Angela Jallow
Riverdale,GA
Summary
Medical billing professional with extensive experience in managing patient billing processes and ensuring timely claim submissions. Known for strong collaboration within teams and delivering reliable outcomes. Possesses deep knowledge of coding standards and insurance guidelines, coupled with client-focused approach. Seasoned with 3 years of auto insurance and customer care. Proficient in premium calculations, policy issue resolution, and adherence to underwriting guidelines.
Overview
19
19
years of professional experience
Work History
Revenue Analyst
Ovation Healthcare
Brentwood, TN
02.2023 - Current
- Accurately researches and initiates correction of pertinent information for outstanding accounts receivable such as patient demographic and insurance information, relevant UB/1500 claim form information and modifiers, and provider information as needed.
- Prepares and submits clean claims to various insurance companies either electronically or by paper. Researches and resolves claim holds and denials. Verifies patient benefits, eligibility and coverage as needed.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Accurately reports barriers to billing and claim reimbursement via company-defined Cause and Action recording and inventory management tool and escalates all open claims to their immediate supervisor when claim resolution is beyond their scope.
- Provides precise documentation of all actions taken on accounts worked.
- Maintains client and/or position specific daily productivity and quality expectations
Underwriting Service Assistant/Customer Care Center Specialist II
State Farm
Atlanta, GA
07.2022 - 02.2023
- Employ critical thinking to meticulously handle customer inquiries and provide exceptional service during both inbound and outbound communications via chat or telephone.
- Identify and resolve customer issues regarding billing, pricing, premiums, quotes, policy status, and errors, ensuring appropriate escalation when necessary.
- Conduct thorough premium breakdowns and rate calculations to inform and assist with coverage options.
- Guide agents through the utilization of key resources, including rate manuals, automated systems, and underwriting guidelines, to support their service delivery.
- Processed underwriting requests efficiently, ensuring compliance with company policies and guidelines.
- Collaborated with underwriting teams to streamline documentation and improve workflow efficiency.
Jolts Interviewer I (Contract)
Titan Technologies @US Dept. of Labor
Atlanta, GA
07.2018 - 07.2022
- Conducted comprehensive outbound calls to facilitate company participation in voluntary government surveys, ensuring accurate monthly data collection.
- Maintained rigorous commitment to data integrity by compiling, coding, and reviewing information for completeness, conducting editing and reasonableness tests.
- Addressed and rectified inconsistencies in survey responses through effective questioning and clarification, enhancing the reliability of collected data.
- Managed concurrent projects and communication channels, including inbound inquiries, while consistently meeting stringent deadlines and performance quotas.
Area Manager (Contract)
Ciox Health
Atlanta, GA
05.2017 - 05.2018
- Managed the training, direction, and performance evaluation of Client Service Representatives, ensuring effective team operations and high standards of customer service.
- Conducted comprehensive data integrity audits and certifications, including RAC Audits and HEDIS reviews, to safeguard accuracy and prevent revenue loss.
- Oversaw the hiring, training, and performance management of staff, contributing to the achievement of regional revenue targets and adherence to information release protocols.
Payment Application Rep/Revenue Cycle Specialist (Contract)
TeamHealth @ Piedmont Fayette Hospital
Atlanta, GA
06.2015 - 04.2017
- Maintained stringent accuracy in revenue cycle system notations and documentation, ensuring adherence to billing adjudication and denial processing protocols, while offering process improvement suggestions.
- Executed precise posting and balancing of third-party payments to patient accounts, achieving daily lockbox reconciliation with established productivity benchmarks.
- Conducted thorough research and resolution of credit balances on patient accounts, adeptly managing insurance payment discrepancies, and executing necessary account adjustments and rebillings.
Rehab Patient Account Rep (Contract)
Memorial University Medical Center
Savannah, GA
10.2014 - 06.2015
- Managed patient billing processes, ensuring accurate verification and updating of benefits and authorizations, while diligently tracking visit limitations to maintain compliance with healthcare protocols.
- Coordinated with therapists and medical professionals to obtain necessary documentation, including non-staff physician signatures on care plans, contributing to streamlined patient care coordination and medical record keeping.
- Conducted thorough audits of patient accounts, posting payments, and reconciling charges with visit limits to guarantee precise billing and resolve coding discrepancies.
Patient Benefits Advisor (Contract)
The Outsource Group @ Southern Regional Medical Center
Atlanta, GA
03.2013 - 05.2014
- Assessed patient eligibility for insurance coverage and assistance programs, completing applications and ensuring accurate documentation for timely eligibility determination.
- Managed follow-up communications with patients and agency caseworkers, maintaining meticulous records in both patient files and hospital systems to support effective processing of applications.
ROI Manager/Site Coordinator (Contract)
HealthPort/Universata @ Providence Hospital
Atlanta, GA
01.2007 - 01.2013
- Managed the processing and compliance of information release requests, adhering to HIPAA regulations and company policies to uphold patient privacy.
- Conducted data integrity audits, including RAC, HEDIS, and DRG Validation reviews, ensuring accuracy and mitigating potential revenue losses.
- Oversaw operations across multiple sites, delivering quality customer service, maintaining financial profitability, and fostering a skilled, satisfied workforce.
Education
Associates - Business Administration
University of South Carolina
Skills
- Medical Billing and Collection
- Interpersonal/Human Relations Skills
- Verbal and Written Communication Skills
- Strong Managerial Skills to Include Extraordinary Customer Service Along With Conflict Resolution
- Ability to Respond to Questions in a Tactful and Professional Manner
- Ability to Make Numerical Calculations
- Ability to Maintain Confidentiality
- Ability to Type and Operate Personal Computer
- Ability to Maintain Accuracy
- Ability to Interpret Accounts and Records
- Ability to Persuade and Influence
- Detail Oriented
Timeline
Revenue Analyst
Ovation Healthcare
02.2023 - Current
Underwriting Service Assistant/Customer Care Center Specialist II
State Farm
07.2022 - 02.2023
Jolts Interviewer I (Contract)
Titan Technologies @US Dept. of Labor
07.2018 - 07.2022
Area Manager (Contract)
Ciox Health
05.2017 - 05.2018
Payment Application Rep/Revenue Cycle Specialist (Contract)
TeamHealth @ Piedmont Fayette Hospital
06.2015 - 04.2017
Rehab Patient Account Rep (Contract)
Memorial University Medical Center
10.2014 - 06.2015
Patient Benefits Advisor (Contract)
The Outsource Group @ Southern Regional Medical Center
03.2013 - 05.2014
ROI Manager/Site Coordinator (Contract)
HealthPort/Universata @ Providence Hospital
01.2007 - 01.2013
Associates - Business Administration
University of South Carolina