Jann Meadows
Aurora,CO
Summary
Medical Billing and Coding Specialist with 14+ years providing administrative and patient support in hospital and medical office settings. Offering an additional 9 years of dental billing and management. I have advanced knowledge of private insurance processes and codes. Skilled in collecting and verifying patient demographic and insurance information and preparing and maintaining medical records. Proficient in using medical terminology and classifying diagnostic procedures, treatments and medications. Dedicated to providing highest quality care to patients. I am a knowledgeable medical office professional talented at correcting and resubmitting claims, preparing patient charts and reviewing health records to identify proper diagnosis codes for billing. I offer background in reviewing, analyzing and managing medical record information to obtain prior authorizations from insurance companies and ensure payment. I'm a hardworking professional that applies official coding conventions and rules established by American Medical Association and Centers for Medicare and Medicaid Services. I adhere to data confidentiality and privacy rules in all workflows and promote dynamic interpersonal skills.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Medical Biller and Coder
Estes Park Health
Estes Park, CO
01.2023 - Current
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Followed up with medical staff regarding missing information in patient records.
Medical Billing Specialist
Estes Park Health
Estes Park, CO
06.2010 - 06.2016
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located errors and promptly refiled rejected claims.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Identified and resolved patient billing and payment issues.
- Collected payments and applied to patient accounts.
- Posted and adjusted payments from insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Precisely evaluated and verified benefits and eligibility.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Filed and updated patient information and medical records.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Liaised between patients, insurance companies, and billing office.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Evaluated patients' financial status and established appropriate payment plans.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
- Managed collections claims for unpaid bills against estates of debtors.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Used data entry skills to accurately document and input statements.
- Responded to customer concerns and questions on daily basis.
- Audited and corrected billing and posting documents for accuracy.
- Handled account payments and provided information regarding outstanding balances.
- Monitored outstanding invoices and performed collections duties.
- Collaborated with customers to resolve disputes.
- Maintained accurate records of customer payments.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Generated monthly billing and posting reports for management review.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Delivered timely and accurate charge submissions.
- Adhered to established standards to safeguard patients' health information.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Utilized various software programs to process customer payments.
- Encoded and canceled checks using bank machines.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Dental Billing Specialist
CU Dental Faculty Practice
Aurora, CO
01.2009 - 06.2010
- Audited and corrected billing and posting documents for accuracy.
- Handled account payments and provided information regarding outstanding balances.
- Reconciled accounts receivable to general ledger.
- Monitored outstanding invoices and performed collections duties.
- Responded to customer concerns and questions on daily basis.
- Generated monthly billing and posting reports for management review.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Generated accounts payable reports for management review to aid in financial and business decision making.
- Used data entry skills to accurately document and input statements.
- Utilized various software programs to process customer payments.
- Collaborated with customers to resolve disputes.
- Maintained accurate records of customer payments.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
Medical Office Manager
Aurora Oral And Maxillofacial Surgery
Aurora, CO
01.2005 - 01.2008
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
- Addressed and remedied all patient or team member issues.
- Developed close working relationships with front office and back office staff.
- Oversaw accounting, budgeting, and financial reporting.
- Developed policies and procedures for effective practice management.
- Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction.
- Consulted with healthcare professionals on business decisions.
- Created and implemented organizational policies and procedures.
- Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
- Managed 7 employees with various personalities and from different cultures for large 2-physician practice.
- Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
- Coordinated office events, seminars and meetings for staff and clients.
- Organized and updated databases, records and other information resources.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Identified opportunities to streamline processes and improve office operations and efficiency.
- Created organized filing system to manage department documents.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
- Maintained primary relationship accountability for clients, overall servicing responsibility and client satisfaction to maximize profitability of client relationships.
- Cultivated strong relationships with vendors and partners supporting administrative operations.
- Managed supervisor itinerary and appointments and streamlined scheduling procedures.
- Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
- Created reports, presentations and other materials for executive staff.
Education
Certified Professional Coder- CPC - Medical Coding
Prestige Medical Coding Institute
Orlando, FL10.2021
Associate of Arts - General Studies
Community College of Aurora
Aurora, COSkills
- Proficiency in EPIC, Allscripts
- Certified Professional Coder
- Medical Billing Processing
- Word and Excel Processing Software
- Past Due Account Management/Collections
- Inpatient Coding
- ICD-9 and ICD-10 Coding; CPT
Certification
- CPC - Certified Professional Coder
Timeline
Medical Biller and Coder
Estes Park Health
01.2023 - Current
Medical Billing Specialist
Estes Park Health
06.2010 - 06.2016
Dental Billing Specialist
CU Dental Faculty Practice
01.2009 - 06.2010
Medical Office Manager
Aurora Oral And Maxillofacial Surgery
01.2005 - 01.2008
Certified Professional Coder- CPC - Medical Coding
Prestige Medical Coding Institute
Associate of Arts - General Studies
Community College of Aurora