Summary
Overview
Work History
Education
Skills
Affiliations
Personal Information
Certification
Timeline
Generic

JAZZLYNN WINSTON

Atlanta,GA

Summary

Versatile and resourceful healthcare professional with over seven years of outstanding customer service in healthcare and law enforcement. Experienced healthcare personnel in the revenue cycle management sector with some years of clinical experience as a Registered Medical Assistant. Strong leader and problem-solver dedicated to streamlining operations to decrease costs and promote organizational efficiency. Uses independent decision-making skills and sound judgment to positively impact company success. Continuing to aim for a lead role with knowledge and experience in digital Healthcare, particularly in Research and Medical Coding.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Account Support Specialist (Hybrid)

Northside Hospital's, Family Medicine & Dermatology
03.2022 - Current
  • APPLYING APPROPRIATE ICD-10 DIAGNOSTIC AND CPT PROCEDURE CODES FOR AMBULATORY RECORDS FOR FAMILY MEDICINE AND DERMATOLOGY
  • VALIDATE CODING BY REVIEWING DOCUMENTATION FOR ACCURACY OF ABOUT 125 PATIENTS WEEKLY
  • ASSIST WITH SUBMISSION OF CLAIMS TO INSURANCE COMPANIES & 3RD PARTY PAYERS
  • MONITOR LEVELS OF AGING AND ACCOUNTS RECEIVABLES ARE MAINTAINED
  • RESEARCH AND RESOLVE ALL INSURANCE ELIGIBILITY PRIOR TO TIME OF SERVICE
  • REVIEW DENIALS MANAGEMENT FOLLOW-UP AND APPEAL PROCESS FOR TIMELY RESOLUTION OF AGED ACCOUNTS
  • FACILITATING QUERIES FROM PATIENTS, FAMILIES, INSURANCE COMPANIES, ATTORNEYS' OFFICES TO ADDRESS QUESTIONS AND RESOLVE ACCOUNT CONCERNS
  • INPUT PATIENT INSURANCE AND UPDATE DEMOGRAPHICS IN COMPUTER SYSTEM AS NEEDED FOR CLEAN CLAIM SUBMISSION
  • BALANCE ALL DAILY CHARGES AND RECEIPTS
  • PRINTS REPORTS FOR DAILY UPDATES AND CLOSE OF DAY.
  • Streamlined internal processes for better account management and improved customer experience

Front Office Assistant

Northside Hospital's, Family Medicine & Dermatology
04.2021 - 03.2022
  • SERVES AS INITIAL PATIENT CONTACT, INITIATES PATIENT RECORD AND ACCOUNT OF ABOUT 50 PATIENTS DAILY
  • GREET PATIENT AND FAMILIES IN WELCOMING AND CARING MANNER, COURTEOUSLY ASSISTS CALLERS WITH INFORMATION AND DIRECTIONS
  • ANSWER PHONES (APPOINTMENT, BACK OFFICE, ETC.) IN COMPLIANCE WITH SERVICE GOALS
  • ACCURATELY SCHEDULES ALL CATEGORIES - NEW, ESTABLISHED, FOLLOW-UP, PROCEDURE, CONSULTATION, ETC
  • PREPARES PATIENT RECORDS AND PRINTS SCHEDULE IN PREPARATION FOR DAILY APPOINTMENTS
  • MAKE ADJUSTMENTS TO SCHEDULE AS NEEDED THROUGHOUT DAY (ADD-ONS, CANCELLATIONS, RESCHEDULED APPOINTMENTS) AND RETAINS RECORDS IF APPLICABLE
  • RESPONSIBLE FOR PATIENT REGISTRATION
  • INTERVIEWS, VERIFIES AND PERFORMS ACCURATE DATA ENTRY OF PATIENT DEMOGRAPHICS AND INSURANCE TO ENSURE INTEGRITY OF RECORDS AND MINIMIZE CLAIMS DENIAL IF APPLICABLE
  • EDUCATES PATIENTS AND MAINTAINS COMPLIANCE WITH HIPAA PRIVACY REGULATIONS AND ACKNOWLEDGEMENTS IF APPLICABLE
  • ACCEPTS TIME-OF SERVICE PAYMENTS (COPAYS, CO-INSURANCE, ETC.) AND PROVIDES APPROPRIATE PATIENT RECEIPTS.
  • Supported staff members with administrative tasks, improving productivity across various departments

Customer Service Sales Representative (Remote)

Extend Health, Atlanta, GA
09.2020 - 04.2021
  • ESTABLISH PARTICIPANT RAPPORT WITH POLITE GREETING, MAINTAINING POSITIVE ATTITUDE, AND EXUDING PERSONABLE YET PROFESSIONAL TONE INCREASING THEIR RETURN TO SHOP FOR MEDICARE NEEDS FOR ABOUT 15 RETIREES DAILY.
  • REMAIN KNOWLEDGEABLE OF SERVICES AND PRODUCTS AS FIRST POINT-OF-CONTACT FOR PRE-65 AND MEDICARE ELIGIBLE RETIREES (FROM COMPANIES SUCH AS IBM, GE, THE FORD COMPANY, AND MANY MORE) TRANSITIONING FROM EMPLOYEE GROUP COVERAGE TO INDIVIDUAL AND FAMILY PLANS AND/OR MEDICARE INSURANCE
  • EXHIBIT CALL-CONTROL BY FOCUSING ON PARTICIPANT ISSUE AND ASKING CLARIFYING QUESTIONS TO RECOGNIZE PROBLEM
  • EXCEL AT CONFLICT-RESOLUTION BY RESOLVING FUNDING ISSUES SUCH AS HEALTH REIMBURSEMENT ACCOUNT (HRA) TRANSACTION ACTIVITY, INVESTIGATING DENIED REIMBURSEMENTS THROUGH EXTENSIVE RESEARCH, AND TROUBLESHOOTING COMPANY WEBSITE AND APP ISSUES
  • ALSO INTERACT WITH MULTIPLE CUSTOMERS THROUGH VOICE OR CHATBOX PLATFORM TO PERFORM SALES AND PRODUCT INQUIRY TRANSACTIONS
  • EXTEND MESSAGES TO INTERNAL AND EXTERNAL PARTIES BY PHONE, VOICEMAIL, EMAIL, AND OTHER APPLICATIONS
  • MEET WEEKLY QUALITY MONITORING EVALUATIONS WITH AVERAGE OF 95% COMPLIANCE RATE.

911 Communications Operator

City of Atlanta Police Department, Atlanta, GA
06.2018 - 01.2020
  • THRIVE IN BUSIEST 911 COMMUNICATIONS CALL CENTER IN GEORGIA AS IT FLOODED WITH 1200+ INBOUND EMERGENCY AND NON-EMERGENCY CALLS THROUGHOUT CITY OF ATLANTA DAILY
  • SIMULTANEOUSLY OPERATED COMPUTED AIDED DISPATCH (CAD) SYSTEM, PHONE, AND MAP WHEN RECORDING CITIZENS REQUESTS
  • EXPEDITE SOLUTIONS WHEN PRESENTED WITH STRESSFUL LIFE OR DEATH SITUATIONS WHILE ABIDING BY CURRENT POLICY AND PROCEDURES
  • EFFECTIVELY COMMUNICATE WITH ALL CALLERS TO ADDRESS PUBLIC SAFETY EMERGENCIES AND INQUIRIES BY OBTAINING INFORMATION THROUGH PROBING QUESTIONS
  • TRANSCRIBE ACCURATE DATA TO DISPATCH POLICE AND FIRE TO THEIR LOCATION
  • WARM TRANSFER PANICKED CITIZENS WITH MEDICAL EMERGENCIES TO GET RAPID AMBULATORY RESPONSES FOR THEIR MEDICAL NEEDS
  • PLACE OUTBOUND CALLS TO VARIOUS COMPANIES, SUCH AS UTILITY COMPANIES FOR GAS DETECTIONS OR POWER FAILURES AND CELL PHONE PROVIDERS TO ASSIST IN LOCATING DISTRESSED CALLERS.
  • Supported public safety operations during major events by coordinating resources and relaying vital information
  • Successfully managed high-stress situations with composure, effectively coordinating multi-agency responses when needed

Registered Medical Assistant (RMA)

Clayton Medical Surgical, Jonesboro, GA
09.2014 - 08.2017
  • COMPLETE PATIENT INTAKE INCLUDING VITAL SIGNS SUCH AS BLOOD PRESSURE, PULSE, TEMPERATURE, HEIGHT & WEIGHT
  • HEARING AND VISION SCREENINGS, AS INDICATED
  • OBTAIN & DOCUMENT PATIENT HISTORY
  • MAINTAIN CONFIDENTIALITY WHILE ACCESSING AND HANDLING PATIENT AND BUSINESS DOCUMENTS
  • BE OSHA AND HIPAA COMPLIANT
  • COMPLETE ADMINISTRATIVE DUTIES INCLUDING PREPARE AUTHORIZATION, CONSENT, SCHOOL, WORK FORMS FOR PROVIDER TO REVIEW AND SIGN
  • RECORD, REVIEW, & PREPARE PRESCRIPTION REFILLS REQUEST
  • COMPLETE DRUG SCREENS FOR CONTRACTED COMPANY PRE-HIRES
  • ENSURE EXAM ROOMS ARE CLEAN AND STOCKED WITH ESSENTIAL SUPPLIES AND EQUIPMENT FOR PATIENT VISITS/PROCEDURES
  • ADMINISTER MEDICATIONS AND NON-INTRAVENOUS INJECTIONS (INTRAMUSCULAR, SUBCUTANEOUS, & INTRADERMAL)
  • DOCUMENT PATIENT CARE AND EDUCATION IN PATIENT CHART
  • ASSIST PROVIDERS WITH EXAMINATIONS, INCLUDING POSITIONING AND DRAPING PATIENT, HANDLING INSTRUMENTS IN STERILE MANNER, AND ASSISTING WITH MINOR PROCEDURES AND SURGERIES
  • PERFORM FRONT OFFICE DUTIES AS ASSIGNED
  • IDENTIFY CARE-GAPS & SCHEDULE VISITS/PROCEDURES AS NEEDED.

Education

Bachelor of Science - Health Information Management

Western Governors University
Online
01.2025

Bachelor of Science in College of Health, Health Science major with Pre-Nursing track concentration -

Clayton State University
Morrow, GA
01.2016

Medical Assistant Diploma -

Brown Mackie College
Atlanta, GA
01.2014

Skills

  • Verbal & Written Communication
  • Customer Service
  • Active Listening
  • Independent Work
  • Team-Work
  • Microsoft Office Applications
  • Windows Applications
  • Electronic Medical Records (EMR)
  • Medical Terminology
  • Computer Literacy
  • Phone Etiquette
  • Multitasking
  • Research
  • Detail-Oriented
  • Time-Management
  • Prioritization
  • Adaptability
  • Analytical
  • Financial
  • Problem-Solving
  • Critical-Thinking
  • Interpersonal
  • Palmetto GBA Services(Medicare), Availity, Medicaid & several other Insurance Verification Portals
  • Call-center, multiple calls
  • Sales
  • Marketing
  • Company Apps
  • Troubleshooting Applications
  • Outpatient coding
  • Official coding guidelines
  • Current Procedural Terminology (CPT)
  • International Classifications of Diseases(ICD)
  • Healthcare Common Procedure Coding Systems (HCPCS)
  • HCFA-1500 form (CMS-1500)
  • Cerner, Epic, Greenway
  • Outpatient Code Editor (OCE)
  • Correct Coding Initiative (CCI) edits
  • Data Analysis
  • Task Prioritization
  • Customer Satisfaction
  • Relationship Building
  • Strategic Planning
  • Conflict Resolution
  • Technical Support
  • Analytical Thinking
  • Cross-functional Teamwork
  • Decision Making
  • Time Management
  • Goal Setting
  • Problem Solving
  • Team Collaboration
  • Email Etiquette
  • Attention to Detail
  • Software Troubleshooting
  • Multitasking Abilities
  • Quality Assurance
  • Organizational Skills
  • Financial Reporting
  • Call Documentation
  • Computer Skills
  • Administrative and Office Support
  • Problem Resolution
  • Understanding Customer Needs
  • Teamwork and Collaboration
  • Customer Relations
  • Data Evaluation
  • Calm Under Pressure
  • Call Center Operations
  • Account Updating
  • Money Handling Abilities
  • Remote Office Availability
  • Multi-Line Phone Talent
  • Conflict Mediation

Affiliations

  • American Academy of Professional Coders (AAPC), 2021, Certified Professional Coder
  • American Medical Technologists (AMT), 2015, Medical Assistant

Personal Information

Title: CERTIFIED PROFESSIONAL CODER & HEALTHCARE PROFESSIONAL

Certification

Certified professional coder

Timeline

Account Support Specialist (Hybrid)

Northside Hospital's, Family Medicine & Dermatology
03.2022 - Current

Front Office Assistant

Northside Hospital's, Family Medicine & Dermatology
04.2021 - 03.2022

Customer Service Sales Representative (Remote)

Extend Health, Atlanta, GA
09.2020 - 04.2021

911 Communications Operator

City of Atlanta Police Department, Atlanta, GA
06.2018 - 01.2020

Registered Medical Assistant (RMA)

Clayton Medical Surgical, Jonesboro, GA
09.2014 - 08.2017

Bachelor of Science - Health Information Management

Western Governors University

Bachelor of Science in College of Health, Health Science major with Pre-Nursing track concentration -

Clayton State University

Medical Assistant Diploma -

Brown Mackie College
JAZZLYNN WINSTON