Jennifer Hartman
Federal Way,WA
Summary
Results-driven professional with over five years of experience in Microsoft Office applications and a strong background in billing and collections. Expertise in managing patient accounts, ensuring accurate billing, and resolving queries efficiently. Proven track record of enhancing process efficiencies through innovative solutions while fostering strong relationships with patients and colleagues. Committed to continuous personal development and staying informed on current healthcare trends and best practices.
Overview
14
14
years of professional experience
Work History
Patient Account Representative III
Spine And Sports Physical Therapy
Kearny Mesa, CA
09.2019 - 03.2020
- Managed and resolved outstanding accounts for Medi-Cal Health Plans, IPAs, and other payers.
- Addressed denied claims promptly and accurately, ensuring thorough resolution.
- Monitored AR performance, maintaining over 90s at 10% or less of total AR.
- Identified denial trends, discussing solutions with management for improvement.
- Resolved patient billing inquiries efficiently.
- Delivered customer service support to patients effectively.
- Utilized Clinicient practice management software to streamline account handling.
- Coordinated with healthcare providers to verify patient eligibility.
- Maintained detailed records of patient accounts in the billing system.
- Managed patient billing inquiries and resolved account discrepancies.
- Assisted patients with financial arrangements and payment plans.
- Communicated effectively with patients about account statuses and policies.
- Educated patients on insurance benefits and coverage options.
- Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
Insurance Specialist 1
Xtend Healthcare Inc
Hendersonville, TN
01.2019 - 06.2019
- Researched and followed up on denied insurance claims to facilitate prompt resolution.
- Participated in workshops and training to stay updated on billing procedures and regulations.
- Analyzed Explanation of Benefits forms to confirm accuracy of payments and denials.
- Reviewed charges for corrections and ensured timely posting to patient records using Cerner and Prism.
- Identified errors in claims and refiled rejected submissions swiftly.
- Evaluated benefits and eligibility with precision to ensure compliance.
- Maintained up-to-date knowledge of industry regulations and compliance standards.
- Ensured that customer data was kept confidential at all times in accordance with applicable laws and regulations.
- Maintained accurate records of all transactions related to insurance policies.
- Analyzed insurance organizational structures, business and intermediaries, studying common clauses, policies and insurance contracts.
- Collaborated with carriers to resolve discrepancies in insurance payments.
Case Manager
Rose International/ Aetna
Franklin, TN
06.2018 - 12.2018
- Reviewed applications for annual open enrollment, verifying completeness of each section.
- Collaborated with Insurance Sales Agents to gather and upload missing information promptly.
- Adhered to all rules and guidelines, ensuring applications were ready for Underwriting.
- Facilitated enrollment processes for new Medicare beneficiaries efficiently.
- Resolved customer complaints promptly while delivering exceptional service.
- Clarified advantages, disadvantages, and features of policies to enhance sales of Medicare plans.
- Verified accuracy of documents prior to submission by cross-referencing application information.
Patient Account Representative
Pathgroup
Brentwood, TN
04.2016 - 04.2018
- Processed insurance claims and verified patient eligibility efficiently.
- Managed patient accounts and promptly resolved billing inquiries.
- Submitted claims for payment and followed up until completion.
- Coordinated with healthcare providers to ensure accurate account information.
- Appealed claims as necessary to secure appropriate reimbursements.
- Utilized Centricity to streamline claims processing.
- Ensured thorough verification of eligibility prior to claim submission.
- Collaborated with collections teams to address outstanding balances effectively.
- Analyzed claims denials from third party payers and identified potential solutions for reimbursement.
- Reviewed EOBs statements submitted by insurance companies for accuracy against provider's charges.
- Updated existing patient files with relevant information such as changes in address or contact information.
- Resolved any issues arising from incorrect or incomplete documentation relating to a particular claim.
- Collaborated with relevant parties to resolve billing issues, insurance claims, and patient payments.
Reimbursement Specialist
SpineMark Corporation
San Diego, CA
07.2013 - 07.2014
- Answered inbound hotline calls for Mazor Robotics and ArthroCare Corporation.
- Logged all phone calls via email, electronic fax, and multisystem phone line regarding payments.
- Collaborated with doctors, sales teams, and billing staff to advise on payment practices.
- Managed appeals and denials as necessary.
- Coordinated pain management scheduling and practice operations.
- Conducted audits and collections for various accounts as needed.
- Oversaw training of externs for CEO, enhancing operational capability.
- Planned CEO’s daily calendar and international travel itinerary efficiently.
- Maintained updated knowledge of reimbursement policies and regulations.
- Provided training and support to new team members on reimbursement procedures.
- Researched rejections, investigating problems to appeal claims.
- Determined medical necessity, using individual insurance carrier regulations.
- Drafted documents based on payer guidelines and submitted to necessary parties.
- Verified technical reimbursement questions for providers, billing, and coding staff.
- Identified opportunities for coverage access to address reimbursement barriers.
School Aged Childcare Worker/Child Nutrition Worker
DCLC
El Cajon, California
05.2008 - 01.2013
- Conducted program evaluation and strategic planning for state-run food initiative.
- Managed budgeting to ensure adherence to nutritional standards and financial constraints.
- Oversaw operations of food program while meeting regulatory requirements.
- Implemented improvements based on evaluation findings to enhance program effectiveness.
- Supervised daily activities and ensured a safe environment for children.
- Planned engaging educational programs to foster children's development and learning.
- Communicated effectively with parents about children's progress and daily activities.
- Assisted in managing behavior and resolving conflicts among children.
- Collaborated with staff to create a positive, inclusive atmosphere for all children.
- Developed engaging lesson plans to promote social and emotional growth.
- Provided safe and secure environment for children to learn, play and develop social skills.
- Adhered to all safety regulations set forth by local government agencies.
- Monitored playgrounds during recess times to ensure safety of all children involved.
- Fostered an appreciation for learning by engaging students in fun and interactive activities.
Assistant Manager/Site Resident Manager
Hoban Management
El Cajon, California
06.2006 - 03.2008
- Managed resident relations, addressing community concerns promptly and effectively.
- Maintained accurate records of lease agreements and updated resident files.
- Collected monthly rent payments, ensuring timely bank deposits and transaction recording.
- Facilitated communication between residents and management to improve service delivery.
- Processed tenant applications efficiently, maintaining a quick turnaround time.
- Reviewed contracts, leases, and permits for compliance prior to submission.
- Conducted regular inspections of buildings and vacant units to identify repair needs.
- Developed communication channels for resident feedback, enhancing tenant satisfaction.
Education
Associates Degree - Liberal Arts, General Education
Grossmont College
CaliforniaDiploma -
Foothills Adult School
El Cajon, CaMedical Administration/Insurance Billing -
New Bridge College
El Cajon, CaliforniaSkills
- Claims processing and analysis
- Patient eligibility verification
- Medical billing and coding
- Account management and collections
- Denial resolution strategies
- Medical terminology expertise
- Attention to detail
- Time management skills
- Problem solving abilities
- Provider collaboration
- HIPAA compliance
- Follow-up and documentation
- Insurance verification processes
- Effective communication skills
- Multitasking proficiency
- Recordkeeping and administration
Insurances
- Blue Shield Commercial all lines of Business
- Aetna
- Cigna
- Health Net
- Government payers MediCare, Medicaid, TriCare
- WorkComp
Timeline
Patient Account Representative III
Spine And Sports Physical Therapy
09.2019 - 03.2020
Insurance Specialist 1
Xtend Healthcare Inc
01.2019 - 06.2019
Case Manager
Rose International/ Aetna
06.2018 - 12.2018
Patient Account Representative
Pathgroup
04.2016 - 04.2018
Reimbursement Specialist
SpineMark Corporation
07.2013 - 07.2014
School Aged Childcare Worker/Child Nutrition Worker
DCLC
05.2008 - 01.2013
Assistant Manager/Site Resident Manager
Hoban Management
06.2006 - 03.2008
Associates Degree - Liberal Arts, General Education
Grossmont College
Diploma -
Foothills Adult School
Medical Administration/Insurance Billing -
New Bridge College