JACQUELINE Kennedy-Scholl
Providence,RI
Summary
Expertise in medical billing and coding, complemented by strategic problem resolution and community engagement skills. Demonstrated ability to handle confidential communications and implement effective tenant relations strategies. Organized community events while maintaining compliance with regulatory standards and managing comprehensive databases.
Overview
32
32
years of professional experience
Work History
Tenant Coordinator
Direct Actions For Rights and Equality
Providence, Rhode Island
01.2025 - 01.2026
- Resolved tenant inquiries and issues promptly to improve tenant satisfaction and retention.
- Communicated regularly with tenants to ensure satisfaction and resolve concerns.
- Developed comprehensive materials outlining tenant policies and procedures to enhance understanding and compliance.
- Coordinated community events to engage tenants and strengthen support networks.
- Managed tenant database, including contact details, lease agreements, and payment history.
- Maintained up-to-date knowledge of local housing laws and regulations.
- Provided assistance to tenants regarding property-related questions or concerns.
- Addressed root causes of eviction, foreclosure, and housing insecurity in low-income communities.
Medical Biller
ccap
Providence, Rhode Island
02.2021 - 08.2023
- Processed medical claims using billing software and electronic health records.
- Verified medical codes for diagnoses, treatments, procedures, and supplies using ICD-10 coding system.
- Contacted insurance providers to verify insurance details and secure billing authorization, ensuring accurate claim processing.
- Followed up on unpaid claims with insurance companies through phone and correspondence, facilitating timely payment resolution.
- Executed daily reconciliation of accounts receivable with payment postings in the computer system.
- Assisted with collections by contacting patients via phone, mail, or email for overdue balances.
- Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Collaborated with managers to develop strategies enhancing revenue cycle processes, contributing to improved billing efficiency.
- Performed insurance verification, pre-certification and pre-authorization.
- Maintained detailed records of billing transactions for auditing purposes.
Authorization Specialist/Denial Follow Up
Baylor Genetic Laboratory
Houston, TX
01.2016 - 01.2019
- Submitted and followed up on prior authorization, pre-certification, and pre-determination requests to facilitate timely patient access to services.
- Appealed denials of prior authorizations, advocating for patient needs and service approvals.
- Verified patient eligibility and benefits for commercial and government insurance, ensuring accurate coverage information.
- Calculated estimated out-of-pocket costs for patients based on their insurance plans.
Verification Specialist
Hillcroft Medical Clinic
Sugar Land, TX
01.2014 - 01.2016
- Verified primary and secondary insurance for two specialists and a primary care physician, ensuring accurate billing and reimbursement processes
- Collected and confirmed insurance details to assess patient eligibility for coverage.
- Reviewed patient records for accuracy and completeness.
- Coordinated with healthcare providers to address discrepancies in documentation.
- Educated patients on benefits including copay, deductible, and co-insurance, enhancing their understanding of financial responsibilities
Verification /Billing Associate
Memorial Clinical Associates
Houston, TX
01.2012 - 01.2014
- Verified commercial and government insurance for eligibility and benefit online and by telephone
- Ensured timely and accurate submission of all claims
- Followed up on open accounts receivable of assigned third-party payors promptly
- Advised patients and front desk staff on financial responsibilities, explaining co-payments, deductibles, and billing process
- Maintained confidentiality of all information and adhered to all HIPAA guidelines and regulations
Claims Specialist
Plexus Management group
Westwood, MA
01.2011 - 01.2012
- Research and resolve insurance denials
- Posted claims electronically, ensuring accurate processing in Centricity Group Management
- Followed up on A/R report to track outstanding claims and expedite resolution
- Ensured that all necessary information is properly input into the system
- Reviewed company policies to ensure compliance with regulatory standards
Executive Assistant
American Eeagle Mortgage
Warwick, RI
01.2000 - 01.2008
- Organized office calendar, scheduling appointments and meetings to optimize time management.
- Supported residential loan officers by managing administrative tasks and ensuring smooth operations.
- Coordinated verifications, appraisals, and credit reports to guarantee comprehensive documentation.
- Communicated with closing agents, realtors, appraisers, lawyers and clients to secure or provide information.
- Prepared complete and accurate loan packages for underwriter review and loan approval.
- Submitted loans through automated underwriting system.
- Facilitated the performance of the department by anticipating and attending to office tasks.
- Conducted extensive internet research on competitors and potential clients; reporting findings to Sr. Loan Officer.
Office Manager
Northeastern Medical Review, Inc.
Middletown, RI
01.1997 - 01.1999
- Coordinated workflow among four consultants and supervised three support staff, prioritizing and delegating tasks to enhance team efficiency.
- Managed accounts payable processes to ensure timely payments to vendors. and accounts receivable.
- Prepared and maintained office information, including timesheets, expense reports and contracts.
- Provided motivation and direction to create a positive work environment and ensured accurate, on-time completion.
- Directed production and timely distribution of marketing materials and reports.
- Facilitated conflict resolution between employees and management, promoting workplace harmony through effective communication. among employees and between staff and management, utilizing diplomacy and humor to resolve issues
Administrative Assistant
Yarns Unlimited
Woonsocket, RI
01.1994 - 01.1997
- Managed office calendar and coordinated travel arrangements, optimizing schedules for meetings and appointments.
- Handled high volume of incoming calls and in-person inquiries, delivering respectful service and accurate information to clients and colleagues.
- Supported Office Manager by ensuring seamless daily operations and effective communication with staff and clients.
- Coordinated marketing campaigns to enhance brand visibility and engagement.
Externship
Hillside Family Medicine
Pawtucket, RI
01.2011
- Posted claims using Athena Medical Management System, ensuring accuracy for timely processing
- Compiled and ran daily financial reports, verifying insurance information for management review
- Monitored compliance with all office standards, policies, and procedures.
- Investigated claim denials, identifying root causes to facilitate resolution
Education
AAS - Health Information Management
Bryan University
Online01-2027
Certificate - Medical Billing and Coding
Sanford- Brown Institute
Cranston, RI01-2011
Skills
- Tenant rights knowledge
- Housing policy compliance
- Tenant database management
- Tenant retention strategies
- Rent collection processes
- Rent payment processing
- Tenant policy adherence
- Tenant outreach programs
- Tenant support events
- Community relations initiatives
- Problem resolution
- Organizational management
- Financial management
- Data management
- Technical skills
- Communication skills
- Customer focus
- Team collaboration
- Service provider coordination
- Analytical skills
- Time management
- Reliability
- Analytical skills
- Community relations initiatives
Timeline
Tenant Coordinator
Direct Actions For Rights and Equality
01.2025 - 01.2026
Medical Biller
ccap
02.2021 - 08.2023
Authorization Specialist/Denial Follow Up
Baylor Genetic Laboratory
01.2016 - 01.2019
Verification Specialist
Hillcroft Medical Clinic
01.2014 - 01.2016
Verification /Billing Associate
Memorial Clinical Associates
01.2012 - 01.2014
Claims Specialist
Plexus Management group
01.2011 - 01.2012
Externship
Hillside Family Medicine
01.2011
Executive Assistant
American Eeagle Mortgage
01.2000 - 01.2008
Office Manager
Northeastern Medical Review, Inc.
01.1997 - 01.1999
Administrative Assistant
Yarns Unlimited
01.1994 - 01.1997
AAS - Health Information Management
Bryan University
Certificate - Medical Billing and Coding
Sanford- Brown Institute