AMANDA JARRETT
Naples,FL
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
15
15
years of professional experience
Work History
Billing Quality Analyst
NeoGenomics Laboratories, Inc.
09.2019 - Current
- Developed and maintained quality assurance process and documentation.
- Collaborated with management to provide training on improved processes and assisted with creation and maintenance of quality training.
- Provided regular updates to team leadership on quality metrics by communicating consistency problems.
- Developed training materials, SOPs and work instructions to supplement new team member onboarding.
- Assigned to special projects/audits, as needed basis.
Credentialing Coordinator
NCH Physicians Group
06.2016 - 03.2020
- Worked closely with practitioners to help each obtain privileges through the Medical Staff Office
- Updated and maintained CAQH profiles for 200+ providers
- Maintained accurate files, records and credentialing documents in well-maintained databases using MDStaff.
- Assisted with managed care auditing processes and performed internal file audits.
- Enrolled providers with Medicare, Medicaid and various commercial insurance plans.
- Managed regular monthly/quarterly meetings with insurance companies.
- Hired as a Billing Denial Specialist: Worked clearinghouse rejections; maintained insurance AR; submitted medical records, appeals, corrected claims, reconsiderations to insurance company; reviewed and submitted for bad debt
Accounts Representative II
Memorial Medical Center
08.2014 - 05.2016
- Responsibilities include: daily claims submission, reviewing claims rejected by clearinghouse, reviewing claim denials received from EOB's, reviewing correspondence, answering questions from internal and external customers, prepare monthly AR spreadsheets, provide updates on any new/outstanding issues, reviewing claims for bad debt, submitting appeals/corrections as necessary, submitting requested information to insurance companies
- Cross trained in data entry and payment posting.
Denial Resolution Specialist
TriCore Reference Laboratories
02.2010 - 08.2014
- Responsible for all follow up work on claims: reviewed un-responded claims for status, reviewed denials for corrections and appeals, submitted additional information required
- Worked a weekly AR report, reviewed claims for bad debt, advised management of trends and issues
- Hired as an Insurance Biller
- Reviewed requisitions collected at our draw sites to enter billing information
Education
Billing And Coding
Pima Medical Institute
Albuquerque, NM04.2009
High School Diploma -
Mayfield High School
Las Cruces, NM05.2002
Skills
- Quality Improvement
- Training Implementation
- Documentation Skills
- Active Listening
- Practitioner Application Monitoring
- Issue Identification and Resolution
- Accounts Receivable Management
- Provider Enrollment
- Insurance Credentialing Processes
Timeline
Billing Quality Analyst
NeoGenomics Laboratories, Inc.
09.2019 - Current
Credentialing Coordinator
NCH Physicians Group
06.2016 - 03.2020
Accounts Representative II
Memorial Medical Center
08.2014 - 05.2016
Denial Resolution Specialist
TriCore Reference Laboratories
02.2010 - 08.2014
Billing And Coding
Pima Medical Institute
High School Diploma -
Mayfield High School
Similar Profiles
Lani ClukeLani Cluke
Revenue Cycle Management Specialist II-Commercial Appeals at Neogenomics Laboratories, IncRevenue Cycle Management Specialist II-Commercial Appeals at Neogenomics Laboratories, Inc
Bridget SchaeferBridget Schaefer
Material Control Specialist at NeoGenomics LaboratoriesMaterial Control Specialist at NeoGenomics Laboratories
Samantha LuchettaSamantha Luchetta
Client Advocate II at NeoGenomics LaboratoriesClient Advocate II at NeoGenomics Laboratories