Jenice B Houston
Grand Prairie,Texas
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Patient Benefit Representative
Texas Oncology
03.2019 - Current
- Obtained insurance coverage information, Prior to patient receiving Treatment
- Demographics; Review insurance coverage, benefits, co-pays, deductibles, referrals, authorizations, and out-of-pocket expenses
- Access patients’ qualification to meet expenses and discusses payment arrangements
- Review financial assistance programs as well as identify sources and help with completing forms
- Based upon diagnosis, estimated insurance coverage, and financial assistance, completes Patient Cost Estimate form
- Completes appropriate reimbursement and liability forms for patient
- S review and signature
- Send secondary Claims upon processing of primary insurance
- Responsible for obtaining, from Clinical Reviewer, insurance pre-authorization or referral approval codes prior to each treatment.
Insurance Representative
Texas Health Surgery Center
02.2016 - 02.2019
- Responsible front office duties including but not limited to; chart preparation, insurance verification, medical records, patient registration, and scheduling, performs insurance pre-certification
- Educate & advise as well as interview patients prior to surgery
- Verifies and obtains all patient eligibility, authorization, and benefits with insurance companies
- Coordinated patient information with EOB’s and payments
- Schedule patient surgical procedures and maintain the surgery schedule
- Responsible for registration functions of patient admissions, verify all information surgical procedures
- Assisting patients with completing appropriate documents, ensuring quality control and document collection of insurance cards, knowledge payers contracts including Medicare, Medicaid and other government contracts & guidelines
- Maintain accuracy as well as administering daily reports, creating the contract in order to bill claim properly, checking global notes and EMR/Clinical programs to ensure & confirm proper data & patient information match with our protocol
- Create insurance claims and implementing policies & procedures, charge capture implementing for the self pays payer, benefits investigation, Medicare/Medicaid and all major insurance carries and providers.
Direct Sales Representative
Charter Spectrum
09.2014 - 05.2016
- Provide data analysis on consumer interests, training programs and quality sales control
- Accurately completes all necessary paperwork to support sales activities in a manner consistent with guidelines, including dispositions, data entry, sales orders and sales reporting, marketing distribution.
Financial Advisor
World Financial Group
04.2010 - 09.2013
- Set up financial portfolios & provide different program options to assist in their debt elimination
- Provide awareness to the lack of financial fundamentals and necessary educational information to families that would gain knowledge and growth with managing financial stability
- Review clients’ accounts for accuracy and financial accountability and communicates to all parties, company rules & regulations resulting in life changes, economic developments or financial performance indicated a need for plan revision & financial management.
Customer Service Account Manager
Bank of America
01.2007 - 03.2010
- Successfully met sales quota 98% of overall weekly, monthly, annual and yearly company goals
- Market products and financial plans available to customers at large
- Developed full working knowledge of products/services in order to offer the best market products to the clients, with a 100% satisfaction in sales, displayed enthusiasm when working with other associates and team members, employed effective communication, problem solving skills
- Provided excellent customer service & support to the Credit business & financial service, institutions.
Education
Certification - Medical Billing And Coding
College of Healthcare Professions
Dallas05.2018
Skills
- ICD-9/CPT-10
- Medical Terminology
- Insurance Verification
- Various Medical Software
- Data Entry
- OSHA/HIPAA Compliance
Accomplishments
- Collections
- Prior Authorization
- Pre-Op Clearance
- Medical Insurance
- Master in MediSOFT
Certification
National Association for Health Professional
National Registered Certified Coding Specialist
Timeline
Patient Benefit Representative
Texas Oncology
03.2019 - Current
Insurance Representative
Texas Health Surgery Center
02.2016 - 02.2019
Direct Sales Representative
Charter Spectrum
09.2014 - 05.2016
Financial Advisor
World Financial Group
04.2010 - 09.2013
Customer Service Account Manager
Bank of America
01.2007 - 03.2010
Certification - Medical Billing And Coding
College of Healthcare Professions