Summary
Overview
Work History
Education
Skills
Timeline
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Jennifer Kerckaert

Buffalo,WY

Summary

Experienced Prior Authorization Specialist skilled in medical coding, insurance verification, and regulatory compliance. Proven track record in supporting program operations and participant success through efficient communication and problem-

solving. Adept at ensuring smooth healthcare operations with strong organizational andtime management skills.

Overview

23
23
years of professional experience

Work History

Prior Authorization Specialist

Memorial Hospital of Sheridan Co
Sheridan, WY
12.2022 - 07.2024
  • Prior authorization includes verifying all CPT codes, and ICD 10 match written procedures, and diagnosis ordered by physicians for medical offices, inpatient and outpatient hospital, Skilled nursing facilities, hospice and home care.
  • Multi tasking, on all tasks to accomplish metrics set for the department
  • Uses all HIPPA compliance in all communication either verbally or written
  • Contacted insurance companies to obtain necessary preauthorizations needed for upcoming tests and procedures.
  • Trained new staff on prior authorization procedures and company policies.
  • Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.

Office Assistant

Buffalo Chiropractic LLC
Buffalo, WY
02.2020 - 10.2022
  • Duties included but were not limited to, answering the phone, making appointments for patients, collecting copayments billing charges to insurance companies, updating patient files with correct demographics, insurance, and daily notes
  • Maintaining excellent patient communication between doctor and patient
  • Making sure daily reports were current, along with monthly reports
  • Use of HIPPA in all communications either verbal or written
  • Conversations with patients regarding any information regarding testing, confusion of payments, and also making sure they understood their treatment plans
  • Supervisor: Dr
  • Zoe Loyd (307-684-2249)
  • Okay to contact this Supervisor: Yes

Homemaker and Mother

Buffalo, WY
03.2005 - 02.2020
  • When we had our daughter in March of 2005, I chose to stay at home and raise my children During this time we moved and found a home in Buffalo WY. I participated in all school events and supported my children in their sports.When both girls were in High School I felt confident that I could return to work full-time and not miss too much of raising my girls

Medical Biller

McLaren Health Care
Flint, MI
03.2001 - 03.2005
  • Worked with re-billing of Medical bills for Blue Cross and Blue Shield of Michigan for Hospital billings
  • Worked with verifying EOB's of denials and corrections of denied claims for BCBS of Michigan
  • Calling insurance companies to verify why the claim was denied and verifying the correct modifiers and correct CPT codes were billed
  • Submitting appeals for claims that needed to be resubmitted
  • Claims that I worked on a daily work day were inpatient claims, physical therapy claims, clinic claims
  • Maintained up-to-date knowledge of government regulations related to healthcare reimbursement policies and procedures.
  • Handled billing, waivers and claims for private and commercial clients.
  • Assisted in auditing process by verifying accuracy of submitted claim forms against documentation provided by physicians' offices.

Education

High school diploma -

Lapeer East Senior High School
Lapeer, MI

Some College (No Degree) -

Sheridan College
Sheridan, WY

Skills

Medical Billing & Coding

Insurance Verification

EMR Systems

Regulatory Compliance

Effective Communication

Timeline

Prior Authorization Specialist

Memorial Hospital of Sheridan Co
12.2022 - 07.2024

Office Assistant

Buffalo Chiropractic LLC
02.2020 - 10.2022

Homemaker and Mother

03.2005 - 02.2020

Medical Biller

McLaren Health Care
03.2001 - 03.2005

High school diploma -

Lapeer East Senior High School

Some College (No Degree) -

Sheridan College

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Jennifer Kerckaert