Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000,
Professional Summary
Organized upfront review clerk with experience in maintaining accurate patient billing information. Experienced with researching denied claims and appeals.
  • Accurate and detailed
  • Maintains confidentiality
  • Independent worker
  • Patient charting
  • Works well under pressure
  • Medical terminology
  • Flexible
  • Dedicated team player
  • Insurance eligibility
  • Professional and mature
Work History
07/2007 to 03/2014 Upfront Review Clerk Kiva | San Francisco, ,
  • Precisely completed appropriate claims paperwork, documentation and system entry.
  • Assisted in the maintenance of medical charts and/or electronic medical record (filing, Op Reports, test results, home care forms).
  • Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
  • Identified and resolved patient billing and payment issues.
  • Confidently and adeptly handled claim denials and/or appeals.
  • Updated patient financial information to guarantee accuracy.
  • Verified patients’ eligibility and claims status with insurance agencies.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Maintained strict patient and physician confidentiality.
  • Responded to correspondence from insurance companies.
  • Submitted electronic/paper claims documentation for timely filing.
  • Examined patients’ insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
  • Precisely evaluated and verified benefits and eligibility.
  • Reviewed patient charts and prescriptions to verify eligibility for equipment services provided.
  • Conducted training in office when new procedures and policies were implemented.

05/2003 to 01/2004 Director of Communications All American Snacks | City, STATE,
  • Adeptly managed a multi-line phone system and pleasantly greeted all customers.
  • Dispatched maintenance to repair malfunctioning machines.​
  • Entered numerical data into databases in a timely and accurate manner.
  • Coordinated deliveries and processed changes in warehouse stock.
  • Processed weekly timesheets to ensure accurate and timely payroll.

Expected in 2007 Diploma | Medical Transcription, Medical Billing and Coding Wright Career College, 2219 W Interstate 240 Service Rd #110, Oklahoma City, OK 73159 GPA:

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School Attended

  • Wright Career College

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