Summary
Overview
Work History
Education
Skills
Timeline
Generic

Jennifer Palmer

Katy

Summary

Dynamic Medical Insurance Representative II with extensive experience, excelling in healthcare billing and insurance claims processing. Proven track record of reducing outstanding receivables and enhancing team performance through effective communication and complex problem-solving. Highly organized and adaptable, committed to compliance and continuous improvement in patient account management.

Professional with deep understanding of medical insurance processes and claims management, prepared to navigate complexities of healthcare coverage. Known for strong analytical skills, effective communication, and adaptability in dynamic environments. Collaborative team member focused on delivering impactful results and ensuring client satisfaction. Skilled in policy interpretation, problem-solving, and maintaining regulatory compliance.

Overview

23
23
years of professional experience

Work History

Medical Insurance Representative II

Pfsgroup
07.2019 - 08.2025
  • Coordinated across departments to ensure seamless communication regarding patient accounts, claim statuses, and dispute resolutions.
  • Demonstrated adaptability by staying flexible in adjusting priorities according to changes in workload or organizational needs.
  • Acted as a reliable resource for team members by sharing expertise on the medical insurance field, facilitating mutual growth and development within the department.
  • Ensured compliance to industry regulations by staying up-to-date on changes in healthcare laws and guidelines.
  • Initiated appeals for denials and underpaid claims
  • Researched and resolved complex medical claims issues to support timely processing.
  • Monitored and updated claims status in claims processing system.

Account Representative

PracticeMax
11.2015 - 02.2018
  • Identified procedure errors and successfully decreased workers compensation delinquencies increasing cash payments
  • Expedited delinquent accounts for all payer
  • Completed billing, follow-up and appeals
  • liaison between patients and physicians to resolve financial challenges
  • Implemented customized account plans to meet individual client needs.
  • Analyzed accounts for delinquencies and other ongoing issues.

Consultant

Betz Mitchell Associates
11.2013 - 12.2014
  • Estate management Account receivable Liquidtion
  • Evaluated client needs and expectations, establishing clear goals for each consulting engagement.
  • Liaised with customers, management, and team to better understand customer needs and recommend appropriate solutions.
  • Collaborated with cross-functional teams to successfully deliver comprehensive solutions for clients.
  • Complied all day/weekly/monthly reports for analyst
  • Established weekly cash goals, reporting tends, issues & resolutions
  • Full A/R Recoveries exceeding $30 million in project goals and targets
  • Interacted with ancillary departments to complete A/R project including but not limited to HIM Admitting, IT Case Management and clinical areas of support
  • Managed staff of 20 ranging from Medicaid Applications, Billing, Follow-up and complete Vendor Management

Director of Patient Accounts

Sound Shore Medical Center
03.2007 - 10.2013
  • Oversaw a team of patient account representatives, providing guidance, support, and performance evaluations to promote professional growth.
  • Reduced outstanding receivables through follow-up on delinquent accounts and negotiating payment plans with patients.
  • Promoted a culture of continuous learning within the Patient Accounts department by offering professional development opportunities and encouraging staff members to stay current on industry trends and best practices.
  • Developed policies and procedures for financial counseling, ensuring patients were well-informed of their financial obligations.
  • Improved denial reporting process model for analysis and revenue projects
  • Soley completed charge capture audit resulting in 1.2 million in recovered revenue
  • Worked with department heads to establish corrective action plan in workflow to insure charge capture and reconciliation to maximize cash flow
  • Identify major areas of underpayment and recommended long term solutions
  • Designed and implemented revenue cycle tools with new install of hospital wide system

Director of Patient Accounts

North General Hospital
09.2002 - 07.2007

• Analysed daily, weekly and monthly A/R reports
• Resolved A/R Issues resulting in an increase of cash by 7%
• Reduction in A/R days by 15
• Prepared month-end trails For CFO and revenue cycle committee
• Written policy and procedures for patient accounts
• Developed staff work flow procedures
• Managed staff of 12
• Provided Training and re-education of staff in billing, follow-up and collection

  • Reduced outstanding receivables through diligent follow-up on delinquent accounts and negotiating payment plans

Education

Dover High School
Dover NY

Skills

  • HIPAA compliance
  • Microsoft office
  • Policy interpretation
  • Healthcare billing
  • Insurance claims processing
  • Financial reporting and analysis
  • Exceptionally organized highly detailed oriented
  • Complex problem solving
  • Multitasking
  • Excellent communication

Timeline

Medical Insurance Representative II

Pfsgroup
07.2019 - 08.2025

Account Representative

PracticeMax
11.2015 - 02.2018

Consultant

Betz Mitchell Associates
11.2013 - 12.2014

Director of Patient Accounts

Sound Shore Medical Center
03.2007 - 10.2013

Director of Patient Accounts

North General Hospital
09.2002 - 07.2007

Dover High School