Everbridge
JANITRA COOPER
Revenue Cycle Specialist
Sugar Land,TX
Summary
Versatile Revenue Cycle Specialist with strong attention to detail and in-depth understanding of billing procedures. Excellent planning and problem-solving abilities. Prepared to bring 5+ years of related experience to a dynamic position with room for career growth.
Overview
8
8
years of professional experience
4
4
years of post-secondary education
Work History
Revenue Cycle Specialist
Neighbors Emergency Center
Houston, TX
12.2022 - Current
- Identify and resolve payment issues between patients and providers.
- Conduct routine audits on medical records process to ensure any and all compliance rules are met.
- Balance and reconcile accounts resulting in AR increases of $15,000+.
- Generate receivables reports and offered improvement recommendations.
- Reach out to insurance companies to verify coverage.
- Contact responsible parties for past due debts.
- Improved emergency resolution processes to save time.
- Creates and maintains precise and accurate models, charts and account reports.
Customer Service Specialist
MD Anderson Cancer Center
HOUSTON, United States
02.2018 - 11.2022
- Answered 85+ customer calls with minimal wait times.
- Clarified customer issues and determined root cause of problems to resolve product or service complaints.
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Participated in team meetings and training sessions to stay informed about product updates and changes.
- Analyzed customer service trends to discover areas of opportunity and provide feedback to management.
- Developed customer service policies and procedures to meet and exceed industry service standards.
- Utilized customer service software to manage interactions and track customer satisfaction.
- Maintained confidential patient, employee and company information in compliance with company policies and HIPAA regulatory requirements.
- Handled customer service inquiries in person, via telephone and through email.
- Identified, analyzed and researched systemic issues and made recommendations for resolution.
Referral Specialist- Team Lead
Central States Orthopedics
Tulsa, OK
05.2015 - 08.2017
- Developed and maintained courteous and effective working relationships.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Managed time efficiently in order to complete all tasks within deadlines.
- Coordinated referrals and visits for all patients in 4 clinics sites.
- Skilled in upfront collections with proven success at negotiating and resolving ARO.
- Weighed patient need, provider availability, and insurance coverage to determine optimal scheduling.
- Maintained accurate records on in-progress and completed referrals, ensuring full data integrity throughout process.
- Called insurance companies to get precertification and other benefits information on behalf of patients.
- Attended continuing education courses to stay current on referral processes and best practices.
- Developed and implemented effective strategies to increase referral sources.
- Responded to patient inquiries to offer timely updates regarding referral status.
- Facilitated referrals to other healthcare providers and resources to bridge service gaps.
- Assisted with discharge planning coordination and post-acute care referrals.
Education
Bachelor of Arts - Criminal Justice
Wiley College
Marshall, TX 08.2006 - 05.2010
Skills
Analyzing claims
Verifying insurance
Managing records
Debt collection procedures
Complaint resolution
Prioritizing calls
Dispatching field personnel
Financial and operational reporting
Coordinating documents
Excellent Communication
Analytical and Critical Thinking
Software
Mainsaver
Centricity
Microsoft OS
Adobe
MacOS
POS Systems
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Timeline
Revenue Cycle Specialist
Neighbors Emergency Center
12.2022 - Current
Customer Service Specialist
MD Anderson Cancer Center
02.2018 - 11.2022
Referral Specialist- Team Lead
Central States Orthopedics
05.2015 - 08.2017
Bachelor of Arts - Criminal Justice
Wiley College
08.2006 - 05.2010