Jasmine Sessor

Initiating collection follow-on unpaid or denied claims.

• Researching, appealing and resolving insurance claims

• Following-up and collecting on electronic claims as well as correcting billing errors.

• Responding to correspondence from insurance carriers.

• Responding to patient billing inquiries.

• Scheduling, planning and implementing recruitment strategies
• Workforce planning and Organizational design with Epic
• Provided nursing staff for various medical care facilities
• Interacted with department heads to understand the staffing needs
• Reviewed daily schedules and filled in for inadequate coverage
• Reviewed all protocols to maintain quality control and patient safety
• Sound knowledge of the medical field and general nursing staff requirements
• In-depth knowledge of Hospital policies, procedures and standards
• Proficient in using telephones with multiple lines

• Prepare and submit clean claims via EDI vendor to various insurance companies in a timely manner
• Prepare and maintain billing files and records according to proper billing procedures and guidelines
• Submit claim adjustments to correct discrepancies in billing
• Prepare appeals and denial packets
• Investigate and resolve delinquent accounts
• Insured accounts are booked at the correct reimbursement
• Provide timely resolution of all claims/accounts
• Assist in closing 4 facilities for month end financials
• Worked concurrently with Wellstar

• Review medical record documentation to identify services provided by physicians and mid-level providers as it pertains to claims that are being filed
• Ensure accurate entry of work into designated billing systems
• Performs corrections for patient registration information that includes, but is not limited to, patient demographics and insurance information
• Managed large volume of medical claims on daily basis.
• Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.

• Greets patients as they arrive to suite, obtains necessary demographic and insurance information
• Reconciles billing with kept appointments/procedure logs
• Organized, collected and reconciled patient cash collections; co-pays, deductibles and co-insurance Schedule appointments for future visits and follow-up procedures
• Collects all monies due from patient at time of services, prepares payment journals, and makes bank deposits for all collections
• Consistently collaborated with clinical operations to perform impeccable customer service for all patients entering the facility
• Ran daily activity reports to capture and process all admissions/Sleep Studies/patient levels
• Inputs charges, payments and adjustments to computerized system or posting to manual records
• Schedules appointments for patients with ancillary hospital departments, service, and doctors' offices
• Prepares batch for dates of services, posts, balances and closes for the day