Danette D Jenkins

Assigned procedural codes per American Medical Association CPT manual and payer policies.

Assigned diagnosis codes according to ICD-9 and ICD-10 official guidelines.

Utilized knowledge of modifiers, CCI edits, and HCPCS for compliance with regulations.

Resolved coding-related issues through established Epic charge review work queue functionality.

Collaborated with clinical auditors to identify improvement opportunities and guide providers.

Monitored environmental conditions to protect health information security.

Maintained departmental awareness by attending meetings and reviewing organizational communications.

Ensured compliance with personnel policies and maintained productivity and quality standards.

• Processed insurance claims, reconciling discrepancies for accurate patient reimbursements.
• Reviewed medical documentation for compliance with reimbursement policies.
• Communicated with healthcare providers to obtain necessary claims information.
• Utilized billing software to track claim statuses and resolve issues swiftly.
• Collaborated with finance teams to streamline reimbursement workflows efficiently.
• Investigated denied claims and initiated successful appeals with insurers.
• Maintained updated knowledge of reimbursement regulations and payer guidelines.
• Collected coinsurance and deductibles from patients for provided services.

• Processed payments and charge entries efficiently to maintain accurate financial records.
• Resolved insurance denials, ensuring timely reimbursements and minimal revenue loss.
• Handled customer service calls to address inquiries and provide support effectively.
• Coded procedures and diagnoses on charge sheets for proper billing compliance.

• Scheduled appointments and verified insurance coverage for timely patient care.
• Performed phone triage to assess patient needs efficiently.
• Submitted claims and managed billing and coding processes accurately.

• Verified forward and return work through thorough research, ensuring accurate resolutions to discrepancies.
• Executed data entry and verification processes, enhancing data integrity for reporting and analysis.
• Organized and entered reconciling information into designated systems for accuracy.
• Maintained accurate records by diligently completing production logs to support operational goals.
• Communicated findings regarding problem depositors to management for further investigation.
• Supported supervisor in coordinating workflows and assigning duties for troubleshooting tasks.