Jacquelyn Roberts
Orlando,FL
Summary
Proven skills in revenue cycle management for medical outpatient clinic. Proficient in reducing debt, collecting payments and collaborating with insurance companies to resolve concerns. Talented communicator and practiced multitasker. Performed all aspects in the revenue cycle with high degree of accuracy.
Electronic payment poster with strong attention to detail.
Scrubbed claims for the highest level of coding specificity .
Medical biller for outpatient billing
Proficient with EMDS EHR .
Overview
22
22
years of professional experience
Work History
Revenue Cycle Specialist
Cardiovascular Interventions
Orlando , Fl
10.2002 - Current
- Produced accounting reports and provided targeted recommendations for improving revenue standing.
- Identified and corrected payment problems involving patients or third-party payers.
- Completed weekly account reconciliations to identify discrepancies.
- Analyzed claims data to identify trends in denials and rejections.
- Ensured all regulatory requirements were met when submitting claims for payment.
- Developed reports detailing billing activities, including payment trends and denial rates.
- Conducted audits of medical records to ensure compliance with payer requirements.
- Monitored accounts receivables daily to determine appropriate follow-up action needed.
- Maintained current knowledge of insurance policies, procedures, regulations, and guidelines.
- Prepared financial statements for management review.
- Assisted with the development of new processes for billing, coding, collections, and reimbursements.
- Reconciled monthly accounts receivable reports against system transactions.
- Audited payments from third-party payers to ensure accuracy of reimbursement amounts.
- Identified areas where process improvements can be made within the revenue cycle.
- Advised healthcare providers on best practices for submitting accurate claims for reimbursement.
- Reviewed patient charts for accuracy prior to submitting claims for reimbursement.
- Compiled data into weekly and monthly reports outlining performance metrics related to revenue cycle activities.
Medical Coder
Cardiovascular Interventions
Orlando , Fl
01.2002 - Current
- Completed day-to-day duties accurately and efficiently.
- Understood and followed oral and written directions.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Prioritized and organized tasks to efficiently accomplish service goals.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Displayed strong telephone etiquette, effectively handling difficult calls.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Maintained high accuracy rate on daily production of completed reviews.
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Received, organized and maintained all coding and reimbursement periodicals and updates.
- Collaborated with other departments such as billing, clinical documentation improvement, quality assurance to ensure accurate coding practices are being followed.
- Verified accuracy of procedure codes to ensure proper reimbursement levels.
- Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Validated accuracy of diagnosis codes as well as modifiers used on claims before final submission to payer and insurance companies.
- Educated staff members about new developments related to medical coding practices.
Education
Associate of Science - Medical Assistant
Orlando College
Orlando 05-1988
Skills
- Collecting payments
- Insurance collaboration
- Paperwork management
- Medical Billing
- Verifying insurance
- Claims review
- Insurance Verification
- Payment posting
- Variance Analysis
- Invoice Verification
- Statement Review
- Attention to Detail
Timeline
Revenue Cycle Specialist
Cardiovascular Interventions
10.2002 - Current
Medical Coder
Cardiovascular Interventions
01.2002 - Current
Associate of Science - Medical Assistant
Orlando College