Jennifer Commisso
Medical Billing
Akron,NY
Summary
Competent Accounts Receivable Specialist bringing 20 years of experience handling accounts receivable functions. Exemplary skill in resolving billing disputes, providing excellent customer service and applying payments. Recognized for effective leadership with consistent achievement of objectives.
Overview
8
8
years of professional experience
Work History
High Dollar Insurance Collector
Acclara
11.2022 - Current
- Streamlined the insurance collection process by implementing efficient tracking and follow-up systems
- Conducted thorough investigations of disputed claims, ensuring accurate resolutions for all parties involved
- Maintained accurate records of all client interactions, ensuring timely follow-up on promises to pay and streamlining future collection efforts
- Prepared detailed reports on collection activities and account statuses for management review, enabling data-driven decision making within the department
- Regularly monitored outstanding accounts for changes in financial status or payment patterns, allowing for proactive response to potential issues
- Worked high dollar accounts
- Touched 40 plus accounts daily
- Worked with multiple players No Fault, Workers, Compensation, Medicare, Medicaid and Commercial Insurances
Medical Billing Representative
SaveOnSP
09.2021 - 12.2022
- Member and Pharmacy contact to assist in payment of high dollar drugs.
- Creating payment monthly breakdowns to show where member's exhausted funds with copay assistance programs.
- Approving and denying payments to pharmacies on exhausted funds claims.
- Placing exhausted funds overrides, creating temporary pass-throughs,
- Work high dollar spreadsheets approving and denying payments.
- Solve billing issues with pharmacies.
Medical Billing Specialist
Buffalo Medical Group
12.2019 - 09.2021
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Identified and resolved patient billing and payment issues.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Located errors and promptly refiled rejected claims.
- Trained new employees on multiple medical billing programs and data entry software.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Team Lead Accounts
Brain And Spine Medical Services
08.2018 - 12.2019
- Monitored four-employee team while handling day-to-day accounting processes and financial accuracy
- Identified and suggested remedies for areas of improvement based on detailed daily reports and analysis
- Assessed data and information to verify entry, calculation, and billing code accuracy
- Provided outstanding customer service by quickly and professionally handling issues
- Completed accurate daily documents, reports, and invoices
- Completed weekly and monthly goal reports assisted team In completing and designating workflow
- Training of new employees and employee education
- Assisted in employee disciplinary actions, workloads, and goals
- Responsible for adjustment log
- Responsible for Independent Health, Univera, and BlueCross aging reports
- Assisted team members in completing and achieving goals as needed
- Electronic claim submission
Accounts Receivable Billing Clerk
The Brothers Of Mercy
02.2017 - 08.2018
- Responsible for Medicare, Commercial, WC, NF, Hospice, LTC accounts
- Denial management
- Aging reports
- Census
- 3559's
- Appeals
- Provider Inquires
- Electronic claim submissions
Medicaid Billing Specialist
Elderwood
04.2016 - 02.2017
- Responsible for Medicaid account
- Aging
- Denials
- Keying claims into EPACES
- Budget letters
- Downloading and posting payments
Education
GED -
Clarence Senior High School
Clarence, NY1998
Skills
- Medical Billing
- CPT Coding
- HIPAA Compliance
- Invoice Processing
- Payment Processing
- Insurance Knowledge
- Medical Records Management
- Billing Inquiries
- Medical Coding
- Spreadsheets
- Medical Records Review
- Claims Adjustments
- Invoice Preparation
- Insurance industry knowledge
- Follow-up Techniques
- Account Monitoring
- Account Investigation
- Investigative research
- Aging reports analysis
- Updating Customer Accounts
- Attention to Detail
- Active Listening
- Delinquent Account Notification
- Training and Teaching
- Multitasking
- Adaptability and Flexibility
- Reliability
- Teamwork and Collaboration
- Time management abilities
- Work Planning and Prioritization
- Codes reviewing
- Professionalism
- Conflict Resolution
- Time Management
- Analytical and Critical Thinking
- Effective Communication
- Cash application
- Payment management
- Accurate payment posting
- Insurance Company Communication
- Workman's Compensation
- No Fault
- Commercial Payers
- Government Programs
Timeline
High Dollar Insurance Collector
Acclara
11.2022 - Current
Medical Billing Representative
SaveOnSP
09.2021 - 12.2022
Medical Billing Specialist
Buffalo Medical Group
12.2019 - 09.2021
Team Lead Accounts
Brain And Spine Medical Services
08.2018 - 12.2019
Accounts Receivable Billing Clerk
The Brothers Of Mercy
02.2017 - 08.2018
Medicaid Billing Specialist
Elderwood
04.2016 - 02.2017
GED -
Clarence Senior High School