and heart rate.
  • Promoted patient satisfaction by assisting with daily living needs such as bathing, dressing, toileting and exercising.
  • Collected biological specimens and packaged for laboratory transport to complete important diagnostic tests.
  • Monitored expiration of medications and medical supplies.
  • Safely and accurately prepared all medications and sterilized products by using proper techniques, calculations and standards of precautions.
  • Maintained documentation of all repackaged medications.
  • Prevented spread of infection by consistent hand washing, universal precautions and special isolation procedures.
Education and Training
High School Diploma: , Expected in 05/2007
Dawson-Bryant High School - Coal Grove, OH
Associate of Applied Science: Medical Information Technology, Expected in 05/2019
Ashland Community And Technical College - Ashland, KY

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School Attended

  • Dawson-Bryant High School
  • Ashland Community And Technical College

Job Titles Held:

  • Medical Billing Specialist
  • Referral Specialist/Front Office Receptionist


  • High School Diploma
  • Associate of Applied Science

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