CHRISTINE N. JEONG

• Managed initial reviews on 10 high-dollar claims daily, ensuring accuracy and compliance, and managed complex payer follow-up via phone, portal, and email
• Documented and drafted up to 150 appeals and other correspondences to payers to overturn denials or resolve payer delay and diligently followed up on appeals until exhaustion or payment resolution.

• Exceed productivity standards as outlined by business line, achieving 95%+ work quality scoring and accuracy on 50 accounts
• Researched and resolved complex medical claims issues to support timely processing.

• Analyzed claims data to identify contract discrepancy trends and assisted in review of system calculations versus payer contracts
• Contributed analytical support for reimbursement and resolution of up to 50 managed care claims daily
• Executed monthly quality audits for 10+ employees on claims billing, claim corrections, reconciliation, payment posting, refunds and credit balances and follow-up in accordance with departmental protocol to maximize patient satisfaction and profitability
• Mobilized cross functionally with payment posting team to ensure payments were posted accurately and batched daily
• Collaborated between 10 departments and 5 provider liaison representatives to resolve billing edits to ensure claims billed timely, monitored and assisted with work queues to improve EPIC EHR workflow process

SENIOR COLLECTOR II – MANAGER CARE DEPT, promoted September 2018

COLLECTOR I – MANAGER CARE DEPT, promoted October 2016

• Managed facility account follow-up regarding outpatient surgery claims including professional and institutional billing, patient account follows-up and collections and insurance claim follow-up, for up to 100 weekly Medicare, Medicaid and workers compensation claims

• Performed account follow up for hospitals or collections of small payer and workers compensation claims, patient statements, insurance follow up, account receivables and electronic Medicare billing and remittance retrieval up to 150 claims per week

• Served as subject matter expert on workers compensation claims matters within the organization, providing guidance to senior leadership on best practices and emerging trends in the industry.
• Evaluated, researched and resolved payment discrepancies on up to 20 accounts daily