JAMIE ANDERSON
Flushing,MI
Summary
Motivated and customer service oriented professional with a strong understanding of the importance of accurate claims processing. Adept at shifting priorities and bringing flexibility to dynamic situations. Follows policies, procedures, and guidelines to assure consistent quality. Maintains and ensures patient privacy and confidentiality.
Overview
8
8
years of professional experience
Work History
Billing Coordinator
Catalyst Behavior Solution
Sioux Falls, SD
09.2024 - Current
- Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses.
- Process and follow up on payer denials, consulting with the patient and/or his or her family as needed.
- Communicating with insurance company, medical offices and patients' representatives to track payments, research denials, and any other claims follow-up activity.
- Effective use payor portal or other payor resources to ensure efficiency
- Research and resolve insurance billing problems or issues, submitting appeals as needed
- Review AR aging to ensure compliance
- Carry out billing, collection and reporting activities according to specific deadlines
- Submit reimbursement requests to Medicaid and Commercial Payors
- Maintains confidentiality of all information.
- Follow policies and procedures related to performance metrics
- Ability to work independently as well as team
- Performs other duties as required.
Account Receivable Specialist
C West Consulting LLC
Flushing, MI
03.2023 - Current
- Checked postings and documents for correctness, accuracy and proper coding.
- Verify patients' insurance information
- Managing different clinics caseloads appropriately
- Collaborated with carriers to resolve discrepancies in insurance payments.
- Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.
- Reviewed claims for accuracy before submitting for billing.
- Accurately processed large volume of medical claims every shift.
- Inputted data into the system, maintaining accuracy of provider coding information and reported services.
- Following up with insurance carriers on aged, unresolved claims.
- Follow up on claims including calling payors and use payor portals to resolve accounts.
- Researched past due accounts and initiated collection efforts in a timely manner.
Unit Clerk
McLaren Flint
Flint, MI
06.2017 - Current
- Promptly answers telephone/call lights in a polite manner and relaying pertinent information to the appropriate staff
- Greets patient/family upon arrival to the nursing unit and assists in the transportation of patients to and from other units and test areas
- Has working knowledge of our electronic health record system and computer
- Accurately transcribes and processes physician orders
- Orders and maintains supplies and forms
- Maintains census board of admissions, discharges and transfers to and from unit and completes assigned logs
- Maintains appropriate documentation, update charts accurately and timely, anticipates admits and discharges ensuring proper paperwork is in place
- Processes orders in computer system before noting as completed
- Assists in directing patients/families as needed; treats all with respect
- Interacts professionally with patient/families and provides explanations and verbal reassurance as necessary
- Demonstrates role reflective of unit and organizational goals; communicates with patients, visitors, co-workers, physicians and other health care members
- Participates in quality assurance and quality improvement activities
- Performs all other department related duties as assigned by the RN
Patient Access Representative
McLaren Flint
Flint, MI
05.2022 - 10.2022
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Performed patient scheduling and registration
- Responds promptly, professionally and courteously to all customers’ needs.
- Cooperates and communicates effectively with all McLaren Health Care team members.
- Organizes time and prioritizes effectively.
- Supported emergency department registration during peak times, ensuring rapid patient processing.
- Registered patients by completing face-to-face interviews to obtain demographic, insurance, and medical information.
Receptionist/Medical Assistant
FRANKENMUTH MEDICAL ASSOCIATES
Frankenmuth, MI
11.2020 - 05.2021
- Collections Co-Pay Deductibles
- Co-Insurance EOBS Electronic Health Records (EHR) Electronic Medical Records (EMR)
- Front Office Operations Medical Office Procedures Scheduling Medical Terminology
- Enter data and update patient charts in Athenanet EMR and EHR Software
- Place outbound calls to schedule appointments for follow-ups.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Managed multi-line phone system and pleasantly greeted patients.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Verified patient insurance, demographic and health history to keep information current.
- Helped patients complete necessary medical forms and documentation.
- Managed master calendar and scheduled appointments for providers based on optimal patient loads and clinician availability.
- Maintained current and accurate medical records for patients.
- Completed patient referrals to other medical specialists.
- Enhanced office productivity by handling high volume of callers per day.
- Completed and filed financial documentation for accounting purposes.
Education
Associate of Science Degree - Medical Billing/Coding
Ultimate Medical Academy
Clearwater, FL06.2021
Certificate of Completion - Certified Nurse's Assistant - Nurse Aide
Baker College
Owosso, MI08.2009
Skills
- Verify patients' insurance
- Organization and Time Management
- Office Supplies and Inventory
- Claim submission
- Medical Recordkeeping
- Medical Coding
- Computer Proficiency
- Patient Billing
- Adaptable and Flexible
- Medical Records Management
- Billing Dispute Resolution
- Accounts Payable
- Data entry proficiency
- Research
- Statement processing
- Claims Processing
- Payment posting
Timeline
Billing Coordinator
Catalyst Behavior Solution
09.2024 - Current
Account Receivable Specialist
C West Consulting LLC
03.2023 - Current
Patient Access Representative
McLaren Flint
05.2022 - 10.2022
Receptionist/Medical Assistant
FRANKENMUTH MEDICAL ASSOCIATES
11.2020 - 05.2021
Unit Clerk
McLaren Flint
06.2017 - Current
Associate of Science Degree - Medical Billing/Coding
Ultimate Medical Academy
Certificate of Completion - Certified Nurse's Assistant - Nurse Aide
Baker College
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