JEANELLE CLARK
Atlanta,GA
Summary
Experienced healthcare and data professional skilled in analyzing and interpreting complex datasets to drive improvements in the healthcare industry. Recognized for collaborative approach and unwavering commitment to achieving impactful results. Reliable team player excelling at adapting to evolving project needs, leveraging analytical skills to support clinical and operational goals.
Overview
23
23
years of professional experience
Work History
Senior Admissions Coordinator
SELECT SPECIALTY HOSPITAL
10.2013 - Current
- Manages the referral intake and coordinating of admissions for hospitals in the Georgia Market for new and returning patients
- Reviews Medicare and non-Medicare insurance benefits to ensure coverage and pre-certification requirements are completed prior to admission
- Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements
- Review contracts between hospitals and insurance carriers, to identify financial risks
- Analyzes hospital reports to identify billing errors and enhance patient satisfaction scores
- Obtains prior authorizations for hospital admissions from commercial and third party payers, using ICD 10 codes and reviewing clinicals
- Project Management experience for hospital renovations; maintained communication with vendors, assisted floor staff to ensure that closed rooms or hallways did not create a barrier for admissions, assisted with completion of virtual online tour for hospital website and assisted CEO on decision making in cross function initiatives
Patient Account Representative
EMORY HEALTHCARE, THE EMORY CLINIC
09.2012 - 09.2013
- Verified and updated demographic and insurance information, processed patient payments via telephone
- Audited aged accounts including insurance status, claim filing, and overall accounting to locate any administrative errors and determine next course of action
- Collected approximately one million dollars (USD) in patient payments
- Entrusted to train new employees after being on the job for six months
Patient Account Representative Team Lead
UNIVERSITY OF MARYLAND PHYSICIANS
01.2009 - 05.2012
- Reconciled lockbox and daily deposits, posted insurance payments and rejections, and submitted claims to payers with appropriate documentation
- Entrusted with the most complex billing issues because of exceptional ability to promptly resolve concerns
- Gathered and analyzed data to reduce accounts receivable
- Promoted a positive work environment that encouraged collaboration, open communication, and high-level performance among the Patient Account Representative Team.
Regional Billing Collector
TLC HEALTHCARE SERVICES
01.2002 - 10.2008
- Responsible for cash postings, billing, and collections for Private Pay, Worker's Comp, Medicaid and Commercial Insurance accounts for 20 branch offices (company and franchise owned) spanning seven states
- Verified insurance benefits and eligibility for patients
- Resolved months of backlogged work, restored order and organization to accounts in disarray, researched and solved billing problems and corrected invoicing errors that had previously been missed
- Managed a high volume of accounts while maintaining a focus on quality control throughout the collections process.
Education
Masters - Health Administration
UNIVERSITY OF PHOENIX
Phoenix, AZBachelor of Arts - Economics
HOWARD UNIVERSITY
Washington, DCSkills
- Microsoft Office Suite
- EPIC
- Cerner
- Image Now/Perceptive Content
- PowerChart
- Allscripts
- Navihealth (Curaspan)
- Passport OneSource
- CHC Clearance (Change Healthcare)
- Problem Solving
- Analytical and Critical Thinking
- Fast Learner
- Team Player
- Excellent Communication
- Flexible
- Adaptable
- Strong Organization
Timeline
Senior Admissions Coordinator
SELECT SPECIALTY HOSPITAL
10.2013 - Current
Patient Account Representative
EMORY HEALTHCARE, THE EMORY CLINIC
09.2012 - 09.2013
Patient Account Representative Team Lead
UNIVERSITY OF MARYLAND PHYSICIANS
01.2009 - 05.2012
Regional Billing Collector
TLC HEALTHCARE SERVICES
01.2002 - 10.2008
Masters - Health Administration
UNIVERSITY OF PHOENIX
Bachelor of Arts - Economics
HOWARD UNIVERSITY