Billing Representative
Overview
Work History
Education
Skills
Relevant Course Work
Timeline

Jala Rucker

Telligen
Baltimore ,MD
13
years of professional experience

Dedicated and technically skilled business professional with a versatile administrative support skill set developed through experience as a Medical Operations Manager, Back and Front Office Supervisor, Medical Biller & Coder. Excel in problem solving with innovative solutions, systems and process improvements proven to increase efficiency, accounts receivables and the bottom line. Offer advanced computer skills in MS Office, especially word and excel, billing software, as well as experience in implementing multiple EHR’s and PMS.

Work History

Health Informatics Solutions Coordinator

2 Years 4 Months
Telligen | 04.2024 - Current
  • Working with a team to help implement and improve solutions that address administrative and clinical problems. I provide insightful input on contract business and requirements.
  • Skills/Duties
  • Posses knowledge in models and contracts
  • Provide support to users to understand the models
  • Communicate technical and non-technical responses/ solutions to users
  • Ability to analyze and problem solve
  • Ability to research and discover solutions for users
  • Staying up to date on any health data or clinical changes

Front Desk Coordinator / Billing Manager

6 Months
Peartree Dental Care | 10.2023 - 04.2024
  • Responsible for greeting patients, monitoring providers schedules, increase sales and explaining treatment plans

Billing Representative

1 Year 3 Months
MEDSTAR MEDICAL GROUP | 07.2022 - 10.2023
  • Responsible for generating weekly reports to monitor the number of appointments that are billed and if charges were entered correctly. Ensure patient visit notes are documented correctly. Enter and add billing charges that need to be sent out to insurance companies, as well as fix any error that may appear.
  • Results:
  • Billing cycles are completed in a timely manner
  • Charges are sent out with minimal errors
  • Organization claims are paid with little to no delay

Medical Operations Manager

7 Months
HALLIBURTON FAMILY DENTISTRY | 10.2021 - 05.2022
  • Accountable for the delivery of ongoing quality, productivity, and efficiency of a busy solo provider dental practice. Assisted in the protocol and implementation of Front and Back-office policies. Planned and developed all accounts payable policies and procedures. Verified all insurance benefits and managed the complete revenue cycle process, which included: submitting all insurance claims and appeals, managing accounts receivables, and tracking and responding to all denials.
  • Results:
  • Increased AR collection rate from 45% to 92%
  • Developed a patient collection process to include explanations of insurance benefits. Coinsurance/deductibles
  • Developed efficiency-enhancing workflow/process improvements that made it possible to accommodate increasing responsibilities necessitated by staff reductions.
  • Successfully incorporate daily Safety Huddles

Medical Assistant / Back Office Supervisor

6 Years
GASTRO HEALTH | 10.2015 - 10.2021
  • Served as the back-office supervisor for over 3 years, performing all back medical office functions, including but not limited to vital, diagnostic tests, and venipuncture.
  • Organized the back office by implementing new policies and procedures, changing order protocol, and involved staff with decision making.
  • Performed billing and coding, processed insurance claims and appeals.
  • Results:
  • Increased patient volume by rearranging back-office schedule. Decreased over time, and same day call outs by offering staff incentives for perfect attendance and exceptional work ethic.
  • By ordering supplies via internet and negotiating free shipping, office decreased supply overhead by 10% in 6 months.

Health Administration Internship

2 Months
LUTHERAN VILLAGE AT MILLER’S GRANT | 06.2021 - 08.2021
  • Assisted with the management of employee data, HR files, and PTO trackers. Gathered data for research projects and assisted with presentations. Filed and retrieved documents on residents. Performed daily rounds with staff and residents.

Front Office Supervisor

1 Year 9 Months
COLUMBIA MEDICAL SPORTS AND SPINE | 01.2014 - 10.2015
  • Managed all front desk functions for a multi-physician practice. Managed and trained all front desk staff personal. Created front office policies, and procedures, including a training manual with detailed job descriptions. Performed all billing and coding for the practice, including credentialing and maintaining up-to-date records with CAQH for provider.
  • Results:
  • Helped increase patient volume by implementing new provider scheduling templates
  • Decreased overhead by acquiring medical office assistant students to help the back flow of office
  • Increased physician revenue by $80,000 annually by bringing all outsourced functions in-house such as: billing and coding, dictation, payroll, and physician answering service.

Education

Bachelor of Science - Health Services Administration

University of Maryland Baltimore County | Baltimore, MD | 01.2021

Associates Degree - General Studies

Howard County Community College | Columbia, MD | 01.2016

Skills

Medical Practice Management
Staff Development & Training
Policies & Procedures Manuals
Referral and Pre-Authorizations
EMR/EHR (Dentrix
Epic
G-Health)
Accounts Payable/Receivable
Bookkeeping & Payroll
Payer Requirements/Negotiations
OSHA/CLIA Regulations
Billing and Coding- ICD-10
Inventory Management
Billing software

Relevant Course Work

  • Health Regulation and Quality Management 2019
  • Healthcare Organization and Delivery 2020
  • Health Planning and Administration 2021

Timeline

Health Informatics Solutions Coordinator

Telligen
04.2024 - CurrentRead More

Front Desk Coordinator / Billing Manager

Peartree Dental Care
10.2023 - 04.2024Read More

Billing Representative

MEDSTAR MEDICAL GROUP
07.2022 - 10.2023Read More

Medical Operations Manager

HALLIBURTON FAMILY DENTISTRY
10.2021 - 05.2022Read More

Health Administration Internship

LUTHERAN VILLAGE AT MILLER’S GRANT
06.2021 - 08.2021Read More

Medical Assistant / Back Office Supervisor

GASTRO HEALTH
10.2015 - 10.2021Read More

Front Office Supervisor

COLUMBIA MEDICAL SPORTS AND SPINE
01.2014 - 10.2015Read More

Howard County Community College

Associates Degree from General Studies
Read More

University of Maryland Baltimore County

Bachelor of Science from Health Services Administration
Read More
Jala Rucker