Felicia Jones
Brandon
Summary
An organized team leader builds positive rapport, inspires trust, and guides teams toward the achievement of organizational goals. Strong facilitator adept at working cross-departmentally with co-management and top-level leadership. Excellent trainer and mentor.
Overview
35
35
years of professional experience
1
1
Certification
Work History
Medical Insurance Collector
Meduit
06.2023 - Current
- Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
- Resolved discrepancies with insurance companies regarding claim payments.
- Contacted insurance companies to check status of claim payments.
- Analyzed trends in denials and rejections of submitted claims for reimbursement purposes.
- Reviewed claims for accuracy before submitting for billing.
- Ensured compliance with HIPAA regulations related to patient privacy rights.
- Investigated denied claims to determine cause of denial and appeal as necessary.
- Conducted research on unpaid bills to resolve outstanding balances due from patients and insurance companies.
- Reviewed, analyzed, and processed medical claims for accuracy and completeness.
- Recorded information about status of collection efforts.
- Accurately processed large volume of medical claims every shift.
- Wrote appeal letters to insurance companies for denial of claims.
- Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
- Verified patient information and insurance coverage.
- Worked collaboratively with other departments to ensure timely resolution of outstanding debts.
- Worked with cross-functional teams to achieve goals.
- Maintained updated knowledge through continuing education and advanced training.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
- Operated equipment and machinery according to safety guidelines.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
Medical Collections Specialist
Radiology Partners/ Orion Medical Management
11.1994 - 03.2023
- Provide training to teammates, including new hires
- Provide enhanced training and assist staff with techniques to increase production, quality and collections
- Review and provide leadership with daily/ weekly/ monthly productivity reporting
- Responsible for all aspects of account follow-up and collections, including processing appeals
- Review explanation of benefits (EOBs) to ensure proper reimbursement of claims and report any problems, issues, or payer trends
- Analyze accounts and determine next appropriate action for account resolution
- Identify, resolve and escalate trends to ensure timely payment
- Collaborate with management to reduce aging of accounts by providing verbal and written communication
- Work with payers to determine reasons for denials; correct and reprocess claims for reimbursement in timely manner
- Accurately and thoroughly document pertinent collection activities in appropriate system
- Maintains HIPPA patient confidentiality standards for medical and financial information
- Processed billing calls and answered questions from patients and third-party carriers.
- Corrected, completed and processed claims for multiple payer codes.
- Processed online and paper appeal submissions and refund requests.
- Entered client details and notes into system for interdepartmental access and review.
- Processed debtor payments and updated accounts to reflect new balance.
- Worked with customer to create debt repayment plan based on current financial condition.
- Listened to customers and negotiated solutions that met creditor and debtor needs.
- Located customers with overdue accounts and solicited payment in compliance with fair debt collection practices.
- Advised customers of alternative actions and strategies for debt repayment and attempted to avoid adversarial communications.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Carried out day-day-day duties accurately and efficiently.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
Collection Supervisor
Carnahan & Associates/ Billing Alternative, Inc.
08.1992 - 10.1994
- Established and updated work schedules to account for changing staff levels and expected workloads.
- Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
Customer Service Sales Representative
Signature Group Assc
05.1991 - 08.1992
- Followed up with customers after completed sales to assess satisfaction and resolve technical or service concerns.
- Showcased product features to customers and discussed technical details to overcome objections and lock in sales.
- Computed total costs and profit requirements for customer sales to provide accurate pricing.
- Completed daily outbound call goals.
Cashier
Hardee's Restaurant
02.1990 - 05.1991
- Operated cash register for cash, check and credit card transactions with excellent accuracy levels.
- Worked flexible schedule and extra shifts to meet business needs.
- Helped customers complete purchases, locate items and join reward programs.
- Restocked and organized merchandise in front lanes.
- Answered questions about store policies and addressed customer concerns.
- Worked closely with shift manager to solve problems and handle customer concerns.
- Answered questions about store policies and addressed customer concerns
- Greeted customers entering store and responded promptly to customer needs
Education
Associate of Applied Science - Business
International Technical Institute
Tampa, FLSkills
- Task Monitoring
- Production Monitoring
- Ability to Motivate and Encourage Team
- Microsoft outlook
- Microsoft Teams
- Microsoft Excel, Word, and PowerPoint
- Video Conferences-Ring Central, Zoom, and Teams
- Imagine Certified Professional
- HIPAA compliance
- Insurance verification
- Denial management
- Account reconciliation
- Team collaboration
- Problem solving
- Trend analysis
- Communication skills
- Analytical thinking
- Dispute resolution
- Creative problem solving
- Time management
- Electronic health records (EHR)
- Reliability
- HIPAA compliance awareness
Certification
Imagine Software Certification
Skills
- Vital Works Billing Software
- CMS.Gov - Medicare and Medicaid National policies
- Avality/ Essentials Web portal
- Financials Billing Software
- Meditech
- Imagine Billing Software
- CMS.gov
Timeline
Medical Insurance Collector
Meduit
06.2023 - Current
Medical Collections Specialist
Radiology Partners/ Orion Medical Management
11.1994 - 03.2023
Collection Supervisor
Carnahan & Associates/ Billing Alternative, Inc.
08.1992 - 10.1994
Customer Service Sales Representative
Signature Group Assc
05.1991 - 08.1992
Cashier
Hardee's Restaurant
02.1990 - 05.1991
Associate of Applied Science - Business
International Technical Institute