Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jennifer Browne

Wisconsin Dells,WI

Summary

Meticulous Payment Solution Specialist offering 20 + years of comprehensive experience in medical billing, coding, insurance claims and training of new hires. Extensive experience with EHR, eCW, Meditech, Meditech Expanse, Kareo, Share, NextGen, Coosa, SPM systems, Microsoft Suites, Microsoft Teams, Zoom, WebEx, Excel, Spreadsheet, Revspring, AVD and IVR patient payment systems, Five 9 and Cloud based phone systems. Core competencies include billing, coding, insurance claims(from start to finish), and training of new hires. Highly-motivated individual with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills.

Overview

24
24
years of professional experience

Work History

Payment Resolution Specialist

CPSI
Mobile, AL
12.2022 - Current
  • Provided support for internal departments on payment-related matters.
  • Developed strong professional rapport with both internal and external clients.
  • Processed and sent invoices, adjustments and credit memos to customers.
  • Worked with team members and leadership to identify and develop process improvements.
  • Cross trained inbound, outbound calls, chat and email ques.
  • Collected, posted and managed patient account payments.
  • Experienced and working knowledge: with EHR(Thrive), Meditech, Meditech Expanse, EPIC, Share, Coosa, eCW, Microsoft Office Suites, Excel, Five 9 and cloud based phone system.
  • Collaborated with other departments to ensure accurate processing of payments.
  • Verified payments, processed refunds, and reconciled accounts.
  • Tracked payments made by customers through different channels and updated internal databases accordingly.
  • Identified areas of improvement within existing payment systems and recommended solutions.
  • Investigated and resolved issues to maintain billing accuracy.

Medical Billing/Coding/Corporate Training Specialist

St. Joseph's Children's Hospital
Marshfield, WI
01.2000 - 12.2022
  • Developed and implemented training programs for medical billing and coding for new hires.
  • Instructed students on the basics of insurance claims processing, coding systems, coding practices, healthcare reimbursement policies, and patient privacy regulations.
  • Created lectures, presentations, and course materials to support the curriculum.
  • Provided individualized instruction to address student needs.
  • Maintained accurate records of student performance, attendance, and grades.
  • Collaborated with staff to develop effective strategies for teaching medical billing and coding principles.
  • Served as a mentor for junior staff members by providing guidance on technical issues related to medical billing and coding processes.
  • Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
  • Monitored regulatory updates from Medicare and Medicaid programs as well as private insurers.
  • Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
  • Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
  • Participated in meetings with physicians and other healthcare providers regarding coding compliance standards.
  • Posted charges, payments and adjustments.
  • Maintained detailed records of all billing activities including denials, adjustments, and payments received.
  • Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
  • Resolved discrepancies between insurance companies and patients regarding payment of bills.
  • Monitored aging accounts receivable balances ensuring timely resolution of outstanding balances.
  • Maintained timely and accurate charge submission through electronic charge capture, including billing, and account receivables (BAR) system and clearing house.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
  • Prepared and attached referrals, treatment plans or other required correspondence to reduce incidence of denials.
  • Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers as well as CAS codes.
  • Entered procedure codes, diagnosis codes and patient information into EHR, Kareo, Citrix, CareCloud, EPIC, NextGen and CMD.

Education

High School Diploma -

Northcentral Technical College
Wausau, WI
02-1995

Some College (No Degree) - Medical Terminology/ A & P

Madison Area Technical College
Reedsburg, WI

Skills

  • 20 years of excellent medical billing/coding, processing and posting patient payments, insurance claims, insurance payments experience
  • 5 years of experience as Trainer for new hires, ongoing education for current employees in billing/coding and insurance claims processes and procedures
  • HIPAA Compliance
  • Coding and Invoicing Proficiency
  • Research and Due Diligence for insurance claim denials and other coding errors
  • Audit Procedures
  • Medical Billing and Collections
  • Internal and External Customer Engagement
  • Insurance Verification
  • Transaction Processing (Insurance payments and patient payments)via over the phone, AVD, IVR and patient portal
  • Advanced experience in metric driven call center requirements, maintaining 97% or higher QA scores ongoing

Timeline

Payment Resolution Specialist

CPSI
12.2022 - Current

Medical Billing/Coding/Corporate Training Specialist

St. Joseph's Children's Hospital
01.2000 - 12.2022

High School Diploma -

Northcentral Technical College

Some College (No Degree) - Medical Terminology/ A & P

Madison Area Technical College

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Jennifer Browne