Jennifer Kauffman
Grand Rapids,MI
Summary
Results-driven individual with expertise in overseeing and managing businesses in and outside of the medical field. Dedicated to optimize revenue streams by developing strong team collaboration. Skilled in managing billing systems, resolving discrepancies, and ensuring compliance with billing regulations. Strong leadership, analytical, and communication skills, with a focus on driving efficiency and accuracy in billing and or business operations.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Payment Resolution Specialist Ll
Trinity Health
Grand Rapids, MI
01.2020 - Current
- Ensure hospital receives appropriate payment that aligns with our contracts.
- Identify variance records and submit appeals to recoup additional funds when payment does not align with our contract.
- Identify issues, track, and trend. Provide insight for resolute.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Negotiate with payors for out-of-network emergent claims that fall under the No Surprise Act.
- Worked successfully with a diverse group of coworkers to accomplish goals and address issues related to our services.
Medical Billing Manager
John N Campbell Md, Pc Internal Medicine
Kentwood, MI
01.2017 - 05.2018
- Identified areas of improvement within the medical billing process, implemented changes accordingly.
- Created reports outlining trends in revenue cycle management, such as denials and rejections.
- Negotiated contracts with payers to maximize reimbursement rates for services rendered.
- Worked closely with clinical staff to ensure timely submission of claims and accurate coding practices.
- Monitored accounts receivable aging reports and worked proactively to reduce outstanding balances due from patients or insurers.
- Managed and reviewed medical billing staff to ensure accuracy of patient accounts.
- Developed training programs for new hires and existing staff in order to improve performance and efficiency.
Medical Billing Technical Denials-Team Leader
Corewell Health
Grand Rapids, MI
06.2011 - 11.2015
- Created training materials and conducted group trainings on new processes or procedures.
- Monitored daily workflow to ensure adherence to established policies and procedures.
- Analyzed data from various sources to identify areas of improvement in the department's operations.
- Maintained a positive work environment that promoted collaboration between team members.
- Reviewed completed work to verify consistency, quality, and conformance.
Director of Pennsylvania Region
Champion Force Athletics
Grand Rapids, MI
01.2006 - 06.2010
- Managed the entire sales cycle process including prospecting, lead generation, qualifying prospects, presenting solutions, negotiating terms and closing deals.
- Built and oversaw the Pennsylvania Region for Champion Force
- Developed strong internal relationships across departments in order to effectively manage projects from conception through completion stages.
- Generated leads and capitalized on valuable business opportunities to bring in new company revenue and improve bottom line profit.
- Trained successful business development personnel to optimize marketing performance and learn industry.
- Resolved customer complaints regarding sales and service.
- Coached, developed and motivated team to achieve revenue goals.
- Oversaw local staff
Education
CERTIFIED PROFESSIONAL CODER COURSE - MEDICAL CODING
Davenport
Grand Rapids, MI09-2024
High School Diploma -
Lee High School
Wyoming, MI06-1999
Skills
- Director-4yrs
- Medical Billing Management-1yr
- Certified Professional Coder
- Certified Revenue Cycle Representative
- Business process improvement
- Client Relationship Management
- Analytical Thinking
- Sales and Marketing
Certification
- CPC
- CRCR
Timeline
Payment Resolution Specialist Ll
Trinity Health
01.2020 - Current
Medical Billing Manager
John N Campbell Md, Pc Internal Medicine
01.2017 - 05.2018
Medical Billing Technical Denials-Team Leader
Corewell Health
06.2011 - 11.2015
Director of Pennsylvania Region
Champion Force Athletics
01.2006 - 06.2010
CERTIFIED PROFESSIONAL CODER COURSE - MEDICAL CODING
Davenport
High School Diploma -
Lee High School