Jacquenette Harper

• Posting of payments, follow up, analyze EOB’s, correspondence,
• Streamlined billing procedures for increased accuracy and timely reimbursements.
• Contributed towards a smooth functioning work environment by offering assistance when needed while maintaining a pleasant demeanor.

Reconcile payments and credit balances, overpayments, research and resolve problem accounts, identify trends and analyze root cause with accounts receivable and identify errors made within the billing or accounting process

• Navigate through various payment systems and assist with onboarding credentialing
• Submission of multi-state billing and initiate appeals, retractions and refunds
• Tracking and obtaining all MCO authorizations required for billing
• Completed account audits utilizing Excel to ensure accuracy of billing, refunds and write-offs.
• Facilitated smooth internal audits by maintaining organized documentation of all relevant financial information pertaining to revenue coordination activities.
• Conducted regular reviews of contract terms and billing processes, identifying opportunities for process improvements or system enhancements to increase efficiency and accuracy in revenue tracking.
• Supported company objectives by maintaining compliance with all relevant state and federal regulations governing medical billing practices.

• Responsible for the timely processing of insurance claims and authorizations
• Conducts prompt collection of accounts receivable by reviewing assigned accounts for problems delaying payment, and by facilitating the effective resolution of problems
• Acts as a department resource and assists teams with more complex issues
• Actively following up with insurance carriers on open insurance claims
• Supports complete and timely revenue collection from patients, third party payors, via accurate entry and/or correction of patient, charges and insurance information into the system
• Brings patterns/trends to coding and compliance, contracting and credentialing for any potential in delay/denial of reimbursement
• Assists management team with the development of protocols and procedures to include operating systems.

• Resolve multi-state Medicaid contracted and non-contracted payor accounts for DME rentals and purchases
• Reconcile rental and single case agreements and authorizations
• Identify zero dollar remits; research, identify recoupments and offsets
• Research validity of refund requests
• Initiate and follow up on appeals and requested payor specific forms
• Work denied adjustments, follow up, Created reports on excel charts for management
• Work correspondence, scan documents and link accounts
• Responsible for Identifying contract changes and investigate trends in payor policy for management.

• Resolve billing issues, interview patients, sending letters and assistance forms
• Maintaining monthly and quarterly collection scorecard on BAR Systems to management
• Investigating accounts for other insurance using various systems and via internet
• Perform skip tracing, pull credit reports and billing to commercial insurance
• Create daily reports on Excel Spreadsheet
• Succeed in reporting trends of revenue cycle, Bad Debt and exceed goals with regards to collection and aging of accounts
• Excellent written and oral communication skills
• Recommend process improvements and maintain excellent knowledge of appropriate billing and collection systems, techniques and regulations
• Negotiate settlements and initiate appeals
• Developed procedure manual for better quality performance and reliability resulting in reducing than half the training time for new future trainees.