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
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
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