Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000,

AMBA Certified Medical Reimbursement Specialist with 5 years of specialty billing experience with governmental and non governmental claims. Experience includes using modifiers with services and nonmedically necessary appeals. Multi-tasker that can handle charges, payments, insurance verification issues, and problem solving skills with patients.

  • Detail-oriented
  • Dependable and reliable
  • Billing dispute resolution
  • Positive attitude
  • Payroll
  • Loss prevention
  • Account management
  • Accounts payable and receivable
  • Research
  • Collections background
  • Monthly Quarterly and Yearly reporting
  • Insurance Denials/Appeals
  • Customer service skills
  • Account reviews
  • Data entry expertise
  • Registration/Insurance verifications
  • Microsoft Office proficiency including Excel, Outlook, Word
  • Denial Audits/Inform Practice of ongoing changes
  • Ongoing security Certifications and Education
  • Quarterly/Monthly/Weekly meetings with Revenue Cycle Team
08/1991 to 08/1995 Office Administrator/ A/P Clerk/Senior Payroll Clerk Aimbridge Hospitality | Mesa, AZ,
  • Replenished office supplies when inventory became low and placed new orders for restocking.
  • Interacted professionally with both customers and inside personnel, answering questions and responding to phone and email inquiries.
  • Met incoming customers with professional approach and provided friendly, knowledgeable assistance.
  • Calculated accurate wages, including overtime, salary increases and bonuses.
  • Gathered timesheets to prepare weekly, bi-weekly, semi-monthly, and monthly payroll data for processing various payroll clients pay checks for delivery or mailing.
  • Classified, sorted and filed correspondence, articles, records and other documents to maintain organized filing system.
  • Worked closely with our clients to pay out bonuses, severances, service awards and special payments.
  • Tracked and applied tax liens, child support and other types of wage garnishments to paychecks.
  • Administered payroll for over a dozen companies of different types and sizes from restaurants with tips to manufacturing, and car lots with Payroll software that helped make it almost error free.
  • Responsible for meeting deadlines for quarterly reports and yearly reporting with 1099's and W-2 forms.
  • Reconciled monthly statements and transactions to keep records accurate and current.
  • Coded invoices and other records to maintain organized and accurate records.
  • Reviewed bank account statements to reconcile accounts by documenting correct financial information in general ledger.
  • Gathered information to produce accounts payable reports for review.
  • Assisted with month-end and year-end closings to support accounting system accuracy.
09/1995 to 02/1997 Receptionist Camden National Corporation | Bangor, ME,
  • Met incoming customers with professional approach and provided friendly, knowledgeable assistance.
  • Screened and verified visitors for identification credentials and purpose of visit to maintain security of personnel and office environment.
  • Kept reception area clean and organized to offer positive first impression to every visitor.
  • Processed payments for office visits and updated accounts to reflect balance changes.
  • Provided administrative support to team members, including making copies, sending faxes, organizing documents and rearranging schedules.
  • Gathered, sorted, distributed and sent mail and packages.
  • Answered and directed incoming calls using multi-line telephone system.
  • Filed and pulled charts for each day
  • Scheduled appointments for the patients
  • Entered charges for each office visit, allergy injection, and new patient visit.
03/1997 to 01/2011 Home School Mom/Volunteer Bassett Healthcare | Sherburne, NY,
  • Volunteered as a teacher and vice president for the local home school co-op Thomasville Home Educators (T.H.E.) organization. We had weekly meetings with other home school families for fellowship, activities, field trips and classes like art and literature.
  • Volunteered time organizing and putting together pamphlets and material for a Counselor workshop for Veterans and Domestic Violence for Maston Love, Phd.
  • Mary Kay Beauty Consultant, self employed, worked my own hours, had my own inventory, enjoyed giving to others and making them feel good about themselves.
01/2011 to 10/2014 Customer Care Representative Terminix | City, STATE,
  • Goals were 95% of houses scheduled for inspections and completed before the end of the month, which I did consecutively each month.
  • Goal was also set for 90% of collections for renewal fees to be collected before the end of the month, I obtained this goal also each month.
  • Scheduled appointments for inspections, pest technicians, and collected renewal fees for termite coverage for residential and commercial customers.
  • Assisted customers with completing quick and efficient sales transactions.
  • Corresponded with technicians to build and implement successful solutions to customer problems.
  • Maximized revenue by proactively building and managing key customer relationships.
  • Addressed customer inquiries and resolved complaints.
  • Documented conversations with customers to track requests, problems and solutions.
  • Promptly responded to customer inquiries and resolved complaints to promote loyalty.
  • De-escalated customer issues with proven conflict mediation and problem-solving abilities.
  • Achieved high sales percentage with consultative, value-focused customer service approach.
  • Evaluated customer account information to assess current issues and determine potential solutions.
10/2014 to Current Physician Billing Coordinator Moses Cone Affiliated Phy Allergy & Asthma Center | City, STATE,
  • Our Practice includes 6 doctors and a Nurse Practitioner in 5 locations, where we still handle the majority of all billing tasks in house with 3 employees
  • Accustom to all governmental and nongovernmental insurance claims and denials for a specialty office.
  • Work to get the maximum payout from insurance companies for Providers and patients. Appeal items that denied if possible rather than write-offs.
  • Work credit work queues and check payment postings daily, as well as deposits when needed.
  • Charge vials for all patients within our practice as they are made.
  • Handle billing disputes and setup payment plans, as well as, work collections when needed.
  • Still do monthly backups purges, etc. to our legacy system, Medical Manager.
  • Maintain audits on denials to see trends and intercept problems in registration or coding to prevent denials from recurring.
  • Keep updates coming from Medicare, Medicaid, United Health Care, BCBS, Tricare, Veteran Affairs, and others in case of changes in billing requirements at all times.
  • Experience with many Provider Portals to obtain eligibility and claim status to help with patient accounts.
  • Front Desk Registration - Scheduling, Referrals, Check in and Check out process, Insurance Verifications, Customer service.
  • Regulatory Coordinator - organized and maintained all emails and regulatory documents for our Research Department and the different studies on an ongoing basis. Created spreadsheets to maintain various data for studies with Microsoft Excel. Invoiced and maintained accounts payables and receivables from different studies.
  • Used QuickBooks for Patient payout checks.
  • Met with Study Monitors on regular basis for audits of regulatory documents and invoice reconciliations.
Education and Training
Expected in 11/2018 Certification | Medical Reimbursement Davidson County Community College, Lexington, NC, GPA:
  • Completed continuing education classes in Medical Reimbursement.
Expected in 06/1992 High School Diploma | East Davidson High School, Thomasville, NC, GPA:
  • Future Business Leaders of America (FBLA) Scholarship Recipient
  • 1991-1992 Business Award Recipient
  • Voted most dependable by schoolmates
  • Major in Business- took all business classes EDHS offered

AMBA Certified Medical Reimbursement Specialist -2019-2020

  • Completed and passed Exam with Honors on November 15, 2018
  • Completed all CEU's for 2019 and Certification has been renewed Through 2020.

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School Attended

  • Davidson County Community College
  • East Davidson High School

Job Titles Held:

  • Office Administrator/ A/P Clerk/Senior Payroll Clerk
  • Receptionist
  • Home School Mom/Volunteer
  • Customer Care Representative
  • Physician Billing Coordinator


  • Certification
  • High School Diploma

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