Jennifer Cooper
Visalia,CA
Summary
Medical billing professional with proven track record in handling patient accounts and insurance claims. Recognized for strong attention to detail and ability to manage complex billing issues. Committed to team collaboration and adaptable to evolving healthcare needs, ensuring efficient billing processes and positive patient experiences.
Overview
26
26
years of professional experience
Work History
Medical Billing Associate
Sierra Pacific Arthritis and Rhuematology
01.2020 - 06.2021
- Streamlined claim processes by verifying insurance eligibility, reducing denials, and monitoring aged accounts receivable to expedite payments.
- Maintained high attention to detail, meeting deadlines without compromising quality.
- Educated patients on financial responsibilities, clearly explaining medical bills.
- Mastered payer requirements for efficient claim submissions and minimized reimbursement delays.
- Collaborated with insurance providers to resolve and resubmit denied claims.
- Analyzed Explanation of Benefits forms to ensure accurate insurance billing.
- Served as a liaison between patients, insurance companies, and billing office.
Billing Specialist
Adventist Health System
03.2014 - 11.2016
- Researched and resolved billing discrepancies and variances, ensuring accurate and current system data.
- Collaborated with multiple departments to verify and correct billing information and posting documents.
- Maximized revenue by identifying under-billed accounts, enhancing collection through diligent follow-up on unpaid claims and denials with insurance providers.
- Communicated with insurance companies to resolve and resubmit denied claims, posting and adjusting payments accurately.
- Located and corrected errors, promptly refiling rejected claims to ensure timely and accurate charge submissions to various carriers, resulting in prompt payments.
Medical Biller
Corcoran District Hospital
12.2010 - 03.2014
- Streamlined insurance payments by submitting accurate, complete claims and meticulously reviewing patient insurance and coding to reduce denials.
- Implemented quality control measures to catch errors pre-submission, significantly lowering claim rejections.
- Boosted patient satisfaction by clearly explaining financial responsibilities and payment options.
- Collaborated with insurance providers to resolve and resubmit denied claims.
- Verified patient insurance eligibility and accurately entered demographic and billing data into systems for tracking and record accuracy.
- Managed regular posting of payments and collections, handling account payments and providing updates on outstanding balances.
Billing Specialist
In Stride Foot Care
12.2009 - 12.2010
- Processed and adjusted insurance payments, promptly identifying and refiling rejected claims to ensure timely reimbursements.
- Assisted patients in understanding medical bills and complex insurance issues, enhancing customer experience and satisfaction.
- Examined insurance coverage, deductibles, payments, and remaining balances, precisely verifying benefits and eligibility.
- Managed patient accounts, resolving billing discrepancies, payment issues, and outstanding balances efficiently.
- Delivered exceptional customer service to patients and insurance representatives, addressing inquiries quickly and professionally.
- Reduced billing errors by meticulously reviewing patient records and ensuring accurate coding and timely claim submissions to various carriers.
Medical Biller
Dr. David Heaney
03.2005 - 04.2007
- Boosted medical practice revenue through diligent follow-up on unpaid claims and accurate collection and application of patient payments.
- Streamlined scheduling by verifying patient eligibility and coverage before appointments.
- Organized patient record filing system, enhancing access to essential documents while adhering to standards for safeguarding health information.
- Assisted patients in understanding insurance benefits.
- Reviewed diagnosis codes for accuracy and completeness, maintaining precise customer payment records and updating patient information and medical records.
Customer Service Representative
Foundation for Medical Care
03.2000 - 03.2005
- Maintained detailed records of customer interactions, ensuring effective follow-up and issue resolution.
- Enhanced revenue collections by thoroughly verifying insurance eligibility and benefits, updating information for members and providers.
- Quoted benefits and eligibility for Kaweah Delta, SISC, Blue Cross, Blue Shield, and local employer groups.
- Resolved customer complaints empathetically, boosting loyalty and repeat business.
Customer Service Representative
Cigna Healthcare
01.1995 - 03.2000
- Managed high-volume daily calls, maintaining composure and delivering exceptional service in fast-paced environments.
- Actively listened to customers, swiftly addressed concerns, escalated major issues, and handled complaints effectively for satisfactory resolutions.
- Demonstrated strong multitasking skills, navigating systems, taking call notes, and answering client inquiries simultaneously.
- Adhered to company policies and scripts, consistently meeting call-time, quality standards, and performance goals to support call center success.
- Verified patient and provider insurance eligibility and benefits, and accurately entering information into systems.
- Applied critical thinking to analyze problems, evaluate solutions, and make effective decisions.
Education
High School Diploma -
Tulare Western High
Tulare, CA06.1989
Skills
- Efficient claims management
- Workplace professionalism
- Proficient in medical terminology
- Accounts receivable handling
- Billing processes management
- Effective multitasking
- Problem-solving skills
- Verbal and written communication
- Insurance eligibility verification
- Knowledge of Medicare and Medicaid procedures
- Patient account management
- Commercial and private insurance
Timeline
Medical Billing Associate
Sierra Pacific Arthritis and Rhuematology
01.2020 - 06.2021
Billing Specialist
Adventist Health System
03.2014 - 11.2016
Medical Biller
Corcoran District Hospital
12.2010 - 03.2014
Billing Specialist
In Stride Foot Care
12.2009 - 12.2010
Medical Biller
Dr. David Heaney
03.2005 - 04.2007
Customer Service Representative
Foundation for Medical Care
03.2000 - 03.2005
Customer Service Representative
Cigna Healthcare
01.1995 - 03.2000
High School Diploma -
Tulare Western High
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