JEANNETTE HOSIER
Greensboro,NC
Summary
Efficient billing professional with 5 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. Passionate about perpetuating company values through impeccable work ethic and drive.
Overview
14
14
years of professional experience
Work History
Insurance Billing Specialist
Dermatology Specialists
11.2023 - 04.2024
- Handling commercial claims with dermatologists office, handling daily deposit
- Process claims and handling denials
- Insurance verification and inputting claims to carrier websites
- Post ERA and payments with eclinicalworks
- Collaborated with medical staff to obtain necessary documentation, enabling timely submission of accurate claims.
- Assisted patients in understanding their coverage benefits, providing clear explanations and addressing any concerns or questions.
- Enhanced claim accuracy by meticulously reviewing and verifying patient insurance information.
- Handled account payments and provided information regarding outstanding balances.
- Minimized errors in claims submissions through regular cross-checking of CPT and ICD codes against medical documentation.
- Verified accuracy of accounts payable payments, resulting in 70% reduction in payment errors and check reissues.
- Increased revenue collection by diligently pursuing outstanding claims and negotiating with insurance companies.
- Ensured strict adherence to HIPAA guidelines while handling sensitive patient information during the billing process.
Insurance Biller
Cone Health
03.2020 - 07.2023
- Handled workers compensation claims from pre-billing to denials
- Working with workers compensation carrier and individual employer
- Assisted patients with understanding their insurance benefits and financial responsibility, fostering positive relationships.
- Maintained excellent professional relationships with insurance company representatives, facilitating efficient claim processing and reimbursement.
Healthcare Concierge Specialist
HealthTeam Advantage
08.2018 - 03.2019
- Implemented procedures to increase efficiency and output and increase in patient satisfaction
- Assisted elderly patients with process to enroll into Medicare Advantage insurance plans
- Recorded and input patient information into database; accurately performed data entry
- Handled billing, follow up, and denial management of Medicare claims to assure timely completion
- Proficient in billing requirements and regulatory changes effecting Medicare billing
- Communicated with insurance companies to process coverage denials and third-party insurance paperwork.
Healthcare Billing Specialist
LabCorp of America
05.2017 - 05.2018
- Performed ICD-10 diagnostic codes for testing
- Increased efficiency and organization by developing improved billing processing procedure
- Composed professional correspondence, assuring proper representation of company policies
- Triaged communications with patients in fast-paced medical environment
- Collaborated with medical personnel to deliver efficient, comprehensive service; provided patient education on insurance and benefit options and resources
- Utilized effective communication and interpersonal skills while corresponding through phone and e-mail.
Medicare Specialist
BlueCross Blue Shield of North Carolina (Manpower)
06.2015 - 04.2017
- Adhered to all Medicare guidelines with reference to Center for Medicare and Medicaid Services (CMS) manuals
- Educated low-income, underserved patients on community resources to ensure receipt of proper care and access to medical services
- Demonstrated highest level of professionalism and confidentiality through interactions with medical professionals, patients, and insurance companies
- Provided exceptional customer service by determining and meeting patients' unique needs; built positive rapport with patients and stakeholders
- Facilitated, analyzed, and resolved customer issues with sense of urgency and empathy.
Benefit Specialist
AON (Randstad)
08.2010 - 06.2015
- Complied with company policies including Privacy/HIPAA and other regulatory, legal, and safety requirements
- Managed benefit vendors to ensure successful execution of employee benefit programs maximizing vendor value
- Served as subject matter expert on HSA and HRA plans
- Reviewed and worked with key stakeholders to ensure compliance for all benefit programs
- Completed employee enrollment into benefits and flexible spending accounts
- Led trainings and one-on-one consultation sessions to explain benefits to employees.
Education
MEDICAL OFFICE ADMINISTRATION - CONCENTRATION IN HEALTHCARE MANAGEMENT
GUILFORD TECHNICAL COMMUNITY COLLEGE
Greensboro, NC06.2020
Skills
- Medical Billing
- Revenue Cycle Management
- Claims Processing
- Medical Terminology
- Medicare
- Analytical Skills
- Medical Billing Software Proficiency
- HIPAA Compliance
- Insurance Verification
- Payment posting
Timeline
Insurance Billing Specialist
Dermatology Specialists
11.2023 - 04.2024
Insurance Biller
Cone Health
03.2020 - 07.2023
Healthcare Concierge Specialist
HealthTeam Advantage
08.2018 - 03.2019
Healthcare Billing Specialist
LabCorp of America
05.2017 - 05.2018
Medicare Specialist
BlueCross Blue Shield of North Carolina (Manpower)
06.2015 - 04.2017
Benefit Specialist
AON (Randstad)
08.2010 - 06.2015
MEDICAL OFFICE ADMINISTRATION - CONCENTRATION IN HEALTHCARE MANAGEMENT
GUILFORD TECHNICAL COMMUNITY COLLEGE
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