Jennifer Coachman
Fort Lauderdale,USA
Summary
Medical Billing and Collection Specialist with over 10 years of experience in the healthcare and administrative field. Seeking a long-term position with an established company that offers continuous learning opportunities and career growth.
Overview
18
18
years of professional experience
1
1
Certification
Work History
MEDICAL BILLING SPECIALIST
Digestive Care
Coral Springs, FL
06.2021 - Current
- Billing Compliance: Ensure accurate, compliant, and timely billing to facilitate prompt payment.
Claim Management: Address and resolve claim rejections, reprocess claims, and manage payer-specific edits.
Documentation: Attach required documents such as ER reports, itemized bills, and medical records to claims.
Follow Up: Handle incomplete claims and follow up on non-transmitted claims.
Adjustments: Submit adjustment and voided claims through online systems as necessary.
Software Proficiency: Utilize Excel, Word, Outlook, and billing/eligibility software solutions effectively.
Performance Goals: Meet or exceed departmental performance, productivity, and quality goals.
Flexibility: Maintain a flexible work schedule to meet departmental needs.
Compliance: Adhere to federal, state, and physician billing compliance requirements.
Collaboration: Participate in departmental meetings and collaborate with team members to achieve goals.
Additional Duties: Perform other job specific duties as assigned.
REVENUE CYCLE BILLING SPECIALIST
RSource
Boca Raton, FL
05.2019 - 06.2021
- Bill all claims to assigned payor electronically on a daily basis.
Assign/remove CPT, HCPCS, and modifiers as part of the bill/claim validation process.
Prepare and review bill/claims prior to submission.
Identify coding trends and opportunities to improve quality, efficiency, and productivity.
Check each insurance payment for accuracy.
Ensure compliance with billing and payer guidelines.
Responsible for re-billing accounts as necessary, addressing discrepancies, and ensuring accounts were updated appropriately.
Perform monthly billing and invoicing.
LEAD COLLECTION SPECIALIST/CALL CENTER/REMOTE
Infinity Billing DME
Tamarac, FL
06.2016 - 05.2019
- Collections/Correcting denied and unpaid claims
- Submitted medical records and appeals to insurance company for any denied claims when being requested
- Thoughtfully followed-up on all denials and claims that has been submitted over 30 days with no payment
- Collection on DME and Medical (lab) claims to insurance
- Effectively resolved insurance rejections and other billing issues
- Performed audits to make sure billing was processed correctly
INSURANCE VERIFICATIONS/PAYMENT POSTER LEAD
Relia Bill Solutions
Delray Beach, FL
07.2013 - 06.2016
- Responsible for verifying patient insurance coverage, to ensure that services are covered by the individual's provider.
- Entering data in an accurate manner, updating patient benefit information in the organization's insurance system.
- Ensures all incoming payments, allowance, adjustments, denial/rejections, etc. are posted correctly and in a timely manner.
- Verifying existing patient benefits, to make sure benefits are up to date and information is accurate.
- Apply any insurance payments according to specific dates and procedures according to the EOB.
- Responsible for posting payments, adjustments and rejections to patient accounts.
- Responsible for posting of all insurance payments via ERA, hard copies, payer websites, and Salesforce Portal.
- Close batches in system at the end of the day and meet monthly or quarterly goals set by Management
DOCUMENTATION/COLLECTION SPECIALIST/CALL CENTER
Lincare
Oakland Park, FL
02.2010 - 07.2013
- Documents objective data and routine aspects of patient care.
- Performed clerical duties, such as word processing, data entry, answering phones and filing.
- Collections/Correcting denied and unpaid claims
- Obtained information about clients' medical history, drug history, complaints and allergies.
- Responded appropriately to the physical, emotional and developmental needs of patients.
- Maintained accurate records of patient care, condition, progress and concerns
MEDICAL ASSISTANT/MEDICAL RECORDS CLERK
A&E Medical Service Inc.
Lauderdale Lakes, FL
12.2007 - 02.2010
- Maintained accurate records of patient care, condition, progress and concerns.
- Authorized drug refills and provided detailed prescription information to pharmacies.
- Changed sterile dressings.
- Managed various general office duties such as answering multiple telephone lines, completing Insurance forms and mailing monthly invoice statements to patients.
- Performed monthly inventory and maintained office and medical supply counts.
- Provided pre- and post-operative care.
- Monitored vital signs, such as blood pressure and pulse.
- Assisted doctors with surgeries and non-invasive procedures.
Education
Diploma - Medical Assistant
International School of Health
Lauderdale Lakes, FL01-2006
Skills
- ICD-9&10 Coding/ CPT Coding
- Insurance Claims, Denials and Collections F/U
- Medical Records Management & Organization
- Prior Authorizations
- In depth knowledge of physician professional services coding and billing practices
- HIPAA Compliance
- Online/paper Claim Submission & EDI
- Strong communication/ problem solving skills Able to motivate others and work under pressure
- Quick Learner, Self-Confident, Self-Starter, Sincere, Dedicated and Hardworking
- Insurance (BC/BS, Medicare/Medicaid, Workman's Compensation/Disability, HIC)
- Medical Terminology, Credentialing/Provider Enrollment
- Reimbursements (A/R reports)
Certification
- CPR/BLS
- OSHA
- HIPAA
- Certified Medical Office Assistant
Timeline
MEDICAL BILLING SPECIALIST
Digestive Care
06.2021 - Current
REVENUE CYCLE BILLING SPECIALIST
RSource
05.2019 - 06.2021
LEAD COLLECTION SPECIALIST/CALL CENTER/REMOTE
Infinity Billing DME
06.2016 - 05.2019
INSURANCE VERIFICATIONS/PAYMENT POSTER LEAD
Relia Bill Solutions
07.2013 - 06.2016
DOCUMENTATION/COLLECTION SPECIALIST/CALL CENTER
Lincare
02.2010 - 07.2013
MEDICAL ASSISTANT/MEDICAL RECORDS CLERK
A&E Medical Service Inc.
12.2007 - 02.2010
Diploma - Medical Assistant
International School of Health
SOFTWARE
Emdeon, EPIC, Waystar, Availity, Office Alley, Avisena, Kippu, Kareo, QS1, Florida Medicaid EDS. Medisoft, Navinet, Salesforce, Citrix, ECW, Edgemed, collaborate MD, and Bightree.