Jade Aguon
Louisville,KY
Summary
Adept at medical billing and fostering strong relationships, I leveraged skills in claims processing and team collaboration to enhance reimbursement procedures at Duke Energy. My proactive approach in benefits administration and compliance with HIPAA led to significant process improvements, underscoring my ability to drive efficiency and accuracy in high-stakes environments. Detail-oriented human resource benefits specialist with several years in benefits coordination. Advocates positive relationships between employees, employers and insurance companies. Committed and results-oriented professional willing to go above and beyond to contribute to team objectives. Highly skilled in collections with aptitude for addressing past-due accounts and cultivating satisfaction.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Reimbursement Specialist
Duke Energy
Charlott, NC
05.2021 - 06.2021
- Prepared and posted weekly payments to vendors and suppliers.
- Worked with billing department to reduce contract implementation errors.
- Generated and distributed month-end statements for customers and resolved related concerns.
- Attended seminars to remain up-to-date with coding guidelines and reimbursement requirements.
- Enforced adherence to state and federal reporting regulations by performing regular compliance audits.
- Checked claims coding for accuracy with ICD-10 standards.
- Educated physicians, staff, patients and stakeholders on service documentation for procedures and coding requirements.
- Developed strong professional rapport with vendors and clients.
- Managed all payments processing, invoicing and collections tasks.
- Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
- Identified professional development opportunities and delivered comprehensive, standardized and hands-on training to new staff.
- Reconciled codes against services rendered.
- Generated detailed financial reports for management review.
- Assessed billing statements for correct diagnostic codes and identified problems with coding.
- Collaborated with other departments within the organization to coordinate activities related to reimbursements.
- Identified opportunities for coverage access to address reimbursement barriers.
- Reviewed purchase orders, sales tickets and charge slips to compute fees or charges due.
- Reviewed legal claims for accuracy and issues.
- Participated in meetings with stakeholders to discuss current trends impacting reimbursement rates.
- Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
- Generated reports summarizing daily activity related to reimbursements and payments.
- Created receiving reports and updated vendor balance sheets to record accounts payable.
- Maintained a database of all reimbursements, payments, and other transactions.
- Collected, posted and managed patient account payments.
Benefit Verification Specialist
AmerisourceBergen
Charlotte, NC
11.2019 - 01.2020
- Managed inventory and supplies to ensure materials were available when needed.
- Verification of patients' insurance coverage with pharmaceuticals.
- Administrative duties.
- Provided support and guidance to colleagues to maintain a collaborative work environment.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Managed household errands and other essential duties.
Benefits Enrollment Specialist
Humana
Louisville, KY
10.2019 - 11.2019
- Participated in benefits renewal process, analyzing proposals and making recommendations.
- Identified opportunities to improve existing processes related to benefits administration.
- Reviewed applications for eligibility requirements prior to submission for processing.
- Coordinated annual open enrollment process, including preparation of materials, presentations, and employee support.
- Processed paperwork associated with open enrollments, terminations, life events and other related activities.
- Negotiated collective agreements on behalf of employers or workers and mediated labor disputes and grievances.
Education
Certificate - Cybersecurity
Coursera
02-2025
Certificate - Ux Ui Design
Coursera
02-2024
Certificate - Front End Dev
Coursera
11-2023
Certificate - Back End Dev
Coursera
11-2023
Certificate - Programming in Swift
Coursera
04-2023
Certificate - Ios Mobile Application Dev
Coursera
12-2022
High School Diploma -
James Madison Highschool
Norcross, GA01-2020
Bachelor of Science - Electrical Engineering
National University
La Jolla, CABachelor of Science - Biological Sciences
University of Alaska Fairbanks
Fairbanks, AKBachelor of Science - Computer and Information Sciences
Jefferson Community And Technical College
Louisville, KYSkills
- Medical billing
- Eligibility verification
- Claims processing
- Insurance verification
- ICD 9 coding
- HIPAA compliance
- Microsoft office
- Bookkeeping
- Clerical writing
- Healthcare industry
- Data recording
- Payroll coordination
- FMLA comprehension
- Benefits administration
- Special projects
- ADP workforce now
- Relationship building
- Open enrollment
Affiliations
- I love fashion, technology and cooking new recipes!
- i am family oriented
- I love music and learning new languages to sing in!
Languages
English
Professional
french
Elementary
Spanish
Elementary
Hebrew
Elementary
Italian
Elementary
Arabic
Elementary
Hindi
Elementary
German
Elementary
Accomplishments
- At AmerisourceBergen, I was the top in earning credentials with a 99.9% clearance..
Certification
- I have many certificates that I'm working on in Coursera
- I am a lkicensed travel agent
Timeline
Reimbursement Specialist
Duke Energy
05.2021 - 06.2021
Benefit Verification Specialist
AmerisourceBergen
11.2019 - 01.2020
Benefits Enrollment Specialist
Humana
10.2019 - 11.2019
Certificate - Cybersecurity
Coursera
Certificate - Ux Ui Design
Coursera
Certificate - Front End Dev
Coursera
Certificate - Back End Dev
Coursera
Certificate - Programming in Swift
Coursera
Certificate - Ios Mobile Application Dev
Coursera
High School Diploma -
James Madison Highschool
Bachelor of Science - Electrical Engineering
National University
Bachelor of Science - Biological Sciences
University of Alaska Fairbanks
Bachelor of Science - Computer and Information Sciences
Jefferson Community And Technical College
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