Alisa Jones
Spanaway,WA
Summary
Detail-oriented and professional individual with a strong focus on meeting deadlines. Skilled in efficiently handling all tasks required in the medical billing process. Possesses extensive knowledge of the entire claim cycle and the variations that arise across different regions. Track record showcases successful optimization of billing processes and efficient resolution of discrepancies. Brings years of experience in various areas of the medical field, delivering exceptional results through a comprehensive understanding of the industry.
Overview
28
28
years of professional experience
Work History
Physician Billing
MultiCare
03.2009 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Filed and updated patient information and medical records.
- Posted payments and collections on regular basis.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Gathered information from multiple sources to simplify billing and organize accounts.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Liaised between patients, insurance companies and billing office.
- Trained new employees on multiple medical billing programs and data entry software.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Adhered to established standards to safeguard patients' health information.
- Delivered timely and accurate charge submissions.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
Financial Counselor
Multicare Medical Center
04.2002 - 03.2009
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
- Identified healthcare resources and programs for patients unable to meet financial obligations.
- Conducted interviews with patients and family members and answered questions regarding insurance benefits.
- Assessed client financial situation and explored background through one-on-one interview process.
- Meticulously documented all details regarding contact with patients, providers and other individuals in system using Epic.
- Stayed up-to-date on financial products and consumer rights.
- Liaised between patient, doctor and insurance provider to smooth claims processes.
- Recruited, trained and mentored junior financial and support staff to generate ideas, share knowledge and commit to building successful company.
Customer Service
Multicare Medical Center
05.1999 - 04.2002
- Handled calls promptly and with courteous professionalism.
- Completed call documentation while speaking with customers.
- Processed orders, service requests and applied information to customers.
- Maintained working knowledge of products, accounts, representatives, tools and systems.
- Developed technical and mechanical proficiency to assist customers and field staff with service issues.
- Answered in-depth questions about company offerings, service policies and benefits of each plan.
- Navigated multiple computer systems expertly to handle customers' sales and service needs.
- Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
- Investigated and resolved customer inquiries and complaints quickly.
- Met customer call guidelines for service levels, handle time and productivity.
- Educated customers about billing, payment processing and support policies and procedures.
- Responded to customer requests, offering excellent support and tailored recommendations to address needs.
- Promoted superior experience by addressing customer concerns, demonstrating empathy and resolving problems swiftly.
- Maintained up-to-date knowledge of product and service changes.
- Trained new personnel regarding company operations, policies and services.
- Trained staff on operating procedures and company services.
- Effective liaison between customers and internal departments.
- Sought ways to improve processes and services provided.
Medical Receptionist
Multicare Medical Center
03.1997 - 05.1999
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Managed multi-line phone system and pleasantly greeted patients.
- Helped patients complete necessary medical forms and documentation.
- Checked patient insurance, demographic and health history to keep information current.
- Maintained current and accurate medical records for patients.
- Organized paperwork such as charts and reports for office and patient needs.
- Supported office staff and operational requirements with administrative tasks.
Education
No Degree - Medical Termonology
Pierce College
Puyallup, WA02.1997
Skills
- System Updates
- Customer Service
- Physician Interaction
- Software Applications
- Advanced Medical Knowledge
- Critical Thinking
- Database Systems
- Account Management
- Healthcare Terminology
- CPT Code Modifiers
- Time Management
- Overseeing Training
- Medical Claims Submission
- Work Prioritization
- Electronic Health Record Software
- Medical Coding Knowledge
- HIPAA Compliance
- Claims Review
- Excel
Timeline
Physician Billing
MultiCare
03.2009 - Current
Financial Counselor
Multicare Medical Center
04.2002 - 03.2009
Customer Service
Multicare Medical Center
05.1999 - 04.2002
Medical Receptionist
Multicare Medical Center
03.1997 - 05.1999
No Degree - Medical Termonology
Pierce College
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