Cheslyn Jackson
Houston,TX
Summary
Dedicated and detail-oriented Accounts Receivable Billing Representative with experience in medical billing, claims processing, and payment follow-up. Skilled in resolving claim denials and rejections, submitting appeals, reconciling accounts, and ensuring timely reimbursement from insurance providers. Strong understanding of healthcare billing procedures and payer guidelines. Committed to maintaining accuracy, efficiency, and compliance throughout the billing cycle.
Overview
10
10
years of professional experience
1
1
Certification
Work History
AR Billing Specialist
Trident Care
06.2021 - Current
- Responsible for resolving Medicare denials and correcting claims within timely filing guidelines
- Reviewed and resolved various Medicare denials using billing software
- Checking benefits and eligibility and updating patient accounts as necessary
- Investigate and resolve claim rejections received through the clearinghouse to ensure timely and accurate payment.
- Communicated effectively and extensively with other departments to resolve claims issues
- Work company correspondence
- Work spreadsheets provided by lead/supervisor in a timely fashion
- Enhanced billing accuracy by diligently reviewing and correcting discrepancies in patient accounts
- Identified trends in billing issues by analyzing claim denials and implementing corrective actions to prevent future occurrences
- Researched and submitted detailed appeals to Medicare for denied or underpaid claims, including supporting documentation and medical records, resulting in successful claim recoveries and reduced revenue loss.
- Managed multiple priorities effectively by maintaining strong organization skills while handling competing deadlines within a fast-paced environment
- Demonstrated adaptability during periods of high volume or increased workload demands without sacrificing accuracy or efficiency in task completion
Package Handler
Fed Ex Ground
08.2024 - 09.2024
- Maximized space utilization within trucks through effective stacking and arranging of packages, minimizing shipment delays
- Maintained a safe work environment by adhering to company policies and guidelines for proper lifting techniques
- Reduced damage rates for packages through careful handling and adherence to safety protocols
- Improved package handling efficiency by implementing proper sorting and organizing techniques
- Supported team morale by fostering positive communication and collaboration among coworkers.
- Removed jams and unblocked conveyor system to maintain flow of goods.
- Aided in maintaining warehouse cleanliness, ensuring an organized workspace conducive to efficient operations.
Cashier/Stocker/Sales Associate
Office Depot
08.2015 - 05.2021
- Greeted customers entering store and responded promptly to customer needs
- Built relationships with customers to encourage repeat business
- Operated cash register for cash, check, and credit card transactions with excellent accuracy levels
- Unloaded, sorted and stocked merchandise according to store layout and product placement
- Answered customer questions and provided detailed product information
- Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise
- Managed returns, exchanges and refunds in accordance with store policy
- Trained new team members by relaying information on company procedures and safety requirements
- Maintained up-to-date knowledge of store policies and procedures, ensuring compliance in all transactions.
Education
Lone Star College System
High School Diploma - undefined
Nimitz High School
05.2013
Skills
- Data Entry
- Teambuilding
- Clerical Support
- Customer Relationships
- ICD CPT and HCPSC Knowledge
- HIPAA Compliance
- Organizational skills
- MS Office
- TELCOR Software Proficiency
- Computer Proficient
- Microsoft Excel
- Medical Terminology
- Billing software
- Problem-solving abilities
- Multitasking Abilities
Certification
Medical Billing and Coding - Education to Go, 2021
Timeline
Package Handler
Fed Ex Ground
08.2024 - 09.2024
AR Billing Specialist
Trident Care
06.2021 - Current
Cashier/Stocker/Sales Associate
Office Depot
08.2015 - 05.2021
High School Diploma - undefined
Nimitz High School
Lone Star College System
Similar Profiles
Sheryl DrurySheryl Drury
X-Ray Technician at Trident CareX-Ray Technician at Trident Care
Maddison GudgelMaddison Gudgel
Regional Compliance Officer & Manager at Trident CareRegional Compliance Officer & Manager at Trident Care
Kelly HodgsonKelly Hodgson
Radiologic Technologist at Trident CareRadiologic Technologist at Trident Care
Angelica MyersAngelica Myers
Customer Service Representative at ASC HoustonCustomer Service Representative at ASC Houston
Nazanine "Ashley" PillsburyNazanine "Ashley" Pillsbury
Senior Manager of People and Culture at Shipley DonutsSenior Manager of People and Culture at Shipley Donuts