Jada Jones-Kemp
Account Resolution Specialist
Augusta,GA
Summary
Self-motivated competent Accounts Receivable Specialist bringing 20 years of experience carrying out all accounts receivable functions in high volume environments. Proficient in tracking payments, resolving billing and insurance collection issues, and revenue cycling management. Recognized as dedicated professional driven for professional growth, increased responsibility, and the opportunity to apply extensive medical experience in a challenging environment while maintaining composure and prioritizing job functions. Promotes team values, morale, meet team targets and enhance bottom-line performance.
Overview
30
30
years of professional experience
Work History
Account Resolution Specialist
Cuurance, Inc
Phoenix, AZ
10.2021 - 06.2022
- Monitored aging accounts and reached out to customers to discuss payments.
- Negotiated arrangements to manage defaults, payment plans or full remittance of balance owed.
- Documented all actions performed and interactions with customers.
- Completed in-depth research to investigate claims and resolve problems.
- Assessed individual situations and developed effective and appropriate resolutions.
- Negotiated to collect balance in full.
- Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
- Achieved performance goals on consistent basis.
- Researched accounts and completed due diligence to resolve collection problems.
- Maintained high volume of calls and met demands of busy and productive group.
Insurance Collection Specialist
Northside Hospital
Atlanta, GA
01.2018 - 09.2021
- Reviewed account information from various sources (online data, hard copy reports, billing forms, itemized bills, etc.) To discuss account conditions with payor sources.
- Place telephone calls to appropriate insurance companies and or patients to obtain payment arrangements on outstanding accounts.
- Rebill accounts, as necessary.
- Monitor delinquent accounts and escalate follow-up activity as appropriate.
- Review account information to determine the accuracy of contractual adjustments to account balances.
- Recommend Bad Debt write off account balances as appropriate.
- Utilize a line system to pre-list accounts for write-off.
- Refer accounts to appropriate departments for necessary actions to be taken for claims
- Answer inquiries from insurance companies regarding account conditions, payment arrangements, etc.
- Records information regarding accounts reviewed and actions taken via the online system.
- Executed billing tasks and recorded information in company databases.
- Responded to customer concerns and questions on daily basis.
Insurance Collection Specialist
HCA Parallon Shared Services
Norcross, GA
01.2014 - 12.2017
- Maintain current knowledge of all office operations, job-specific requirements, and related regulations.
- Review all claims for completeness, the reasonableness of charges, and appropriateness of billing codes, and payer information
- Pursue timely collection of each claim using thorough follow-up efforts appropriate to each payer
- Review corrections and ensures the legibility of outgoing secondary bills, and other correspondence before sending
- Handle all incoming phone calls and inquiries appropriately
- Process and respond to incoming correspondence
- Effectively communicate with all parties involved in the resolution of accounts placed
- Complete work requests timely and under instruction
- Perform all the tasks necessary to maintain current and accurate account information in each of the appropriate systems (i.e., entering notes, claims on hold)
- Forward and logs all documentation related to processes and duties which are transferred to other employees
- Escalate problem accounts, as well as related questions, to his/her immediate supervisor’s attention
- Exercise good judgment and makes sound decisions in the absence of detailed instructions or an emergency
- Treat client requests with high priority
- Responded to customer concerns and questions on daily basis.
Insurance Verification/Collection/Insurance Billing Specialist
Compass Mental Health Systems
Miami, FL
01.2012 - 12.2014
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Communicated verification and authorization status updates with appropriate departments to facilitate decision-making for patient admissions and insurance coverage.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Carried out front office duties utilizing data entry skills in framework of medical database.
- Received, recorded and addressed incoming and outgoing communication via telephone and email.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Managed office bookkeeping with insurance billing and patient payments.
Virtual Executive Assistant to CEO (part-time)
Thaimani Group
Conyers, GA
01.2009 - 12.2012
- Responded to emails and other correspondence to facilitate communication and enhance business processes.
- Organized and coordinated conferences and monthly meetings.
- Processed travel expenses and reimbursements for executive team and senior management group.
- Organized envelopes, postage and mail correspondence for staff and management, maintaining postage meter and coordinating with delivery and courier services.
- Produced accurate office files, updated spreadsheets and crafted presentations to support executives and boost team productivity.
- Created expense reports, budgets and filing systems for management team.
- Screened calls and emails and initiated actions to respond or direct messages for managers.
- Developed and updated spreadsheets and databases to track, analyze and report on performance and sales data.
- Transcribed minutes of meetings and executed meetings and events for company to support sales, business development and senior management teams.
- Updated executives on changing business needs by thoroughly documenting internal and client meetings.
- Developed and maintained automated alert system for upcoming deadlines on incoming requests and events.
- Filed paperwork and organized computer-based information.
- Handled incoming and outgoing mail, email and faxes.
- Managed mail and both incoming and outgoing correspondence, mail, email and faxes.
- Managed and reviewed filing and office systems.
- Took notes and dictation at meetings.
- Coordinated events and worked on ad hoc projects.
- Screened personal and business calls and directed to appropriate party.
- Created and managed office systems to efficiently deal with documentation.
- Wrote reports, executive summaries and newsletters.
Financial Collection Service Representative
Miami Dade County Finance Department
Miami , FL
01.2006 - 12.2009
- Worked with clients to develop financial planning strategies and solutions through evaluation of finances.
- Built and deepened productive relationships with prospective and competitive customers to drive sustained growth.
- Conduct financial background investigations
- Collect past due and delinquent balances from debtors
- Search County system for information regarding debtors
- Set up meetings with debtors to discuss and verify Medicaid and Social Security benefits
- Handled all incoming calls from patients and debtors in regards to disputes
- Obtain and review legal packages from different entities for collections and settlement negotiations
- Set up payment arrangements or settlements with clients
- Searched recorded court documents of liens from Jackson Memorial or other county departments
- Create and Execute Authorization for Suit and possible legal action.
- Data Entry
- Payment Posting
Insurance Billing/Collection Specialist
North Broward Hospital District
Fort Lauderdale, FL
01.2004 - 12.2006
- Negotiated to collect balance in full.
- Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
- Processed payments and applied to customer balances.
- Achieved performance goals on consistent basis.
- Processed payments and contracts on accounts.
- Researched accounts and completed due diligence to resolve collection problems.
- Government and Commercial Collections
- Work daily Insurance rejection reports, EOMB's
- Medical ICD/CPT Coding
- Secondary Billing
- Insurance Follow-up and Appeals
- Payment Posting
Medical Billing/Medical Billing/Registration Representative
Memorial Healthcare System
Hollywood, FL
01.1997 - 12.2001
- Posted and adjusted payments from insurance companies.
- Precisely evaluated and verified benefits and eligibility.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Determined prior authorizations for medication and outpatient procedures.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Evaluated patients' financial status and established appropriate payment plans.
- Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Promptly sent out and posted all medical claims.
- Confidently and adeptly handled claim denials and/or appeals.
- Diligently filed and followed up on third party claims.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Collected payments and applied to patient accounts.
- Filed and updated patient information and medical records.
- Posted payments and collections on regular basis.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Reviewed patient records, identified medical codes and created invoices for billing purposes.
- Adhered to established standards to safeguard patients' health information.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Prepared accounts with past due balances and transferred those cases to collection agency.
- Liaised between patients, insurance companies and billing office.
- Orchestrated medical coding, payment posting, accounts receivables and collections.
- Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Medical Executive Assistant
Medical Office Of Dr. Michael J. King
Miami Beach, FL
06.1994 - 12.1997
- Responded to emails and other correspondence to facilitate communication and enhance business processes.
- Organized envelopes, postage and mail correspondence for staff and management, maintaining postage meter and coordinating with delivery and courier services.
- Coordinated Patient Scheduling, and Prepared Agenda Calendar
- Produced accurate office files, updated spreadsheets and crafted presentations to support executives and boost team productivity.
- Prepared Billing information for Claims Submission
- Insurance Verification
- Insurance Follow-up
- Charge and Payment Posting
- Supervised and handled all Claims Management and Account Receivables
- Assisted Dr. and Nurse with preparing patients for examination
- Screened calls and emails and initiated actions to respond or direct messages for managers.
- Transcribed minutes of meetings and executed meetings and events for company to support sales, business development and senior management teams.
- Worked collaboratively with auditors throughout reviews, offering assistance and clerical support.
- Filed paperwork and organized computer-based information.
- Answered high volume of phone calls and email inquiries.
- Handled incoming and outgoing mail, email and faxes.
- Managed mail and both incoming and outgoing correspondence, mail, email and faxes.
- Greeted arriving visitors, determined nature and purpose of visit and directed individuals to appropriate destinations.
- Managed and reviewed filing and office systems.
- Took notes and dictation at meetings.
- Screened personal and business calls and directed to appropriate party.
- Created and managed office systems to efficiently deal with documentation.
Education
High School Diploma -
Miami Central Senior High School
Miami, FL06.1994
Skills
- Accounts Payable and Accounts Receivable
- Negotiation and Resolution
- AR Aging Reports
- Workflow Processes
- Account Resolutions
- Healthcare Terminology
- Denial Appeals Process
- Insurance Company Communication
- Filing Appeals
- Medical Billing and Collections
- Customer Care
- Organizational Skills
- Administration and Management
Timeline
Account Resolution Specialist
Cuurance, Inc
10.2021 - 06.2022
Insurance Collection Specialist
Northside Hospital
01.2018 - 09.2021
Insurance Collection Specialist
HCA Parallon Shared Services
01.2014 - 12.2017
Insurance Verification/Collection/Insurance Billing Specialist
Compass Mental Health Systems
01.2012 - 12.2014
Virtual Executive Assistant to CEO (part-time)
Thaimani Group
01.2009 - 12.2012
Financial Collection Service Representative
Miami Dade County Finance Department
01.2006 - 12.2009
Insurance Billing/Collection Specialist
North Broward Hospital District
01.2004 - 12.2006
Medical Billing/Medical Billing/Registration Representative
Memorial Healthcare System
01.1997 - 12.2001
Medical Executive Assistant
Medical Office Of Dr. Michael J. King
06.1994 - 12.1997
High School Diploma -
Miami Central Senior High School
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