Jennifer DeOchoa
Waco,TX
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Seeking and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
17
17
years of professional experience
Work History
Contract Implementation Analyst I
Blue Cross Blue Shield
06.2023 - Current
- Monitored incoming contracts and service agreements for correct pricing and information.
- Kept monthly Capitation process updated and completed for Capitation contracts.
- Implemented monthly BITS and New Drug Code updates.
- Ran and configured disclosure request for providers.
- Process claim discrepancies and informed with correct information.
- Utilized strong communication skills to present progress updates and recommendations to stakeholders throughout each project phase.
- Managed multiple projects simultaneously, prioritizing tasks effectively to meet deadlines and exceed expectations.
- Identified areas for improvement and implemented necessary changes, resulting in successful project completion.
- Worked effectively in fast-paced environments.
Billing Representative Leader
Waco Gastroenterology Associates
04.2018 - 06.2023
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements
- Daily, posting charges to accounts and insurance payments were priority
- This also included to process patient payments, work denials and follow up with in 30 days to keep AR at a great standing
- Computed balances, totals or commissions to support accounting team each end of the month
- Coordinated communications between patients, billing personnel and insurance carriers
- Addressed credentialing requests, overseeing compliance with governmental and organizational guidelines regarding tiered data access
- Resolved customer complaints or answered customers' questions while reconciling clinical notes, patient forms and health information for compliance with HIPAA rules.
- Reviewed and solved account and billing discrepancies.
- Trained new hires on company-specific billing software, policies, and procedures, promoting team cohesion and productivity.
Administrative Assistant/ Patient Care Tech
BSA, St. Anthony's Hospital, HUC
01.2017 - 03.2018
- Tracked and submitted employee time sheets to prepare for payroll
- Managed inventory to ensure all supplies were in stock and within budget
- Obtained patient vital signs and reported results to staff nurse or physician to identify changes from prior measurements along with intake and output.
Receptionist- Office Manager
Caprock Home Inspection Services
01.2012 - 01.2017
- Coded and entered daily invoices with in-house accounting software and then relayed the data to whom it belong
- Maintained impeccable office organization to support efficiency, professionalism and performance objectives
- Reviewed files/ records to obtain information to complete request.
Front and Back Office Medical Assistant
Family Medicine Centers
01.2007 - 01.2012
- Scheduled appointments for patients via phone and in person
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs
- Prepared treatment rooms for patients by cleaning surfaces and restocking supplies
- Organized charts, documents and supplies to maintain team productivity
- Maintained inventory, vaccination and product expiration logs to record updated documentation for tracking purposes
- Labeled and completed lab requisitions using ICD and CPT coding.
Education
BBA - Business Adminstation
Tarleton State University
Stephenville, TX12.2024
Associates of Applied Science: General Studies -
Amarillo College
Amarillo, TX05.2012
High School Diploma -
Carprock High School
Amarillo, TX05.2010
Skills
- Excellent customer service
- Multitasking
- Great personal interaction
- Remote Work Coordination
- Honesty and Integrity
- Accounts Payable and Receivable
- Complex Problem Solving
- Attention to detail
- Phone and Email Etiquette
- ICD 10 & CPT Guidelines
- Credentialing Providers
- Medical Billing and Collections
- Billing Dispute Resolution
- Itemized Statement Preparation
- Business Analysis
- Calm Under Pressure
- Problem-Solving
- Network protocols
- Dependable and Responsible
- Critical Thinking
- Excel
- Improvisational Skills
- New Drug Code Updates
- HCPCS
- Capitation
- Contract Experience
- Analytical Thinking
References
- Julia Martin, CPC, 254-405-1453, jmartin4@gmail.com, Former Administrator
- Patrice Ihry, FNP-C, 254-405-9399, pihry@icloud.com, Former Medical Lead
- Sherry Alligood, CPC, 254-366-8736, alligoodsherry5@gmail.com, Former Supervisor
Timeline
Contract Implementation Analyst I
Blue Cross Blue Shield
06.2023 - Current
Billing Representative Leader
Waco Gastroenterology Associates
04.2018 - 06.2023
Administrative Assistant/ Patient Care Tech
BSA, St. Anthony's Hospital, HUC
01.2017 - 03.2018
Receptionist- Office Manager
Caprock Home Inspection Services
01.2012 - 01.2017
Front and Back Office Medical Assistant
Family Medicine Centers
01.2007 - 01.2012
BBA - Business Adminstation
Tarleton State University
Associates of Applied Science: General Studies -
Amarillo College
High School Diploma -
Carprock High School