Jennifer P. Garcia
Bakersfield,CA
Summary
Resourceful Patient Account Representative known for high productivity and efficient task completion. Specialize in insurance verification, billing dispute resolution, and patient communication. Excel in problem-solving, time management, and empathy to navigate complex account issues and improve patient satisfaction.
Overview
8
8
years of professional experience
Work History
Patient Account Representative
Good Samaritan
Bakersfield, CA
05.2023 - 06.2024
- Maintained up-to-date accounts receivable records and coordinated monthly billing activities.
- Processed invoices, payments, and statements in a timely manner.
- Reconciled financial discrepancies by collecting and analyzing account information.
- Assisted with the preparation of month-end close activities including journal entries, reconciliations, accruals.
- Reviewed banking activity regularly to identify any irregularities or unauthorized transactions.
- Supported clerical and administrative needs of senior department staff.
Medical Billing Specialist
Universal Urgent Care
Bakersfield, CA
01.2021 - 05.2023
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Processed credit card payments from patients in accordance with office policy.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
- Posted charges, payments and adjustments.
- Billing for Urgent Care, Primary Care, Pediatric, Worker's Compensation, Pain Management including Physical Therapy.
- Reviewing Patient's Charting for Workers Compensation injuries to ensure accurate documentation and corresponding forms (DFR, PR2, PR4).
Eligibility & Benefit Specialist
Dignity Health (GEMCARE)
Bakersfield, CA
03.2016 - 12.2020
- Verified accuracy of information provided by applicants through phone calls and other research methods.
- Coordinated high-priority patient update requests across multiple teams.
- Verified members IPA selection. Enrolling member to assigned corresponding benefit plan.
- Developed claim edits identifying primary and secondary responsibilities
- Addressed and resolved issues with insufficient claim information
- Coordinated inmate healthcare enrollment processes
Education
High School Diploma -
Golden Valley High School
Bakersfield05-2014
Skills
- Medical terminology knowledge
- Administrative Support
- Team Collaboration
- Insurance Billing
- Payment Processing
- HIPAA Compliance
- Insurance Verification
- Collections experience
Timeline
Patient Account Representative
Good Samaritan
05.2023 - 06.2024
Medical Billing Specialist
Universal Urgent Care
01.2021 - 05.2023
Eligibility & Benefit Specialist
Dignity Health (GEMCARE)
03.2016 - 12.2020
High School Diploma -
Golden Valley High School