Summary
Overview
Work History
Education
Skills
Accomplishments
Reading,gardening,mentoring
Work Availability
Timeline
Generic

DENITRA JONES

Trussville,AL

Summary

Proven skills in revenue cycle management for medical facilities such as Mainstreet Family Urgent Care. Proficient in reducing debt, collecting payments, and collaborating with insurance companies to resolve concerns. Talented communicator and practiced multitasker. Detail-oriented Revenue Cycle Specialist with a systematic nature and good grasp of billing processes. Successful planner and problem-solver. Ready to apply for 20 years' experience and take on a challenging role. Experienced medical billing professional adept at working with Docutap and ICD-9 codes. Analytical and knowledgeable specialist offers effective resolutions for current concerns and ideas for future improvements. Proactive and tenacious with adaptable nature and superior work ethic.

Overview

23
23
years of professional experience

Work History

Revenue Cycle Specialist

MAIN STREET URGENT CARE
Birmingham , AL
2020.11 - Current
  • I maintain a database of patient accounts and billing information while preparing and submitting claims to insurance companies, patients, and other payers and post payments
  • I also follow up on delinquent, rejected, and denied claims to make sure are processed within timely filing address billing issues and inquiries with patients offering professional customer service in a positive effort to resolve concerns may have also managed and processed medical record requests.
  • Follows up by phone on all unpaid and denied claims
  • Reviews all funding invoices to determine the correct billing method.
  • Specialized in Medicaid billing and refile corrected claims.

Deli Clerk

PUBLIX
Hoover , AL
2018.12 - Current
  • Providing responsive, exceptional service to deli counter customers by answering questions, making recommendations, providing samples, and responding to request
  • Recommending,slicing, weighing, packaging, and pricing meats and cheeses.

Occupational Medicine Coordinator

AMERICAN FAMILY CARE
Birmingham , AL
2015.02 - 2020.03
  • Create and maintain occupational medicine and workers' compensation protocols for customers based on input from sales staff
  • Ensure accuracy of new account setups and updates by reviewing setup with customers
  • Maintain a log of protocol changes
  • For geographically dispersed customers and employees, arrange for physicals, drug screens, and breath alcohol tests (BAT) through use of network of providers Identify and record providers across network of providers Identify and record providers
  • Manage DOT and non-DOT drug screens for assigned clinics including charge entry, billing, auditing, and mail
  • Conduct activities preliminary to MRO review, such as calling patients and obtaining copies of prescriptions
  • Prepare and audit monthly invoices for accounts Regular attendance to ensure efficient operations
  • Light filing of company medical records.

Jewelry Sales Associate, Up Specialist

BELK, AMERICAN FAMILY CARE
Birmingham , AL
2016.11 - 2018.01
  • Greets customers and determines needs based on what customer is looking for
  • Ticket and arrange fine jewelry
  • Meet and exceeds daily sales goal
  • Perform opening and closing duties Insurance Follow.

2015.02 - 2017.07
  • Review, research, and follow-up on unpaid claims and denials
  • Maintain and apply current knowledge of Tricare and ChampVA rules and regulation on all state and federal levels Received incentive bonus for working in a timely manner to keep AR trending downward Work correspondence to facilitate payments from insurance or patient depending on need.

Physician's Billing Clerk

SOUTHERN CARE HOSPICE
Birmingham , AL
2009.09 - 2014.08
  • Handled filing and entering patient bills into computer system
  • Ensured all physicians, ambulance, and laboratory bills were paid
  • Answered calls from nurses and vendors about patients and payment information.

Commercial Insurance Clerk

SOUTHERN CARE HOSPICE
Birmingham , AL
2007.01 - 2009.09
  • Verified all commercial insurance
  • Received all insurance calls regarding patient information Entered all commercial insurance admits for Sun
  • Coast.

Insurance Verification Representative

AMERICAN FAMILY CARE
Hoover , AL
2006.08 - 2007.01
  • Modified and edited insurance information
  • Identified and corrected insurance errors Maintained relationships with various clinic locations to correct patient information
  • Processed insurance claims in a timely manner.

Customer Service Representative

AMERICAN FAMILY CARE
Hoover , AL
2005.01 - 2006.08
  • Accessed customer information in a effort to assist with patient account issues
  • Responded to customer inquiries concerning medical billing Managed delinquent accounts and collect past due accounts.

Education

Bachelor of Science - Forensic Psychology

Faulkner University
Montgomery, AL
05.2026

High School Diploma -

CHRISTIAN EDUCATORS
Birmingham, AL
04.2022

No Degree -

Woodlawn High School
Birmingham, AL

Skills

  • Expertise in ICD -9 coding
  • Impact Assessment
  • Relationship Building
  • Problem Solving
  • Analytical Thinking
  • Quality Evaluation
  • Team Training and Mentoring

Accomplishments

  • Insurance Verification
  • Workers' Compensation
  • Occupational Health Experience Occupational Health Experience Analysis Skills
  • Medical Coding Medical Records
  • CPT Coding
  • Medical Billing Accounts Receivable
  • O ICD-10
  • Hospital Experience
  • Dispatching Additional Information Core Competencies
  • Comprehensive knowledge of medical coverage and fee for service
  • Knowledge of medical terminology and insurance coding Possess excellent interpersonal and analytical skills
  • High organizational skills with the ability to multi-task
  • Proficient in Microsoft Office and digital spreadsheets.

Reading,gardening,mentoring

My hobbies are reading books and gardening. Along with this, I also like cooking. with gardening keep my yard upkeep is a major goal, better on a casual level apart of many other goals.



I like participating in volunteer activities especially teaching and mentoring underprivileged kids. I have been associated with a few non-profit organizations and I like spending my weekends helping these with different activities from teaching to organizing interesting games and activities to make learning fun for kids.

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Revenue Cycle Specialist

MAIN STREET URGENT CARE
2020.11 - Current

Deli Clerk

PUBLIX
2018.12 - Current

Jewelry Sales Associate, Up Specialist

BELK, AMERICAN FAMILY CARE
2016.11 - 2018.01

Occupational Medicine Coordinator

AMERICAN FAMILY CARE
2015.02 - 2020.03

2015.02 - 2017.07

Physician's Billing Clerk

SOUTHERN CARE HOSPICE
2009.09 - 2014.08

Commercial Insurance Clerk

SOUTHERN CARE HOSPICE
2007.01 - 2009.09

Insurance Verification Representative

AMERICAN FAMILY CARE
2006.08 - 2007.01

Customer Service Representative

AMERICAN FAMILY CARE
2005.01 - 2006.08

Bachelor of Science - Forensic Psychology

Faulkner University

High School Diploma -

CHRISTIAN EDUCATORS

No Degree -

Woodlawn High School
DENITRA JONES