Janay Draper
Nashville,TN
Summary
Talented Billing Representative familiar with billing standards, account assessments and collections procedures. Skilled in strengthening customer relationships, resolving issues and obtaining payments to bring accounts current. Friendly and knowledgeable professional with a diligent approach.
Overview
12
12
years of professional experience
Work History
Billing Representative
Xifin (Formerly Pathgroup Lab)
Nashville, TN
03.2021 - 06.2024
- Assist with weekly EOB scanning to be posted into the system
- Work on daily edits for covid claims
- Work with other team members to assist with edits that were piling up/special projects.
Patient Financial Services Representative
PhyMed Healthcare Group
Nashville, TN
09.2019 - 01.2021
- Assist patients with payments, insurance questions and setting up payment plans
- Checking accounts for collection status and mailing out collection letters when needed
- Entering insurance information and completing turnarounds to updated insurance information.
Billing and Reimbursement Specialist II
Express Scripts
02.2016 - 08.2019
- Navigate daily through several platforms to research and accurately finalize claim submissions
- Process claims according to client specific guidelines while identifying claims requiring exception handling
- Work on special claim projects when needed.
Insurance Billing Specialist
The Little Clinic at Kroger
07.2015 - 11.2015
- Processed refunds for patient overpayments
- Mailed out refund checks
- Reviewed credit balance reviews for overpayments and possible insurance over adjustments.
Medical Biller
Well Child Inc
08.2012 - 09.2014
- Registered patient demographics and charges in billing software for claims submission
- Submitted claims to insurance carriers on paper and electronically via carrier website or software
- Reviewed clearinghouse reports for payment errors
- Researched and resolved unidentified payments.
Education
Southwind High School
05.2010
Skills
- Medical Insurance
- Medical Billing
- Medicare/Medicaid
- Insurance Verification
- Hipaa
- Medical Coding
- Data entry expertise
- Microsoft Office
- Payment Collection
- Payment Processing
- Account Management
- Insurance Claims
- Account reviews
- Account Monitoring
- Data entry experience
References
References available upon request.
Timeline
Billing Representative
Xifin (Formerly Pathgroup Lab)
03.2021 - 06.2024
Patient Financial Services Representative
PhyMed Healthcare Group
09.2019 - 01.2021
Billing and Reimbursement Specialist II
Express Scripts
02.2016 - 08.2019
Insurance Billing Specialist
The Little Clinic at Kroger
07.2015 - 11.2015
Medical Biller
Well Child Inc
08.2012 - 09.2014
Southwind High School
Similar Profiles
Kietta HarrisKietta Harris
Insurance Verification Specialist at Pathgroup Labs/ Xifin Inc.Insurance Verification Specialist at Pathgroup Labs/ Xifin Inc.
Bri CopelandBri Copeland
EDI Analyst at XIFINEDI Analyst at XIFIN
Maria WashburnMaria Washburn
Medical Billing Specialist at XIFINMedical Billing Specialist at XIFIN