EIZABETH Jones
Burlington,Washington
Summary
Organized and dedicated certified administrative medical professional, with proven track-record of providing exceptional customer service in fast-paced environments. Offering keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks. Self-motivated work ethic to perform effectively in independent or team environments.
Overview
8
8
years of professional experience
Work History
Revenue Specialist (ROPS)/HIM
DaVita
12.2021 - 07.2024
- Independently worked as part of the collections team on special projects, to reduce inventory, and meet daily, weekly, and monthly goals, while working with ongoing deadlines
- Reviewed remittance advice, analyzing payer behavior, gathering all pertinent information to reach the best outcome for timely payment
- Advanced with the Health Information Management team, put in charge of high-volume disability record set, pulling records, and submitting responses to time sensitive request at once, exceeding the expectations
- Huge emphasis on HIPAA regulations in all correspondence, whether by fax, email, or phone
Medical Billing Specialist
Radiant Physical Therapy
09.2018 - 12.2021
- Responsible for accounts receivables, L&I authorizations, and working closely with law offices that legally represented our patients for injuries sustained in a motor vehicle accident, responding to request for records and billing their office according to established rates
- Prepared and transmitted all claims on schedule, continuously following up on unpaid claims in a timely manner,
- Checked each insurance payment for accuracy and compliance with contract discounts. Researched and appealed denied claims, calling individual insurance companies regarding any discrepancies identified
- Answered all patient and insurance telephone inquiries, establishing patient payment plans and coordinating follow-up, as well as updating cash spreadsheets, and running collections reports
Authorizations Coordinator
Aesthetic Surgery Centre'
10.2016 - 09.2018
- Obtained all authorizations for a busy outpatient plastic surgery clinic, with multiple doctors seeing new patients daily, managing urgent request at once, and maintaining accurate records to ensure timely follow-up and resolution
- Verified patient eligibility, coordinating benefits, and facilitating insurance coverage, as well as addressing patient concerns regarding authorization with their health plan
- Handled all appeals, scheduling peer-to-peer discussions, drafting individualized appeal letters, having a clear understanding of the clinical information to better outline that the medical criteria has been established
- High success rate of appeal approval, which had a direct impact on the clinic’s surgery schedule and patient care
Education
Certificate of Competency - Administrative Medical Assistant
Bates Technical College
Tacoma, WA01.2013
Skills
- Medical Terminology
- Anatomy
- Microsoft Office Suite
- Coding (CPT/ICD, basics)
- Type 65 WPM
- Ten Key Mastery
- Microsoft Office Suite
- HIPAA Compliance
- Strong Verbal/Written Communication Skills
- Problem-solving abilities
- Multitasking and organization
- Attention to detail
Timeline
Revenue Specialist (ROPS)/HIM
DaVita
12.2021 - 07.2024
Medical Billing Specialist
Radiant Physical Therapy
09.2018 - 12.2021
Authorizations Coordinator
Aesthetic Surgery Centre'
10.2016 - 09.2018
Certificate of Competency - Administrative Medical Assistant
Bates Technical College
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