Cheslyn Jackson
Houston,TX
Summary
Detail-oriented Accounts Receivable Billing Representative with extensive experience in medical billing, claims processing, and payment follow-up. Resolves claim denials, submits appeals, reconciles accounts, and ensures timely reimbursement from insurance providers while adhering to healthcare billing procedures and payer guidelines.
Overview
1
1
Certification
11
11
years of professional experience
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
- Investigated and resolved claim rejections from clearinghouse, ensuring timely and accurate payment.
- Researched and submitted appeals to Medicare for denied or underpaid claims with supporting documentation, achieving successful recoveries.
- 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
- Checked benefits and eligibility, updating patient accounts to reflect accurate information.
- Communicated effectively and extensively with other departments to resolve claims issues
- Managed multiple priorities effectively by maintaining strong organization skills while handling competing deadlines within a fast-paced environment
- Managed company correspondence by organizing and responding to communications promptly.
- Demonstrated adaptability during periods of high volume or increased workload demands without sacrificing accuracy or efficiency in task completion
Package Handler (PT)
Fed Ex Ground
08.2024 - 02.2026
- Enhanced package handling efficiency through effective sorting and organizing techniques
- Reduced damage rates for packages through careful handling and adherence to safety protocols
- Maximized space utilization within trucks through effective stacking and arranging of packages, minimizing shipment delays
- Ensured safe work environment by following company policies and proper lifting techniques
- Cleared jams from conveyor system to ensure uninterrupted flow of goods. and unblocked conveyor system to maintain flow of goods.
- Contributed to warehouse cleanliness, maintaining organized workspace for efficient operations
- Supported team morale by fostering positive communication and collaboration among coworkers.
Cashier/Stocker/Sales Associate
Office Depot
08.2015 - 05.2021
- Operated cash register for cash, check, and credit card transactions with high accuracy to ensure customer satisfaction
- Greeted customers entering store and promptly addressed their needs to enhance shopping experience
- Answered customer questions and provided detailed product information
- Built relationships with customers to encourage repeat business
- Managed returns, exchanges and refunds in accordance with store policy
- Unloaded, sorted and stocked merchandise according to store layout and product placement
- Organized racks and shelves to enhance store visual appeal and engage customers with featured merchandise
- 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
High School Diploma -
Nimitz High School
TX05-2013
Lone Star College System
TXSkills
- Billing software
- Claim resolution
- Insurance verification
- Medical Terminology
- HIPAA Compliance
- Data Entry
- Clerical Support
- MS Office
- Microsoft Excel
- TELCOR Software Proficiency
- Computer proficiency
- Problem solving
- Organizational skills
- Customer Relationships
- Coding knowledge
- Insurance verification
Certification
Medical Billing and Coding - Education to Go, 2021
Timeline
Package Handler (PT)
Fed Ex Ground
08.2024 - 02.2026
AR Billing Specialist
Trident Care
06.2021 - Current
Cashier/Stocker/Sales Associate
Office Depot
08.2015 - 05.2021
High School Diploma -
Nimitz High School
Lone Star College System