JENNIFER DAY
Northpoint Recovery
Beaumont,TX
10
years of professional experience
Experienced professional with financial service and office management expertise. I am seeking a position to leverage my knowledge, experience, and customer service approach. Recognized for my proven ability to lead and deliver results. Excellent ability to communicate with people from diverse backgrounds and effectively meets deadlines schedules, and maintains a positive attitude.
Work History
Patient Accounts Receivable Specialist
5 Years 7 Months- Work current and aging account receivable cost
- Work directly with clients going over their patient responsibility owed.
- Processing payments and setting up payment plans within allowed time frame
- Going over cost of program with clients who are private pay and going over insurance policies helping to explain what their policy is and what they can expect to owe such as their deductibles, coinsurance, and out of pocket maximum.
- Making and taking phone calls to ensure all questions and concerns are answered.
- Running daily financial reports on collectable debt, failed credit cards, missed payments.
- Working directly with the utilization review team, making sure all authorization is obtained.
- Call insurance companies to obtain eligibility & benefits for substance use/behavioral health services for all incoming patients.
- Obtain & gather benefit details such as coverage level, exclusions, and patient responsibility including co-pays, deductibles, co-insurance, and/or out-of-pocket maximums.
- Provide expertise in verifying insurance policies, eligibility criteria, and plan benefit details.
- Develop and maintain relationships with payors, facility providers, UR staff, and other stakeholders of the RCM process.
- Accurately fill out VOB forms with all necessary information for a seamless admission process.
- Work directly with the patients, and/or payers, to determine patient responsibilities prior to admission.
- Complete and return benefits requests in a concise and clear manner with detailed information on patient benefits & responsibilities.
- Work directly with the patients, and/or payers, to determine patient responsibilities prior to admission.
- Provide patient financial counsel around patient payment plans, track and monitor timely point of service cash collections on all payment plan & agreement.
- Assist with downstream patient account receivables, and post-discharge collection.
- Effectively monitor the verification process during the upstream process of the patient claim life cycle.
- Educate and communicate revenue cycle/financial information to patients, payers, co-workers, managers, and others as necessary to ensure accurate processes.
- Handles incoming phone calls routed to patient accounts for clarification and payment inquiries.
- Collaborated with internal and external staff to ensure timely and accurate management of key revenue cycle performance expectations and challenges, including:
- Collections of patient responsibility payments
- Capturing accurate information
- Timeliness of reporting
- Denial prevention
- Unbilled amounts
- Proficiency in all aspects of insurance, including deductibles, out-of-pocket cost, and Colorado Medicaid.
- Collaborates closely with the utilization review team on matters involving COB, SCAs, denials, and terminated patients.
- Advocate for patients to ensure that, wherever possible, insurance is paying appropriately, and that the patient's responsibility is communicated well and agreed to collect all fees for services.
- Generate weekly attendance roster to fulfill billing requirements.
- Audit patient attendance and manage patient collection workflows.
- Assist RCM leadership by establishing processes, developing strategies to support patient collections, collecting patient responsibility amounts, and analyzing and managing collection workflows.
- Maintain confidentiality by 42 CFR Part 2 and all other established policies, procedures, and standards of care.
Office Manager and Case Manager Coordinator
2 Years 3 Months- Managed office setup for clinical training and group sessions.
- General front office duties, opening the facility, answering phone calls, greeting clients, stocking office supplies.
- AP/AR functions.
- Client assessments.
- Facilitated the completed and accurate completion of patient registration forms.
- Contributed to patient attendance by communicating appointment details and reminders to patients.
- Completed vitals and UAs for clients.
- Provided support in organizing group rooms for meetings.
- Provided ongoing and as-needed support to ensure the facility had adequate supplies for daily operations.
Account Receivable Specialist
2 Years 7 Months- Extracted relevant financial/payment information into company system.
- Collaborated with finance departments regarding spreadsheets.
- Facilitated customer service calls.
Education
Completed Coursework - Business and Sociology
Associate of Arts - Food Science/Culinary
Skills
Microsoft Office Suite
Teams
Kipu
Zoom
QuickBooks
KIPU ERM
Sales Force CRM
Treatment Express
Treatment Management System (TSM)
Collectly
Avea
Avility
AMD
Inbox Health
Care Credit
Action Collection
Go Merchant
CAC I
CAC II (in progress)
Conflict Resolution
Timeline
Patient Accounts Receivable Specialist
Northpoint Recovery
01.2021 - CurrentRead More
Office Manager and Case Manager Coordinator
AspenRidge Recovery
08.2019 - 11.2021Read More
Account Receivable Specialist
GSI
01.2017 - 08.2019Read More
The Art Institute of Colorado
Associate of Arts from Food Science/Culinary
Read More
Front Range Community College
Completed Coursework from Business and Sociology
Read More