Jacqueline Obieta
Battle Mountain,NV
Summary
Dynamic Medicare Biller with expertise in medical billing and denial management strategies. Proven track record of enhancing revenue collection through timely claims submission and effective problem-solving. Committed to HIPAA compliance and fostering organizational growth while providing exceptional customer service and support to colleagues.
Overview
11
11
years of professional experience
Work History
Medicare Biller
Humboldt General Hospital
01.2022 - Current
- Assisted in processing Medicare claims to ensure accurate billing.
- Learned healthcare compliance regulations to maintain billing standards.
- Collaborated with team members to resolve claim discrepancies effectively.
- Gained proficiency in using electronic health record (EHR) systems for documentation.
- Provided exceptional customer service, addressing patient inquiries about their Medicare bills in a professional manner.
- Ensured compliance with HIPAA and other relevant regulations through diligent record-keeping practices.
- Resolved complex claim denials or appeals by analyzing supporting documentation and submitting comprehensive rebuttals.
- Identified trends in claim denials, recommending process improvements that led to reduced error rates.
- Enhanced revenue collection with timely submission of accurate and complete Medicare claims.
- Played an integral role in maintaining a positive work environment by actively contributing to team meetings and consistently offering support to colleagues.
- Collaborated with medical coders to ensure proper diagnosis and procedure codes were used on all claims.
Insurance Biller
Battle Mountain General Hospital
12.2014 - 01.2022
- Processed insurance claims accurately and efficiently, ensuring timely communication with clients and payers.
- Reviewed billing statements for discrepancies, collaborating with healthcare providers to resolve issues.
- Implemented best practices for claim submission, reducing errors and improving overall billing cycle efficiency.
- Assisted in training new staff on billing procedures and systems, fostering a collaborative work environment.
- Monitored payment trends and identified areas for improvement in billing practices to enhance cash flow.
- Provided training and mentorship to new team members on best practices in insurance billing processes and software applications.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the billing process.
- Improved cash flow by reducing days in accounts receivable through timely follow-up on outstanding balances.
- Conducted regular audits of billed services to identify discrepancies and prevent potential revenue loss due to inaccuracies or fraud.
- Assisted patients with understanding their insurance benefits and financial responsibility, fostering positive relationships.
- Enhanced client satisfaction by efficiently processing insurance claims and addressing billing inquiries.
- Achieved timely resolution of denied or underpaid claims through thorough research and concise appeals submissions.
- Minimized claim errors by staying updated on insurance regulations, medical terminology, and procedural codes.
- Maintained detailed records of all transactions and correspondences to support accurate account management.
- Responded to inquiries from callers seeking information.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Calculated adjustments, premiums and refunds.
- Reviewed and verified addresses, phone numbers, names, ages and values.
- Collected premiums and issued accurate receipts.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
Education
High School Diploma -
Bonners Ferry High School
Bonners Ferry, ID06.2005
Skills
- Critical thinking
- HIPAA compliance
- Organizational growth
- Medical billing expertise
- Continuous learning attitude
- Professionalism and ethics
- Problem-solving capacity
- Denial management strategies
- Medicare and medicaid process
Timeline
Medicare Biller
Humboldt General Hospital
01.2022 - Current
Insurance Biller
Battle Mountain General Hospital
12.2014 - 01.2022
High School Diploma -
Bonners Ferry High School
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