JENNA LYONS
Missoula,MT
Summary
Hardworking Financial Counselor proudly offering over six years of experience in processing financial forms and obtaining healthcare documents. Highly trained professional with background in patient account management and meeting tight deadlines. Offering exemplary time management and issue resolution skills. I I was promoted to the Financial Counselor Supervisor, approving timecards, creating reports through analytics, monitoring nineteen employee accounts for ten hospitals, ensuring goals are met for the month, conducting daily meetings with employees. My experience also entails Medical Billing, Collections, Project Coordinator, and Office Manager duties. I have worked with various computer programs such as Microsoft Word, Excel, PowerPoint and Quick Books. Also, various hospital programs. I took on any project that was presented by the lead or supervisor including reports and follow up of accounts. I have six years' experience with healthcare Medicaid Guidelines and thirteen years' experience with general office duties, Insurance claims, customer service, answering telephones, and scheduling appointments for individuals, filing and maintenance of client files, providing support to management and clinical staff. Running errands for office needs. My Financial Counselor experience, business background and business degree make me suited for this position. I have great customer service skills and I am a fast learner. Thank you for your consideration and I look forward to discussing my qualification with you during an interview.
Overview
13
13
years of professional experience
Work History
Financial Counselor Supervisor
R1 RCM/Community Medical Center
Missoula, MT
10.2023 - Current
- Explain financial responsibilities for services received, payment options and collection procedure to patients or parties responsible for payment
- Counsel Patients regarding insurance benefits and recommend alternate sources of payment and financial assistance when appropriate
- Contact insurance carrier or other sources and act as an advocate for the patient
- Identify hospital, public and private financial assistance programs for patients unable to meet their financial obligations
- Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in completing assistance program applications and determine eligibility and coverage
- Maintain accurate documentation of pre-processing information
- Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency
- Assist with completing the deposit for the hospital on a daily basis
- Putting together the deposit when the cashier is out of the office for the next day
- Supervise nine other sites within the West Region including nineteen employees.
- Create and audit reports for each site and email financial counselors for corrections.
- Conduct weekly meetings via Teams with Financial Counselors at each hospital site.
Financial Counselor
R1 RCM/Community Medical Center
Missoula, MT
10.2021 - Current
- Explain financial responsibilities for services received, payment options and collection procedure to patients or parties responsible for payment
- Counsel Patients regarding insurance benefits and recommend alternate sources of payment and financial assistance when appropriate
- Contact insurance carrier or other sources and act as an advocate for the patient
- Identify hospital, public and private financial assistance programs for patients unable to meet their financial obligations
- Work with Case Management, Clinical Staff, Medicaid Vendor, and Family Independence Agency to assist patients and families in completing assistance program applications and determine eligibility and coverage
- Maintain accurate documentation of pre-processing information
- Provide assistance to uninsured patients and families in completing and filing Medicaid or assistance program applications with the appropriate agency
- Assist with completing the deposit for the hospital on a daily basis
- Putting together the deposit when the cashier is out of the office for the next day
- Perform all other duties and projects as assigned.
Patient Advocate
Meddata/Community Medical Center
Missoula, MT
04.2019 - 10.2021
- Screen uninsured hospital patients in an effort to determine if patient is a viable candidate for federal, state, and/or county medical or disability assistance
- Complete the appropriate applications and following through until approved
- Detailed, accurate and timely documentation in both MPower and the hospital systems on all cases worked
- Provide exceptional customer service skills at all times
- Participate in ongoing trainings in order to apply the content learned in dealings with patients and cases
- Maintain assigned work queue of patient accounts
- Collaborate with hospital staff, case managers, social workers, financial counselors
- Answer incoming telephone calls, make out-bound calls, and track (via MPower) all paperwork necessary to submit enrollment and renewal for prospective Medicaid patients
- Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible or as structured via the daily work queue
- Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted
- Request home visits as needed to acquire documentation
- As per established protocols, inform the client in a timely manner of all approvals and denials of coverage
- Participate in additional training requirements in an effort to stay abreast of the ever changing rules and regulations associated with the various governmental programs
- Work extra reports for supervisor
- All other duties as assigned.
Project Coordinator
Cleerline Technology Group
03.2018 - 04.2019
- Create Audit sheets for the warehouse team for daily cleaning
- Audit the warehouse once a week
- Member of the Western Montana Manufacturing Partnership
- Demonstrate ability to implement swift and impactful business performance solutions to upper management and owners in manufacturing, high tech, and service sectors
- Write tutorials and trainings for the NetSuite program for various positions
- Import data in the NetSuite program for inventory
- Assist HR
- Assist upper management with various projects
- In charge of phone settings for the company
- Communicate with the Blackfoot phone company
- Implement and follow up with IT Manager on technical assistance.
Billing Specialist
Surgical Arts Center
Missoula, MT
01.2017 - 07.2017
- Verify insurance for patients
- Identify CPT and ICD-10 codes for fee sheets
- Answer phone calls
- Make appointments
- Resubmit Medicaid denials.
Collection Agent
Collection Bureau Services
Missoula, MT
09.2016 - 01.2017
- Collect payments from consumers through phone calls
- Work lists through word and excel
- Communicate with attorneys when bringing an account to a legal suit
- Request writs for execution from past due accounts
- Research assets of consumers through multiple computer programs
- Organize, research
- Mail balance reports.
Office Manager
Outback Landscaping
Idaho Falls, ID
03.2016 - 09.2016
- Answer phones, file, scan, fax documents
- Make appointments for clients
- Collect payments
- Accounts Payable and Receivable for clients and employees
- Schedule jobs for crew members
- HR for new hires
- Coordinate jobs through a navigation system for hours and pay
- Keep office organized, neat, and tidy
- Microsoft Word, Excel, Service Auto Pilot, and Quick books.
Medical Biller II and III
Norco Medical
Missoula, MT
09.2014 - 03.2016
- Verify all billing documents are present and send out for any missing documents
- Make changes in the patient file and customer file
- Verify Procedure codes
- Send out Certificates of Medical Necessity (CMN's) to referral sources
- Enter information in the Authorization, Decrement and the CMN file
- Make phone calls to referral sources regarding outstanding CMN's
- Give instructions on proper completion of CMN's
- Analyze all CMN's to make sure they are completed correctly by the physician
- Work denials on claims submitted.
CBRS worker
Healthy Care Solutions
Idaho Falls, ID
01.2014 - 05.2014
- Provide Psychosocial Rehabilitation to Medicaid clients diagnosed with mental health issues
- Provide in in-home and community support to people experiencing severe mental illness
- Help people maintain mental stability by helping their client achieve measurable goals related to daily living
- Document sessions daily in a Drop Box computer application
- Schedule and organize sessions weekly with various clients
- Meet assigned hours weekly.
Appeals Specialist I
KCI
Dillon, MT
05.2011 - 01.2014
- Provided lead with work progress reports on a daily, weekly, monthly basis or as required
- Investigated and analyzed patient charts and wound progress reports
- Develop, for each Medicare Insurance claim denial, a reasonable patient product use detail and history
- Write medically concise and issue focused Redetermination, Reconsideration, or Administrative Law Judge letter as required as it applies to Medicare policy
- Pull patient denials and/or partially paid claims in appropriate numbers in order to maintain timely completion of the Appeals Department filing limit caseload
- Review Medicare required documentation needed for appeal of denial and/or partial denial of payment
- Generate a chronological outline (supply worksheet) of the patient's VAC rentals and supply purchases showing payments and denials
- Maintain production and quality levels as established by management.
Medicare Specialist II
KCI
Dillon, MT
- Audit patient primary insurance claims denied reimbursements by a DMERC that were evaluated
- Listen and respond to voicemails in a timely manner as needed
- Provide supervisor with work progress reports on a daily, weekly, monthly basis or as required
- Work with various computer programs such as Microsoft Word and Excel
- Print packets, fax claims, prepare the mail, and call Medicare to address denied claims.
Education
Bachelor's Degree - Business Administration, Small Business Management
University of Montana Western
01.2010
High school -
Beaverhead County High School
01.2005
Skills
- Supervisor duties
- Medicaid Eligibility
- Administration
- Scheduling appointments
- Medical Billing
- Verifying Insurance
- Building charts
- Faxing
- Filing
- Assist with HR
- CPT coding
- ICD-10
- Leadership
- Excel
- Microsoft Word
- Power Point
- Quick books
- Typing
- Efficient in Various Computer programs
- Researching
- Excellent Phone Etiquette
Recommendation Letter
April 26, 2024
To Whom It May Concern:
It is with great pleasure that I, the previous Manager of Jenna Lyons, write this
letter of recommendation for Jenna.
It is without reservation that Jenna is a dedicated employee, disciplined,
hardworking, multitasking, fun and has very strong work ethics.
As an employee, Jenna was incredibly helpful, provided excellence and expertise
with her duties, always willing to assist where needed. Jenna is a fun and good-
natured person always wearing a smile.
It is without hesitation that I highly recommend Jenna for a position in your
organization and truly believe that she will be the right choice.
Feel free to contact me by phone or email is you have further questions
Thank you
Ann Cotten
406-544-9652
Anncotten1@msn.com
Enclosures
Resume/References
References
- Angela Lewis, R1 RCM, Manager, 832-683-1867
- Ann Cotton, R1 RCM, Manager, 406-544-9652
- Jenessa Clark, Meddata, Supervisor, 406-939-1914
- Robert Gallimore, Cleerline Technology, Supervisor, 406-546-9576
- Cheryl Garr, Surgical Arts Centre/Business Manager, 406-544-5616
- Tyler Washburn, Outback landscape, Operations manager, 208-821-2509
- Ryan Hansen, Norco Medical, Manager, 406-728-6362, Missoula, MT, 59808
Timeline
Financial Counselor Supervisor
R1 RCM/Community Medical Center
10.2023 - Current
Financial Counselor
R1 RCM/Community Medical Center
10.2021 - Current
Patient Advocate
Meddata/Community Medical Center
04.2019 - 10.2021
Project Coordinator
Cleerline Technology Group
03.2018 - 04.2019
Billing Specialist
Surgical Arts Center
01.2017 - 07.2017
Collection Agent
Collection Bureau Services
09.2016 - 01.2017
Office Manager
Outback Landscaping
03.2016 - 09.2016
Medical Biller II and III
Norco Medical
09.2014 - 03.2016
CBRS worker
Healthy Care Solutions
01.2014 - 05.2014
Appeals Specialist I
KCI
05.2011 - 01.2014
Medicare Specialist II
KCI
Bachelor's Degree - Business Administration, Small Business Management
University of Montana Western
High school -
Beaverhead County High School
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