Summary
Overview
Work History
Education
Skills
Timeline

Jami M. Cox

Bordentown,NJ

Summary

Efficient billing professional with 16 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.

Overview

12
12
years of professional experience

Work History

Insurance Billing Specialist

Hamilton Surgical Services PA
Hamilton , NJ
2016.06 - Current
  • Contact all insurance companies prior to patients scheduled appointments in regards to their approval of benefits and claims
  • Provided patient support for all their insurance needs
  • Insure office practices are in compliance with HIPAA regulations
  • Send secondary claims upon processing of primary insurance
  • Actively maintains current working knowledge of CPT and ICD-9 coding principles
  • Follow up on Insurance and patient aging
  • Re-submit insurance claims as necessary.
  • Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Generated and submitted invoices based upon established accounts receivable schedules and terms.
  • Produced and mailed monthly statements to patients and assisted with related requests for information and clarification.
  • Identified, researched and resolved billing variances to maintain system accuracy and currency.

Sales and Customer Service Rep

All State Insurance Company Fay Insurance & Financial Srvs. LLC
Columbus , NJ
2014.12 - 2016.06
  • Open customer accounts by recording account information
  • Maintains customer records by updating account information
  • Resolves product or service problems by clarifying customer’s complaint; determining cause of problem; selecting and explaining best solution to solve problem; expediting correction or adjustment; following up to ensure resolution
  • Maintains financial accounts by processing customer adjustments
  • Recommends potential products or services to management by collecting customer information and analyzing customer needs
  • Contributes to team effort by accomplishing related results as needed.

Dispatcher and Billing

De Falco’s Automotive Services
Hamilton , NJ
2013.06 - 2014.09
  • Schedule and dispatch service vehicles for convenience of passengers
  • Keep record and schedules of calls received
  • Monitor and control transportation vehicles, and actions taken
  • Maintain information on each call and then prepare detailed report on all activities occurring during their shifts
  • Submit invoices for payment via internet on weekly bases
  • Maintain monthly fuel log for 12 trucks.
  • Sent out light duty drivers to assist 20 hourly callers based on locations, needs and worker availability.
  • Evaluated and adjusted over 12 routes based on daily needs, available workers, traffic hazards and weather conditions

Accurate Professional Billing
Bordentown , NJ
2012.10 - 2013.07
  • Medical Billing and Coding
  • Experience billing for Family Medicine and Specialists
  • Actively maintains current working knowledge of CPT and ICD-9 coding principles,
  • Government regulations, protocols and third party requirements regarding billing
  • Research and resolve incorrect payments, EOB rejections, and other issues with
  • Outstanding accounts
  • Strong understanding of accounts receivable follow up and health claim insurance
  • Submission
  • Insure accuracy of insurance claims
  • Verify correct ICD-9 and CPT codes for a variety of
  • Specialties
  • Utilization of NaviNet web portal, to obtain information on patient eligibility claims
  • And benefit information
  • Send secondary claims upon processing of primary insurance
  • Monthly processing of patient statements
  • Follow up on Insurance and patient aging
  • Re-submit insurance claims as necessary.

Insurance Specialist

Campus Eye Group
Hamilton , NJ
2008.06 - 2010.07
  • Contacted all insurance companies prior to patient's scheduled appointments in regards to their approval of benefits and claims
  • Verified all insurance approvals through NaviNet for Medicaid and Medicare
  • Scheduled appointments for new patients, surgery patients and for Lasik consultations
  • Provided patient support for all their insurance needs
  • Insure office practices are in compliance with HIPAA regulations
  • Tracked pending authorizations to resolve discrepancies and avoid revenue loss

Education

Medical Billing And Coding Certificate -

Windsor Institute, Lawrenceville, NJ
07.2006

High school diploma -

Nottingham High School, New Jersey
06.1998

Skills

  • Charge Slips
  • Fee and Charge Computation
  • ICD-10 Coding
  • Past Due Balance Management
  • Accounts Payable and Accounts Receivable
  • Adding, Calculating and Billing Machines
  • Discrepancy Resolution
  • Accounts Payable and Receivable
  • Administrative Support
  • Billing Data Verification

Timeline

Insurance Billing Specialist - Hamilton Surgical Services PA
2016.06 - Current
Sales and Customer Service Rep - All State Insurance Company Fay Insurance & Financial Srvs. LLC
2014.12 - 2016.06
Dispatcher and Billing - De Falco’s Automotive Services
2013.06 - 2014.09
- Accurate Professional Billing
2012.10 - 2013.07
Insurance Specialist - Campus Eye Group
2008.06 - 2010.07
Windsor Institute - Medical Billing And Coding Certificate,
Nottingham High School - High school diploma,
Jami M. Cox