Jennifer Cooley
Rancho Cucamonga,CA
Summary
Front office and billing professional administrator and interpersonal, organizational, and problem-solving skills with ability to work with stake holders across multiple business units. Excellent organizational skills with commitment to serve faithfully with integrity. Exceptional customer service provider. Medical terminology. Coding: CPT, ICD-9, CMS-1500. Managed care PPO, POS, HMO. Medicare and Medicaid. Laboratory Billing. Reading and Understanding EOB's. Microsoft office suit: word, outlook, adobe. TELCOR, Medi-Soft. Typing- 50 wpm. Insurance Verification. Medical Collection. Organized office professional with experience with various administrative tasks such as preparing agendas, scheduling meetings and providing customer assistance.
Overview
14
14
years of professional experience
Work History
PROCESSOR
FOUNDATIONS LABORATORY
2023.04 - Current
- Interacted regularly with peers and management to pursue continuous improvement of facility operations and promote teamwork-focused environment.
- Supported team members in their tasks, contributing to overall team success.
- Entered data into computer tracking system and filed paperwork according to procedures.
- Increased productivity by effectively managing workload and prioritizing tasks.
- Maintained accurate records and ensured timely completion of all necessary paperwork.
- Enhanced team collaboration, sharing best practices for efficient processing techniques.
- Received and reviewed incoming documents and materials.
- Assisted colleagues as needed, fostering a positive work environment based on teamwork and mutual supportiveness.
- Participated in continuous training initiatives, staying up-to-date on relevant regulations, policies, and best practices within the processing field.
- Provided outstanding customer service by promptly addressing inquiries and resolving issues.
- Adhered to strict deadlines for processing applications, ensuring timely approvals and client satisfaction.
- Demonstrated flexibility when adapting to new processes or guidelines while maintaining consistently high levels of productivity.
- Reduced errors with meticulous attention to detail and thorough review of documentation.
- Developed expertise in various processing systems for increased efficiency and accuracy.
- Consistently exceeded performance expectations with a focus on delivering top-notch results.
- Contributed to the achievement of department goals through consistent high-quality work.
- Utilized strong analytical skills to identify potential risks or discrepancies within processed documents quickly.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Increased customer satisfaction by providing timely and professional responses to inquiries via phone, email, or in-person visits.
- Executed record filing system to improve document organization and management.
- Safeguarded private information through meticulous record-keeping practices, adhering to company confidentiality policies at all times.
- Demonstrated exceptional adaptability when faced with shifting priorities or new assignments from management figures in real-time situations.
- Developed and updated spreadsheets and databases to track, analyze, and report on performance and sales data.
- Composed inter-office correspondence and provided product and service information to customers.
- Consulted with leadership to identify processes requiring improvement to support growth and success.
- Offered technical support and troubleshot issues to enhance office productivity.
- Contributed to team morale-building initiatives by participating in company-sponsored events and activities throughout the year.
- Collaborated with cross-functional teams on various projects, ensuring smooth workflow and completion within deadlines.
- Maintained open lines of communication between departments through effective liaison duties that fostered collaboration efforts.
- Managed filing system, entered data and completed other clerical tasks.
- Assisted coworkers and staff members with special tasks on daily basis.
- Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
- Managed paper and electronic filing systems by routing various documents, taking messages and managing incoming and outgoing mail.
- Built and maintained excellent customer relationships through timely response to inquiries and going above and beyond to accommodate unusual requests.
- Continually sought methods for improving daily operations, communications with clients, recordkeeping, and data entry for increased efficiency.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Precisely evaluated and verified benefits and eligibility.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Filed and updated patient information and medical records.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Liaised between patients, insurance companies, and billing office.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Prepared billing correspondence and maintained database to organize billing information.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Contributed to overall office organization by maintaining up-to-date records of all billed services and payments received.
- Evaluated patients' financial status and established appropriate payment plans.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
- Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
- Educated colleagues on best practices in medical billing, providing ongoing training sessions as needed.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Adhered to established standards to safeguard patients' health information.
- Utilized various software programs to process customer payments.
- Used data entry skills to accurately document and input statements.
FRONT DESK
FOOTHILL EYE MEDICAL GROUP
2013.11 - 2014.10
- Enhanced guest satisfaction by efficiently managing check-ins and checkouts.
- Streamlined front desk operations for improved efficiency and guest experience.
- Assisted guests with special requests, ensuring a comfortable stay and positive feedback.
- Maintained an organized, welcoming lobby area to create a positive first impression for visitors.
- Handled phone calls and inquiries professionally, directing callers to appropriate departments as needed.
- Resolved guest issues promptly, resulting in increased customer satisfaction ratings.
- Accurately processed payments and balanced daily cash drawer, maintaining financial integrity at the front desk.
- Trained new employees on front desk procedures, contributing to a well-prepared team.
- Managed reservations system effectively, minimizing mix-ups and overbookings.
- Coordinated with various departments to address guest needs and provide seamless service experiences.
- Developed strong rapport with regular guests, fostering loyalty and repeat business.
- Improved communication between shifts by creating detailed handover notes outlining important tasks or issues encountered during each shift.
- Handled emergency situations calmly and professionally while following proper protocols.
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Promoted a positive work environment through effective communication skills and fostering professional relationships among colleagues.
- Improved document organization with thorough file maintenance, archiving outdated records as necessary for efficient retrieval when needed.
- Received and sorted incoming mail and packages to record, dispatch, or distribute to correct recipient.
- Coordinated office supply inventory management, proactively ordering necessary items before depletion to avoid workflow disruptions.
- Scheduled office meetings and client appointments for staff teams.
- Created and maintained databases to track and record customer data.
- Executed record filing system to improve document organization and management.
- Restocked supplies and placed purchase orders to maintain adequate stock levels.
- Supported executive staff through scheduling meetings, coordinating travel arrangements, and preparing crucial documents.
- Assisted in onboarding new employees, providing training materials, and coordinating orientation schedules to ensure a smooth integration into the team.
- Coordinated and scheduled meetings and conference calls to optimize scheduling of senior staff.
- Enhanced office efficiency by streamlining administrative processes and implementing organizational systems.
- Optimized calendar management for executives by scheduling appointments strategically while considering priorities and minimizing conflicts.
- Sorted and distributed office mail and recorded incoming shipments for corporate records.
- Assisted development and implementation of new administrative procedures.
- Developed strategies to streamline and improve office procedures.
- Maintained up-to-date knowledge of industry best practices and office software updates to maximize efficiency in administrative tasks.
- Facilitated collaboration within the team by organizing regular meetings, maintaining meeting minutes, and tracking project progress.
- Boosted team productivity by managing communication channels and ensuring timely responses to inquiries.
- Drafted correspondence and other documents for CEO and department heads in company's voice.
- Managed filing system, entered data and completed other clerical tasks.
- Managed phone and email correspondence and handled incoming and outgoing mail and faxes.
- Assisted coworkers and staff members with special tasks on daily basis.
- Managed paper and electronic filing systems by routing various documents, taking messages and managing incoming and outgoing mail.
- Completed forms, reports, logs, and records to quickly handle all documentation for human resources.
- Built and maintained excellent customer relationships through timely response to inquiries and going above and beyond to accommodate unusual requests.
- Created and maintained detailed administrative processes and procedures to drive efficiency and accuracy.
- Opened and properly distributed incoming mail to promote quicker response to client inquiries.
- Volunteered to help with special projects of varying degrees of complexity.
- Established administrative work procedures to track staff's daily tasks.
- Identified and recommended changes to existing processes to improve accuracy, efficiency, and quality service.
- Facilitated timely delivery of special projects to meet organizational and departmental objectives.
MEDICAL BILLING SPECIALIST
CALIFORNIA MEDICAL BILLING
2010.05 - 2013.04
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Located errors and promptly refiled rejected claims.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Precisely evaluated and verified benefits and eligibility.
- Provided exceptional customer service to both patients and insurance representatives, resolving inquiries quickly and professionally.
- Filed and updated patient information and medical records.
- Coordinated with other departments to address any discrepancies or concerns related to charge capture or data entry accuracy.
- Liaised between patients, insurance companies, and billing office.
- Served as a subject matter expert on medical billing matters, providing guidance to colleagues on complex cases or unique situations.
- Streamlined billing processes by implementing efficient workflows and utilizing advanced software tools.
- Efficiently processed refunds or adjustments for patients when necessary, ensuring accuracy and compliance with company policies.
- Participated in departmental meetings, sharing insights and ideas for improving overall medical billing efficiency and revenue generation.
- Monitored changes in payer requirements, adjusting billing practices accordingly to minimize disruptions in the revenue cycle.
- Conducted regular audits of patient accounts for potential underpayments or overpayments due to incorrect coding or billing practices.
- Prepared billing correspondence and maintained database to organize billing information.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Contributed to overall office organization by maintaining up-to-date records of all billed services and payments received.
- Continuously updated knowledge of industry regulations and compliance requirements, ensuring adherence to all applicable standards.
- Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
- Collaborated closely with the clinical team to ensure proper documentation was obtained for accurate billing purposes.
- Increased overall efficiency of the billing department by regularly auditing internal procedures and suggesting improvements.
- Educated colleagues on best practices in medical billing, providing ongoing training sessions as needed.
- Developed customized reports for management review, highlighting trends in key performance metrics such as claim denial rates and days outstanding for accounts receivable balances.
- Managed collections claims for unpaid bills against estates of debtors.
- Maintained and updated collections tracking spreadsheet to help organize payment information.
- Verified insurance of patients to determine eligibility.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
- Posted payments and collections on regular basis.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Delivered timely and accurate charge submissions.
- Adhered to established standards to safeguard patients' health information.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Responded to customer concerns and questions on daily basis.
- Collaborated with customers to resolve disputes.
- Utilized various software programs to process customer payments.
- Used data entry skills to accurately document and input statements.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Audited and corrected billing and posting documents for accuracy.
- Maintained accurate records of customer payments.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Generated monthly billing and posting reports for management review.
- Handled account payments and provided information regarding outstanding balances.
- Monitored outstanding invoices and performed collections duties.
- Created improved filing system to maintain secure client data.
- Reconciled accounts receivable to general ledger.
Education
Communications
Chaffey College
Rancho Cucamonga, CAHEALTH CLAIMS EXAMINING/MEDICAL AND DENTAL BILLING - Medical Claims Examination
AMERICAN CAREER COLLEGE, ETIWANDA HIGH SCHOOL
ETIWANDA, CA05.2010
Etiwanda High School
Etiwanda, CA06.1996
Skills
- Attention to Detail
- Teamwork and Collaboration
- Customer Service
- Data entry experience
- Multitasking and Organizing
- Sorting and Packaging
- Critical Thinking
- Document Management
- Document Review
- Paperwork management
- Data entry background
- Microsoft Excel
- Data file transferring
- Supply Ordering
- Data Entry
- Records Management
- Interpersonal Communication
- Document Control
- Strong Work Ethic
- Computer Skills
- Teamwork and Coordination
- Punctual and Reliable
- Equipment Operation
- Teamwork and Communication
- Workstation Equipment Monitoring
- Office Administration
- Administrative Support
- Word Processing
- Scheduling
- Scheduling appointments
- Telephone reception
- Confidential Document Control
- Customer Relations
- Office Management
- Appointment Scheduling
- Account Reconciliation
- Data organization
- Confidentiality handling
- Database Maintenance
- Mail handling
- Staff Management
- Verbal Communication
- File Organization
- Document Scanning
- Multi-Line Phone Systems
- Workflow Coordination
- Meeting Coordination
- Office Equipment Maintenance
- Data Evaluation
- Report Writing
- Technical Support
- Scheduling and calendar management
- Computer Proficiency
- Microsoft Office Suite
- Invoice Processing
- Database entry
- Microsoft Outlook
- Filing and data archiving
- Professional and mature
- Dedicated Team Player
- Deadline-oriented
- Client Relations
- Microsoft Word
- Complex Problem-Solving
- Filing
- Clerical Support
- Professional Communication
References
References are available on request.
Timeline
PROCESSOR
FOUNDATIONS LABORATORY
2023.04 - Current
FRONT DESK
FOOTHILL EYE MEDICAL GROUP
2013.11 - 2014.10
MEDICAL BILLING SPECIALIST
CALIFORNIA MEDICAL BILLING
2010.05 - 2013.04
Communications
Chaffey College
HEALTH CLAIMS EXAMINING/MEDICAL AND DENTAL BILLING - Medical Claims Examination
AMERICAN CAREER COLLEGE, ETIWANDA HIGH SCHOOL
Etiwanda High School