Jennifer DuMez

• Collection of outstanding accounts receivables at expected reimbursement by submitting appeals, submission of documentation and/or follow-up with needed information shared with payer
• Continued review of industry reimbursement policy submitted performed in clinics
• Verified discrepancies and resolved clients' billing issues
• Analyzed and solved multi-faceted problems that effected receipts from three major payers

• All functions related to dialysis facility billing, independently for assigned clients
• Decreased clients' A/R 'Days Outstanding' to 30 days
• Maintained and updated collections tracking spreadsheet to help organize payment information
• Printed and reviewed monthly patient aging report and solicited overdue payments
• Confidently and adeptly handled claim denials and/or appeals
• Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy

• Daily patient per-Diem billing dropped, entered ancillary services, created and uploaded claims to clearinghouse with corrections to resolve rejections of claims
• Resolved issues for collection of unpaid balances due from insurers, collaboration with hospital departments to aid in payment collections, Financial Counselor role as needed in addition to primary job
• Counseled debtors on payment options and arranged installment agreements
• Trained new team members on scripts, company services and collection strategies
• Researched accounts and completed due diligence to resolve collection problems

• Certified QuickBooks ProAdvisor
• Bookkeeping for clients' business accounting and company bookkeeping
• Contact for customers both phone and presenting in person for service
• Served as key holder and performed related functions in accordance with safety and security policies
• Maintained inventory of office supplies and placed orders
• Input data into accounting system and maintained integrity of system information to alleviate potential breaches
• Recorded deposits, reconciled monthly bank accounts and tracked expenses
• Matched purchase orders with invoices and recorded necessary information

• All medical billing - charges, payments, submitted claims appeals, creative solution to overcome software limitation adding efficiency in clinic collections
• Prepared monthly accounts receivable reports for Accountant
• Recovered aging receivables from payer due to software deficiency by requesting audits on two accounts whereby substantial payment with substantial additional payment (just under $10,000) for interest due because lag in payment
• Negotiated with Executive Director to utilize interest payment referenced above to have clearinghouse program script as 'work-around' correcting known billing software deficiency
• Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy
• Posted and adjusted payments from insurance companies
• Communicated with insurance providers to resolve denied claims and resubmitted

• Charge and payment entry, patient collections with research of billing and coding issues and implementation of software functionality to aid efficiency as sole billing personnel
• Monthly accounts receivable reports
• Performed software updates to EMR/Billing system to utilize electronic posting tool with eligible payments, increasing efficiency in this role and reducing data entry issues
• Managed monthly billing process to complete billings and returns to meet company revenue recognition policies
• Complied with established internal controls and policies related to HIPAA requirements

Full-Time, Stay-At-Home Mom to three children

• Supervised staff billing team to maintain accounts receivable benchmarks
• Credentialed providers for all healthcare facilities and health plans
• Super User" with oncology specific EMR system used by clinic; trained in all system aspects training users, and department coordination in flow and processes
• Quality Assurance, EMR and Project Management committees within clinic
• Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting
• Conducted research, gathered information from multiple sources and presented results
• Learned new skills and applied to daily tasks to improve efficiency and productivity
• Participated in continuous improvement by generating suggestions, engaging in problem-solving activities to support teamwork
• Managed team of employees, overseeing hiring, training and professional growth of employees.